TY - JOUR AU - Cruz, DO, MPH, FAWH, Maricel Dela AU - Danoff, DO, MS, FACOFP, FAAFP, Robert PY - 2018/04/13 Y2 - 2024/03/28 TI - An Atypical Fracture JF - Osteopathic Family Physician JA - OFP VL - 10 IS - 2 SE - Clinical Images DO - UR - https://ofpjournal.com/index.php/ofp/article/view/559 SP - AB - <p class="p1">An 81-year-old female with a past medical history of osteoporosis, hypertension, hypercholesterolemia, and gastroesophageal reflux disease presented to her family practice office in hospital follow-up of a right leg injury she sustained six weeks prior. She had a mechanical fall at home and was taken to the emergency department by ambulance, and underwent x-ray imaging (See Figure 1, 2). Her medications included daily carvedilol, lisinopril, ranitidine, and simvastatin, as well as an eight-year use of weekly oral alendronate. The patient suffered a right diaphyseal (mid-shaft) fracture of the femur and subsequently underwent orthopedic repair with open reduction and internal fixation. The patient was diagnosed with fragility fracture secondary to a history of osteoporosis and fall from standing. Upon discharge, she was kept on alendronate. The patient completed inpatient rehabilitation and later brought the following images to her primary care physician.</p> ER -