Frank A. Liporace, MD

A 58-year-woman with history of dyslipidemia, hypertension, obesity and gastroesophageal reflux disease presented to our office with a chief complaint of right hip pain. Roughly 18 months prior to presentation, she sustained a closed right subtrochanteric femur fracture treated at an outside facility with a long cephalomedullary nail. The mechanism of injury was a low-energy fall coupled with a history of bisphosphonate therapy for approximately 7 years. Since the time of surgery, the patient had been using a walker though had not done so prior to injury. She complained of lateral thigh numbness and diffuse right-sided hip pain, the latter localized to the fracture site which was exacerbated by standing. Bisphosphonate therapy was initially stopped then re-started 2 months postoperatively.