A 76-year-old woman has been taking Alendronic acid for 5 years following a hip fracture. She reports a dull aching pain in her right thigh that has b...

Question

A 76-year-old woman has been taking Alendronic acid for 5 years following a hip fracture. She reports a dull aching pain in her right thigh that has been present for 2 months. X-ray shows cortical thickening of the lateral femoral diaphysis with a transverse lucent line. What is the MOST likely diagnosis?

Accepted Answer

Atypical femoral fracture associated with long-term bisphosphonate use

Answer

Osteoarthritis of the hip

Answer

Paget's disease of bone

Answer

Metastatic bone disease

Answer

Stress fracture from exercise

uk-dgm MCQ (SBA): Atypical Femoral Fracture - Bisphosphonate Complication