Turkish Journal of Physical Medicine and Rehabilitation 2020 , Vol 66 , Num 3
Atypical femoral neck stress fracture in a human immunodeficiency virus-infected patient despite anti-osteoporotic treatment: A case report
Rana Terlemez 1 ,Mehmet Mesut Sönmez 2 ,Aziz Ahmad Hamidi 3 ,Figen Yılmaz 1
1 Department of Physical Medicine and Rehabilitation, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
2 Department of Orthopedics and Traumatology, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
3 Department of Clinical Microbiology and Infectious Diseases, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
DOI : 10.5606/tftrd.2020.4286 Both human immunodeficiency virus (HIV) infection and antiretroviral therapy are related to an increased risk of fracture. As a result of the developments in HIV treatment in recent years, life expectancy in HIV-infected patients has increased. Therefore, HIV-related musculoskeletal problems such as osteoporosis and avascular necrosis are more common currently. There are complex mechanisms in HIV-related osteoporosis. The loss of bone mineral density is particularly distinctive in the first months of the therapy. In this report, we present a 54-year-old woman admitted to our clinic with right thigh pain for three months and diagnosed with a femoral neck stress fracture. Keywords : Femur fracture, human immunodeficiency virus, osteoporosis, tenofovir