Bilateral non-traumatic hip fractures in a heavy smoker COPD patient on inhaled steroids

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dc.authorid0000-0001-7993-0638en_US
dc.authorid0000-0002-0774-2766en_US
dc.authorid0000-0003-3311-3338en_US
dc.authorid0000-0003-1829-5700en_US
dc.authorid0000-0003-3646-1872en_US
dc.contributor.authorSanel, Selim
dc.contributor.authorSezgin, Gülbüz
dc.contributor.authorSarıman, Nesrin
dc.contributor.authorÜğütmen, Ender
dc.contributor.authorSolakoğlu, Can
dc.date.accessioned2024-07-12T21:02:00Z
dc.date.available2024-07-12T21:02:00Z
dc.date.issued2016en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractBilateral proximal femoral fractures without trauma are very rare conditions. They have been reported in connection with osteoporosis, renal osteodystrophy, parathyroid disease, tumors, epileptic seizures, electroconvulsive therapy, and postirradiation. Method We present a case of a 75-year-old man with bilateral hip fractures. No trauma, neurological, endocrinological disorder, or malignancy was reported in his history. He had a background of chronic obstructive pulmonary disease (COPD) and had been taking inhaled steroids (budesonide) 800 µg per day for 10 years. He was a heavy smoker with a smoking history of 120 packs/year. His complaints had initially started as pain on the left hip and groin and then had progressed to the right in 10 days. Plain x-rays of the pelvis showed left femoral neck and right subtrochanteric femoral fractures. Fixation with proximal femoral nail of the right hip and partial arthroplasty of the left hip was performed on the following day after his admission. Pathological examination revealed osteoporosis in bone samples from both hips. Result COPD and osteoporosis have some common risk factors. Smoking, decreased exercise capacity, inhaled, or oral steroid therapy may increase osteoporosis and risk of bone fractures by decreasing bone mineral density. Non-traumatic femoral fractures may occur in patients on long-term inhaled steroid treatment for chronic airway diseases such as asthma and COPD. Conclusion History of COPD with corticosteroid use may be used as a diagnostic tool to identify patients having osteoporosis. Preventive measures can be performed by monitoring high-risk patients with bone mineral densitometry, WHO fracture risk assessment tool (FRAX tool), serum calcium, and vitamin D levels to prevent bone fractures. Treating those patients with the lowest effective dose of corticosteroids should be targeted.en_US
dc.identifier.citationSanel, S., Sezgin, G., Sarıman, N. vd. (2016). Bilateral non-traumatic hip fractures in a heavy smoker COPD patient on inhaled steroids. Arch Osteoporos, SpringerLink. 11(8).en_US
dc.identifier.doi10.1007/s11657-016-0259-2
dc.identifier.issn1862-3514
dc.identifier.issue8en_US
dc.identifier.pmid26781126en_US
dc.identifier.scopus2-s2.0-84955514386en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://link.springer.com/article/10.1007/s11657-016-0259-2
dc.identifier.urihttps://doi.prg/10.1007/s11657-016-0259-2
dc.identifier.urihttps://hdl.handle.net/20.500.12415/3560
dc.identifier.volume11en_US
dc.identifier.wosWOS:000378223400008en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSanel, Selim
dc.institutionauthorSezgin, Gülbüz
dc.institutionauthorSarıman, Nesrin
dc.institutionauthorÜğütmen, Ender
dc.institutionauthorSolakoğlu, Can
dc.language.isoenen_US
dc.publisherSpringerLinken_US
dc.relation.ispartofArchives of Osteoporosisen_US
dc.relation.publicationcategoryUluslararası Hakemli Dergide Makale - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY00342
dc.subjectHip fractureen_US
dc.subjectBilateralen_US
dc.subjectOsteoporosisen_US
dc.subjectInhaled corticosteroidsen_US
dc.subjectCOPDen_US
dc.titleBilateral non-traumatic hip fractures in a heavy smoker COPD patient on inhaled steroidsen_US
dc.typeArticle
dspace.entity.typePublication

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