Case Report
Treatment of Atypical Fracture of the Ulnar Diaphysis by Open Reduction and Internal Fixation with Teriparatide
Table 1
Reports of atypical ulnar fractures.
| Authors | Age (y) | Sex | Affected side | Cause/trauma | Bisphosphonate history | Treatment | Outcome | Remarks |
| Moon et al. (2013) | 76 | F | Left | NHT | Alendronate | Internal fixation | Union | | | 78 | F | Left | NHT | Alendronate | Conservative | Some healing at 3 m | | Stathopoulos et al. [3] | 76 | F | Right | NHT | Zoledronate | Internal fixation | Union | | Tang and Kumar [11] | 7 | F | Right | NHT | Alendronate | Conservative | Nonunion | | Bjørgul and Reigstad [5] | 83 | F | Left | Crutch use | Alendronate | Internal fixation with bone graft | Union | | Ang et al. [6] | 84 | M | Bilateral | Walking frame use | Alendronate | Conservative | NS | | Chiang et al. [9] | 77 | F | Right | Walking cane use | Alendronate | Internal fixation | Nonunion, managed with bone graft and refixation | | Osada et al. [7] | 85 | F | Left | Light fall | Alendronate | Internal fixation with bone graft | Union | | Erdem et al. [10] | 62 | F | Right | Walking cane use | Alendronate | Conservative | Nonunion | | Shimada et al. [12] | 79 | F | Right | NHT | Alendronate | Internal fixation with bone graft | Union | Teriparatide+LIPUS | | 89 | F | Left | Lightly hit elbow | Risedronate | Internal fixation with bone graft | Union | Teriparatide+LIPUS | Yam and Kwek [13] | 89 | F | Bilateral | Walking frame use and fall | Alendronate | Conservative | Non-union | | Oh et al. [11] | 72 | F | Left | Light fall | Alendronate | Internal fixation | Union | | Present study | 78 | F | Left | Hoe use and fall | Alendronate | Internal fixation | Nonunion, managed with bone graft and refixation | Teriparatide+LIPUS |
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LIPUS: low-intensity pulsed ultrasound; NHT: no history of trauma; NS: not stated.
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