Tenofovir Induced Bilateral Femoral Neck Stress Fracture

Case: A 47 year old male, came with history of bilateral hip pain ,insidious in onset gradually progressive, with difficulty in walking unassisted since 2 years. No history of fall/ trauma. Patient is known case of retroviral disease and on ART (TLE regimen ) since 2 years. Relevant radiographs were done and was diagnosed with bilateral neck of femur stress fracture (Tenofovir induced) associated with hypophosphatemia. ART regimen was changed to (Abacavir ,Lamivudine , Dolutegravir) . Patient on regular follow up every 2 months with serial radiographs. . On 6 months follow up patient is symptomatically improved with healing bilateral neck of femur stress fracture.