CASE REPORT
Proximal tibial stress fracture associated with degenerative changes of the knee in a rheumatoid patient
Online publication date: 2010-05-14
Reumatologia 2010;48(2):139-142
KEYWORDS
ABSTRACT
Fatigue fracture of the tibia secondary to osteoarthritis of the knee is relatively rare. Such fractures usually involve the proximal tibia. The authors present a case of fatigue fracture of the tibia with concurrent degenerative changes of the knee in a 57-year-old woman suffering from rheumatoid arthritis. The patient was treated surgically with a posterior stabilized prosthesis with a long uncemented tibial stem. The procedure yielded pain relief and correction of the axis of the lower limb with progressive bone union.
REFERENCES (8)
1.
Soubrier M, Dubost JJ, Boisgard S, et al. Insufficiency fracture. A survey of 60 cases and review of the literature. Joint Bone Spine 2003; 70: 209-218. .
2.
Nampei A, Hashimoto J, Koyanagi J, et al. Characteristics of fracture and related factors in patients with rheumatoid arthritis. Mod Rheumatol 2008; 18: 170-176. .
3.
Mullaji A, Shetty G. Total knee arthroplasty for arthritic knees with tibiofibular stress fractures: classification and treatment guidelines. J Arthroplasty 2010; 25: 295-301. .
4.
Wheeldon FT. Spontaneous fractures in the shin in the presence of knee deformities. J R Soc Med 1961; 54: 1108. .
5.
Satku K, Kumar VP, Pho RW. Stress fractures of the tibia in osteoarthritis of the knee. J Bone Joint Surg Br 1987; 69: 309-311. .
6.
Tey IK, Chong KW, Singh I. Stress fracture of the distal tibia secondary to severe knee osteoarthritis: a case report. J Orthop Surg (Hong Kong) 2006; 14: 212-215. .
7.
Kowalczewski J, Małdyk P, Sak I. Zmęczeniowe złamanie goleni współistniejące ze zmianami destrukcyjnymi stawu kolanowego u chorej na reumatoidalne zapalenie stawów. Chir Narz Ruchu Ortop Pol 2000; 65: 199-201. .
8.
Rodrigo JJ, Hazelwood SJ, Farver TB, Nyman JS. Total knee replacement with interlocking stems. Clin Orthop 2001; 392: 139-146.
Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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| eISSN: | 2084-9834 |
| ISSN: | 0034-6233 |
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