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J Knee Surg 2013; 26(S 01): S025-S029
DOI: 10.1055/s-0031-1280973
DOI: 10.1055/s-0031-1280973
Case Report
Steroid-Induced Stress Fracture of Medial Tibial Condyle: A Case Report
Further Information
Publication History
11 October 2010
23 April 2011
Publication Date:
08 June 2011 (online)
Abstract
Corticosteroid-induced stress fractures have been described, but such a presentation is rare in tibial condyle where osteonecrosis secondary to steroid use is more common. In this report we describe a case of stress fracture of medial tibial condyle secondary to corticosteroid (glucocorticoid) intake in a 47-year-old man. We discuss in detail the pathogenesis of this condition, and highlight the importance of various diagnostic modalities to avoid misdiagnosis of the condition. We also reiterate the importance of early diagnosis and prompt immobilization to prevent long-term morbidity in such cases.
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References
- 1 Pentecost RL, Murray RA, Brindley HH. Fatigue, insufficiency and pathologic fractures. JAMA 1964; 187: 1001-1004
- 2 Mont MA, Baumgarten KM, Rifai A, Bluemke DA, Jones LC, Hungerford DS. Atraumatic osteonecrosis of the knee. J Bone Joint Surg Am 2000; 82 (9) 1279-1290
- 3 Hodgson SF. Corticosteroid-induced osteoporosis. Endocrinol Metab Clin North Am 1990; 19 (1) 95-111
- 4 Prasad N, Murray JM, Kumar D, Davies SG. Insufficiency fracture of the tibial plateau: an often missed diagnosis. Acta Orthop Belg 2006; 72 (5) 587-591
- 5 Holt MD, Williams LA, Dent CM. MRI in the management of tibial plateau fractures. Injury 1995; 26 (9) 595-599
- 6 Manco LG, Schneider R, Pavlov H. Insufficiency fractures of the tibial plateau. AJR Am J Roentgenol 1983; 140 (6) 1211-1215
- 7 Rupani HD, Holder LE, Espinola DA, Engin SI. Three-phase radionuclide bone imaging in sports medicine. Radiology 1985; 156 (1) 187-196
- 8 Schneider R, Kaye JJ. Insufficiency and stress fractures of the long bones occurring in patients with rheumatoid arthritis. Radiology 1975; 116 (3) 595-599
- 9 Manolagas SC. Corticosteroids and fractures: a close encounter of the third cell kind. J Bone Miner Res 2000; 15 (6) 1001-1005
- 10 van Staa TP, Leufkens HG, Cooper C. The epidemiology of corticosteroid-induced osteoporosis: a meta-analysis. Osteoporos Int 2002; 13 (10) 777-787
- 11 Zuckerman JD, Shin SS, Polatsch DB, Schweitzer M. Concurrent bilateral femoral neck stress fractures and osteonecrosis of the hip. A case report. J Bone Joint Surg Am 2006; 88 (4) 857-860
- 12 Austin JC, Chrissos M. Displaced bilateral femoral neck fractures in a woman with a history of oral steroid use. Orthopedics 2005; 28 (8) 795-797
- 13 Haddad FS, Mohanna PN, Goddard NJ. Bilateral femoral neck stress fractures following steroid treatment. Injury 1997; 28 (9-10) 671-673
- 14 Yamamoto T, Bullough PG. Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. J Bone Joint Surg Am 2000; 82 (6) 858-866