Sequential Proximal Tibial Stress Fractures associated with Prolonged usage of Methotrexate and Corticosteroids: A Case Repor
Journal Title: Malaysian Orthopaedic Journal - Year 2015, Vol 9, Issue 3
Abstract
Stress fractures of the proximal tibia metaphysis are rare in the elderly. We present a case of a 65-year old male who developed sequential proximal tibia stress fractures associated with prolonged usage of methotrexate and prednisolone within a span of 18 months. Magnetic Resonance Imaging revealed an incomplete stress fracture involving the medial proximal tibial region. The patient was treated with stemmed total knee arthroplasty (TKA) bilaterally. Stress fractures should be considered in patients with atypical knee pain who have a history of methotrexate and prednisolone usage. TKA is an effective treatment in stress fractures of the proximal tibia.
Authors and Affiliations
Tan TJL, Ho WLS, Teo YH
Keywords
Related Articles
- EP ID EP308372
- DOI 10.5704/MOJ.1511.010
- Views 105
- Downloads 0
Peripheral Gangrene Complicating Systemic Lupus Erythematosus in a Patient with Spina Bifida: A Case Report
An adolescent girl, a known case of spina bifida with systemic lupus, presented with bluish discolouration of three toes of the right foot. She had thrombosis of bilateral popliteal arteries. She underwent percutaneous t...
Modified One-third Tubular Plate with Hook for Distal Lateral Malleolus Fracture Fixation
Fracture of the lateral malleolus is a commonly encountered problem in the orthopaedic fraternity. Among the lateral malleolus fractures, Weber type B is the most common injury, accounting for 60% of all ankle fractures....
The Relationship amongst Intervertebral Disc Vertical Diameter, Lateral Foramen Diameter and Nerve Root Impingement in Lumbar Vertebra
Introduction: The vertical diameter of the foramen is dependent upon the vertical diameter of the corresponding intervertebral disc. A decrease in disc vertical diameter has direct anatomic consequences to the foraminal...
Life-threatening Chlorhexidine Anaphylaxis: A Case Report
Chlorhexidine is a common antiseptic and disinfectant used in the medical field. Allergy to chlorhexidine has been reported in the literature but life-threatening anaphylactic shock is rare. We present a case of severe a...
Retained Intraspinal Bullet: A Rare Case in a Visitor to Malaysia - A Case Report
Firearm injuries to the spine commonly present with acute neurology caused by direct penetration or indirectly from concussive effects of bullet impact on the vertebral column. We report a case of delayed neurologic pres...