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
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- EP ID EP308372
- DOI 10.5704/MOJ.1511.010
- Views 95
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