title: Use of bisphosphonate to manage avulsion fracture of tibial tuberosity with underlying angiomatosis: a case report.
abstract: An unusual case of avulsion fracture of the tibial tuberosity with underlying angiomatosis in a middle-aged man is described, with particular emphasis on the successful use of bisphosphonate in its treatment and the value of serial dual energy X-ray absorptiometry in its subsequent disease monitoring. This case illustrates the importance of careful correlation of the clinical, radiological, and histological findings in the management of skeletal tumour and tumour-like lesions. The differential diagnosis of osteolysis with vascular ectasia is discussed.
authors.affiliation: Department of Orthopaedics & Traumatology, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong. jwkwong@hkucc.hku.hk
authors.forename: J W K
authors.initials: JW
authors.lastname: Wong
authors.forename: D K H
authors.initials: DK
authors.lastname: Yip
authors.forename: J K F
authors.initials: JK
authors.lastname: Kong
authors.forename: E P
authors.initials: EP
authors.lastname: Chien
authors.forename: T W H
authors.initials: TW
authors.lastname: Shek
mesh_terms: D000798:Angiomatosis / Q000150:complications*; D001847:Bone Diseases / Q000150:complications*; D004164:Diphosphonates / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010014:Osteolysis / Q000188:drug therapy* / Q000209:etiology; D013978:Tibial Fractures / Q000188:drug therapy* / Q000209:etiology / Q000601:surgery*
chemical_list: D004164:Diphosphonates