Proximal tibial stress fractures associated with primary degenerative knee osteoarthritis.
Tibial stress fractures are not rare--they have been extensively studied in young athletes and soldiers and in elderly people with rheumatoid arthritis, osteoporosis, Paget's disease, pyrophosphate arthropathy, and hyperparathyroidism--but they seldom occur in patients with severe primary degenerative knee osteoarthritis. The etiology, diagnosis, and optimal treatment of these fractures remain a challenge. In this article, we review the English-language literature on the symptoms, diagnosis, treatment options, and final outcomes of these fractures, and we report 2 new cases of proximal tibial stress fractures in elderly women with severe primary degenerative knee osteoarthritis.
Sourlas
Ioannis
I
2nd Department of Trauma and Orthopaedics, School of Medicine, Athens University, Athens, Greece.
Papachristou
Georgios
G
Pilichou
Anastasia
A
Giannoudis
Peter V
PV
Efstathopoulos
Nicolas
N
Nikolaou
Vassilios S
VS
D000368:Aged; D019645:Arthroplasty, Replacement, Knee; D005260:Female; D015775:Fractures, Stress / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D011859:Radiography; D013978:Tibial Fractures / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy