title: [Insufficiency fractures of the feet and lower limbs in rheumatoid arthritis].
abstract: BACKGROUND
  Insufficiency fractures are generally a rare event, especially of the hindfoot. These are often overlooked in the initial stage, however, they must be regarded as a differential diagnosis in the range of possible causes in patients with rheumatoid arthritis and unclear complaints.
  
  
  METHODS
  Outpatients in an arthritis care unit from 2009-2011 were analyzed for fractures of the hindfoot and distal tibia.
  
  
  RESULTS
  A total of six patients with seven fractures without adequate trauma were found in the cohort. All patients had received disease modifying therapy and corticosteroids. All fractures could be successfully treated without surgery.
  
  
  CONCLUSIONS
  Insufficiency fractures in patients with rheumatoid arthritis are a typical finding after several years of the disease. They are directly related to the disease and medication and can usually be successfully treated conservatively.
authors.affiliation: Abteilung für Orthopädische Rheumatologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Im Waldkrankenhaus St. Marien, Rathsberger Str. 57, 91054, Erlangen, Deutschland. johannespauser@web.de
authors.forename: J
authors.initials: J
authors.lastname: Pauser
authors.forename: H-D
authors.initials: HD
authors.lastname: Carl
authors.forename: B
authors.initials: B
authors.lastname: Swoboda
authors.forename: K A
authors.initials: KA
authors.lastname: Jendrissek
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016512:Ankle Injuries / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D018501:Antirheumatic Agents / Q000627:therapeutic use*; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D005260:Female; D015775:Fractures, Stress / Q000000981:diagnostic imaging* / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography
chemical_list: D018501:Antirheumatic Agents