title: Steroid-induced stress fracture of medial tibial condyle: a case report.
abstract: Corticosteroid-induced stress fractures have been described, but such a presentation is rare in tibial condyle where osteonecrosis secondary to steroid use is more common. In this report we describe a case of stress fracture of medial tibial condyle secondary to corticosteroid (glucocorticoid) intake in a 47-year-old man. We discuss in detail the pathogenesis of this condition, and highlight the importance of various diagnostic modalities to avoid misdiagnosis of the condition. We also reiterate the importance of early diagnosis and prompt immobilization to prevent long-term morbidity in such cases.
authors.affiliation: Department of Orthopedics, PGIMER, Chandigarh, India.
authors.forename: Kamal
authors.initials: K
authors.lastname: Bali
authors.affiliation: Department of Orthopedics, PGIMER, Chandigarh, India.
authors.forename: Dharm
authors.initials: D
authors.lastname: Meena
authors.affiliation: Department of Orthopedics, PGIMER, Chandigarh, India.
authors.forename: Vibhu
authors.initials: V
authors.lastname: Krishnan
authors.affiliation: Department of Orthopaedics, Mater Hospital, Sydney, New South Wales, Australia.
authors.forename: Rishi
authors.initials: R
authors.lastname: Chana
authors.affiliation: Department of Orthopedics, AIIMS, New Delhi, India.
authors.forename: Saurabh
authors.initials: S
authors.lastname: Rawall
authors.affiliation: Department of Orthopedics, PGIMER, Chandigarh, India.
authors.forename: Sameer
authors.initials: S
authors.lastname: Aggarwal
mesh_terms: D002370:Casts, Surgical; D015775:Fractures, Stress / Q000139:chemically induced* / Q000473:pathology / Q000628:therapy; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007103:Immobilization; D007270:Injections, Intra-Articular; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012507:Sarcoidosis / Q000188:drug therapy; D013978:Tibial Fractures / Q000139:chemically induced* / Q000473:pathology / Q000628:therapy; D014057:Tomography, X-Ray Computed
chemical_list: D005938:Glucocorticoids