J Korean Orthop Assoc.  2016 Oct;51(5):437-442. 10.4055/jkoa.2016.51.5.437.

Proximal Tibia Stress Fracture Caused by Primary Degenerative Knee Osteoarthritis with Varus Deformity

Affiliations
  • 1Department of Orthopedic Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea. drjmlee@naver.com

Abstract

Stress fractures of the tibia are relatively common in military and young people. However, stress fracture of the proximal tibia is rare in elderly patients, but has been reported in association with osteoporosis, Paget disease, rheumatoid arthritis, pyrophosphate arthropathy, and knee deformities. We experienced a 65-year-old patient who did not have a chronic disease, with a stress fracture with primary degenerative knee osteoarthritis with varus deformity, which occurred at the proximal tibia, and we report on this unusual case with a literature review.

Keyword

stress fractures; proximal tibia; osteoarthritis; varus deformity

MeSH Terms

Aged
Arthritis, Rheumatoid
Chronic Disease
Congenital Abnormalities*
Fractures, Stress*
Humans
Knee*
Military Personnel
Osteoarthritis
Osteoarthritis, Knee*
Osteoporosis
Tibia*

Reference

1. Devas M. Stress fractures. Edinburgh: Churchill Livingstone;1975.
2. Resnick D, Guerra J Jr. Stress fractures associated with adjacent osteoarthritis. J Rheumatol. 1981; 8:161–164.
Grundy M. Fractures of the femur in paget's disease of bone. Their etiology and treatment. J Bone Joint Surg Br. 1970. 52:252–263.
4. Young A, Kinsella P, Boland P. Stress fractures of the lower limb in patients with rheumatoid arthritis. J Bone Joint Surg Br. 1981; 63:239–243.
Article
5. Ross DJ, Dieppe PA, Watt I, Newman JH. Tibial stress fracture in pyrophosphate arthropathy. J Bone Joint Surg Br. 1983; 65:474–477.
Article
6. Reynolds MT. Stress fractures of the tibia in the elderly associated with knee deformity. Proc R Soc Med. 1972; 65:377–380.
7. Kelly JM. Stress fractures in the tibia associated with knee deformities. J Ir Med Assoc. 1974; 67:97–99.
8. Sourlas I, Papachristou G, Pilichou A, Giannoudis PV, Efstathopoulos N, Nikolaou VS. Proximal tibial stress fractures associated with primary degenerative knee osteoarthritis. Am J Orthop (Belle Mead NJ). 2009; 38:120–124.
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