Sequential Proximal Tibial Stress Fractures associated with Prolonged usage of Methotrexate and Corticosteroids: A Case Report
- Author:
Tan TJL
;
Ho WLS
;
Teo YH
- Publication Type:Case Reports
- Keywords:
Tibial stress fracture;
total knee arthroplasty;
methotrexate osteopathy
- MeSH:
Fractures, Stress
- From:Malaysian Orthopaedic Journal
2015;9(3):65-67
- CountryMalaysia
- Language:English
-
Abstract:
Stress fractures of the proximal tibia metaphysis are rare in
the elderly. We present a case of a 65-year old male who
developed sequential proximal tibia stress fractures
associated with prolonged usage of methotrexate and
prednisolone within a span of 18 months. Magnetic
Resonance Imaging revealed an incomplete stress fracture
involving the medial proximal tibial region. The patient was
treated with stemmed total knee arthroplasty (TKA)
bilaterally. Stress fractures should be considered in patients
with atypical knee pain who have a history of methotrexate
and prednisolone usage. TKA is an effective treatment in
stress fractures of the proximal tibia.
- Full text:P020151208606465166932.pdf
