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Bilateral Simultaneous Proximal Tibial Insufficiency Fractures in a Patient Suffering From Psoriatic Arthritis

Bilateral synchronous proximal tibia insufficiency fractures are rarely reported. We present a case of simultaneous proximal tibia bilateral insufficiency fractures in a 51-year-old female patient with underlying psoriatic arthritis, who was on chronic steroid medication. She reported sudden onset o...

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Detalles Bibliográficos
Autores principales: Vlasis, Konstantinos, Angelis, Stavros, Apostolopoulos, Alexandros, Filippou, Dimitrios, Papanikolaou, Athanasios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362595/
https://www.ncbi.nlm.nih.gov/pubmed/32676251
http://dx.doi.org/10.7759/cureus.8616
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author Vlasis, Konstantinos
Angelis, Stavros
Apostolopoulos, Alexandros
Filippou, Dimitrios
Papanikolaou, Athanasios
author_facet Vlasis, Konstantinos
Angelis, Stavros
Apostolopoulos, Alexandros
Filippou, Dimitrios
Papanikolaou, Athanasios
author_sort Vlasis, Konstantinos
collection PubMed
description Bilateral synchronous proximal tibia insufficiency fractures are rarely reported. We present a case of simultaneous proximal tibia bilateral insufficiency fractures in a 51-year-old female patient with underlying psoriatic arthritis, who was on chronic steroid medication. She reported sudden onset of bilateral knee pain after intense workout one week ago. Initial clinical and X-ray evaluation did not reveal significant pathology. Four weeks later, due to persistent pain in the absence of significant radiographic findings during follow-up, the patient was referred for MRI, which revealed fractures of both proximal tibias. A "mixed" treatment protocol was applied. In particular, this protocol included combination of rest and intermittent removable knee ranger braces immobilization with weight-bearing when applied. The patient went on to make a full recovery. Chronic inflammatory disorders accompanied by suspicious clinical manifestations should be thoroughly inspected. Diagnostic and treatment protocols should be further discussed and implemented.
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spelling pubmed-73625952020-07-15 Bilateral Simultaneous Proximal Tibial Insufficiency Fractures in a Patient Suffering From Psoriatic Arthritis Vlasis, Konstantinos Angelis, Stavros Apostolopoulos, Alexandros Filippou, Dimitrios Papanikolaou, Athanasios Cureus Orthopedics Bilateral synchronous proximal tibia insufficiency fractures are rarely reported. We present a case of simultaneous proximal tibia bilateral insufficiency fractures in a 51-year-old female patient with underlying psoriatic arthritis, who was on chronic steroid medication. She reported sudden onset of bilateral knee pain after intense workout one week ago. Initial clinical and X-ray evaluation did not reveal significant pathology. Four weeks later, due to persistent pain in the absence of significant radiographic findings during follow-up, the patient was referred for MRI, which revealed fractures of both proximal tibias. A "mixed" treatment protocol was applied. In particular, this protocol included combination of rest and intermittent removable knee ranger braces immobilization with weight-bearing when applied. The patient went on to make a full recovery. Chronic inflammatory disorders accompanied by suspicious clinical manifestations should be thoroughly inspected. Diagnostic and treatment protocols should be further discussed and implemented. Cureus 2020-06-14 /pmc/articles/PMC7362595/ /pubmed/32676251 http://dx.doi.org/10.7759/cureus.8616 Text en Copyright © 2020, Vlasis et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Vlasis, Konstantinos
Angelis, Stavros
Apostolopoulos, Alexandros
Filippou, Dimitrios
Papanikolaou, Athanasios
Bilateral Simultaneous Proximal Tibial Insufficiency Fractures in a Patient Suffering From Psoriatic Arthritis
title Bilateral Simultaneous Proximal Tibial Insufficiency Fractures in a Patient Suffering From Psoriatic Arthritis
title_full Bilateral Simultaneous Proximal Tibial Insufficiency Fractures in a Patient Suffering From Psoriatic Arthritis
title_fullStr Bilateral Simultaneous Proximal Tibial Insufficiency Fractures in a Patient Suffering From Psoriatic Arthritis
title_full_unstemmed Bilateral Simultaneous Proximal Tibial Insufficiency Fractures in a Patient Suffering From Psoriatic Arthritis
title_short Bilateral Simultaneous Proximal Tibial Insufficiency Fractures in a Patient Suffering From Psoriatic Arthritis
title_sort bilateral simultaneous proximal tibial insufficiency fractures in a patient suffering from psoriatic arthritis
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362595/
https://www.ncbi.nlm.nih.gov/pubmed/32676251
http://dx.doi.org/10.7759/cureus.8616
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