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Postpartum stress fracture of bilateral tibia: A case report

Stress fractures are overuse injuries of the bone characterized by a magnetic resonance imaging (MRI) finding of the fracture line with bone marrow edema. Clinical findings are tenderness and persistent pain. It is usually related to repetitive stresses. A 25-year-old woman was admitted with bilater...

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Autores principales: Hindioğlu, Nurbanu, Uçar, Demet, Sezgin Özcan, Didem, Örmeci, Tuğrul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bayçınar Medical Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8343162/
https://www.ncbi.nlm.nih.gov/pubmed/34396078
http://dx.doi.org/10.5606/tftrd.2021.4947
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author Hindioğlu, Nurbanu
Uçar, Demet
Sezgin Özcan, Didem
Örmeci, Tuğrul
author_facet Hindioğlu, Nurbanu
Uçar, Demet
Sezgin Özcan, Didem
Örmeci, Tuğrul
author_sort Hindioğlu, Nurbanu
collection PubMed
description Stress fractures are overuse injuries of the bone characterized by a magnetic resonance imaging (MRI) finding of the fracture line with bone marrow edema. Clinical findings are tenderness and persistent pain. It is usually related to repetitive stresses. A 25-year-old woman was admitted with bilateral severe knee pain. She was in the postpartum period and the complaints started three days after the beginning of 2-h daily walk. The initial plain radiograph showed no abnormality, while MRI demonstrated bilateral incomplete fracture line at the proximal tibia. The patient had accompanying vitamin D deficiency and osteopenia, diagnosed with pregnancy-related osteopenia and stress fracture of bilateral proximal tibia. We advised cessation of weight bearing, resting, and supplementation of calcium and vitamin D. This report highlights that, in the postpartum period, persistent pain may indicate bone lesions such as stress fractures, particularly developing shortly after a vigorous physical activity. Detailed physical examination and further investigations are necessary to detect these fractures and risk factors.
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spelling pubmed-83431622021-08-13 Postpartum stress fracture of bilateral tibia: A case report Hindioğlu, Nurbanu Uçar, Demet Sezgin Özcan, Didem Örmeci, Tuğrul Turk J Phys Med Rehabil Case Report Stress fractures are overuse injuries of the bone characterized by a magnetic resonance imaging (MRI) finding of the fracture line with bone marrow edema. Clinical findings are tenderness and persistent pain. It is usually related to repetitive stresses. A 25-year-old woman was admitted with bilateral severe knee pain. She was in the postpartum period and the complaints started three days after the beginning of 2-h daily walk. The initial plain radiograph showed no abnormality, while MRI demonstrated bilateral incomplete fracture line at the proximal tibia. The patient had accompanying vitamin D deficiency and osteopenia, diagnosed with pregnancy-related osteopenia and stress fracture of bilateral proximal tibia. We advised cessation of weight bearing, resting, and supplementation of calcium and vitamin D. This report highlights that, in the postpartum period, persistent pain may indicate bone lesions such as stress fractures, particularly developing shortly after a vigorous physical activity. Detailed physical examination and further investigations are necessary to detect these fractures and risk factors. Bayçınar Medical Publishing 2021-05-25 /pmc/articles/PMC8343162/ /pubmed/34396078 http://dx.doi.org/10.5606/tftrd.2021.4947 Text en Copyright © 2021, Turkish Society of Physical Medicine and Rehabilitation https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Report
Hindioğlu, Nurbanu
Uçar, Demet
Sezgin Özcan, Didem
Örmeci, Tuğrul
Postpartum stress fracture of bilateral tibia: A case report
title Postpartum stress fracture of bilateral tibia: A case report
title_full Postpartum stress fracture of bilateral tibia: A case report
title_fullStr Postpartum stress fracture of bilateral tibia: A case report
title_full_unstemmed Postpartum stress fracture of bilateral tibia: A case report
title_short Postpartum stress fracture of bilateral tibia: A case report
title_sort postpartum stress fracture of bilateral tibia: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8343162/
https://www.ncbi.nlm.nih.gov/pubmed/34396078
http://dx.doi.org/10.5606/tftrd.2021.4947
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AT ormecitugrul postpartumstressfractureofbilateraltibiaacasereport