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Joint Bone Spine
Volume 73, n° 5
pages 557-559 (octobre 2006)
Doi : 10.1016/j.jbspin.2005.11.023
Received : 28 April 2005 ;  accepted : 4 November 2005
Bilateral tibial stress fracture presenting as painful edemas in lower limbs
 

Pilar Peris , Ana Monegal, M'Angeles Martínez, Nuria Guañabens
Service of Rheumatology, Hospital Clínic Barcelona, Villarroel 170, 08036 Barcelona, Spain 

Corresponding author. Tel.: +34 93 227 5400x2236; fax: +34 93 227 5454.
Abstract

Bilateral stress fracture of the tibia is infrequent. This paper presents an unusual case of a 73-year-old man who sustained a bilateral stress fracture of the tibia presenting as painful edemas in lower limbs. The radiographic and scintigraphic examination confirmed the diagnosis of the fractures. In addition, the patient was receiving androgen deprivation therapy with GnRH analogs for the treatment of prostate cancer and the bone density measurements confirmed the presence of osteoporosis. Treatment with restricted weight bearing was associated with improvement of clinical symptoms. Early recognition and diagnosis of this injury is essential for treating the underlying osteoporosis as well as the fracture.

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Keywords : Insufficiency fracture, Fatigue fracture, Osteoporosis




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