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J Knee Surg 2013; 26(S 01): S025-S029
DOI: 10.1055/s-0031-1280973
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Steroid-Induced Stress Fracture of Medial Tibial Condyle: A Case Report

Kamal Bali
1   Department of Orthopedics, PGIMER, Chandigarh, India
,
Dharm Meena
1   Department of Orthopedics, PGIMER, Chandigarh, India
,
Vibhu Krishnan
1   Department of Orthopedics, PGIMER, Chandigarh, India
,
Rishi Chana
2   Department of Orthopaedics, Mater Hospital, Sydney, New South Wales, Australia
,
Saurabh Rawall
3   Department of Orthopedics, AIIMS, New Delhi, India
,
Sameer Aggarwal
1   Department of Orthopedics, PGIMER, Chandigarh, India
› Author Affiliations
Further Information

Publication History

11 October 2010

23 April 2011

Publication Date:
08 June 2011 (online)

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Abstract

Corticosteroid-induced stress fractures have been described, but such a presentation is rare in tibial condyle where osteonecrosis secondary to steroid use is more common. In this report we describe a case of stress fracture of medial tibial condyle secondary to corticosteroid (glucocorticoid) intake in a 47-year-old man. We discuss in detail the pathogenesis of this condition, and highlight the importance of various diagnostic modalities to avoid misdiagnosis of the condition. We also reiterate the importance of early diagnosis and prompt immobilization to prevent long-term morbidity in such cases.

Keywords

stress fracture - steroid - medial condyle tibia - insufficiency fracture - osteonecrosis
 

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