Mon 1 Dec 2014
Bilateral medial malleolus stress fractures due to osteoarthritis of knee: A case report and review of literature
Article in International Journal of Surgery Case Reports 6C:266-268 · December 2014
Medial malleolar stress fracture is a relatively uncommon injury but it
can occur in athletes participating in running and jumping activities.
Stress fractures of pelvis, proximal tibia and metatarsals are well
documented in the elderly population but medial malleolus involvement in
this subgroup has never been reported.
We report a case of bilateral medial malleolus stress fractures
secondary to bilateral knee osteoarthritis.
Osteoporosis and mechanical malalignment have been postulated as the
possible risk factors for stress fractures in the elderly population.
The pathomechanics and management of the case are discussed here.
A high index of suspicion is required to identify such fractures.
Identification and treatment of the predisposing factors are a very
important part of treatment.
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