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

Bali, Kamal MS,DNB
Meena, Dharm MS
Krishnan, Vibhu MS,DNB
Chana, Rishi FRCS
Rawall, Saurabh MS
Aggarwal, Sameer MS

¹ Department of Orthopedics, PGIMER, Chandigarh, India
² Department of Orthopaedics, Mater Hospital, Sydney, New South Wales, Australia
³ Department of Orthopedics, AIIMS, New Delhi, India

Address for correspondence Kamal Bali, MD, Department of Orthopedics, PGIMER, 42 Sector 16, Panchkula, Haryana 134109, India, [email protected]

published online June, 08, 2011

received October 11, 2010

accepted after revision April 23, 2011

Journal of Knee Surgery 26:p S025-S029, December 2013. | DOI: 10.1055/s-0031-1280973

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.