Sourlas Ioannis, Papachristou Georgios, Pilichou Anastasia, Giannoudis Peter V, Efstathopoulos Nicolas, Nikolaou Vassilios S
2nd Department of Trauma and Orthopaedics, School of Medicine, Athens University, Athens, Greece.
Am J Orthop (Belle Mead NJ). 2009 Mar;38(3):120-4.
Tibial stress fractures are not rare--they have been extensively studied in young athletes and soldiers and in elderly people with rheumatoid arthritis, osteoporosis, Paget's disease, pyrophosphate arthropathy, and hyperparathyroidism--but they seldom occur in patients with severe primary degenerative knee osteoarthritis. The etiology, diagnosis, and optimal treatment of these fractures remain a challenge. In this article, we review the English-language literature on the symptoms, diagnosis, treatment options, and final outcomes of these fractures, and we report 2 new cases of proximal tibial stress fractures in elderly women with severe primary degenerative knee osteoarthritis.
胫骨应力性骨折并不罕见——在年轻运动员、士兵以及患有类风湿性关节炎、骨质疏松症、佩吉特氏病、焦磷酸性关节病和甲状旁腺功能亢进的老年人中，对此已有广泛研究——但在患有严重原发性退行性膝关节骨关节炎的患者中却很少发生。这些骨折的病因、诊断及最佳治疗方法仍是一项挑战。在本文中，我们回顾了关于这些骨折的症状、诊断、治疗选择及最终结果的英文文献，并报告了2例患有严重原发性退行性膝关节骨关节炎的老年女性近端胫骨应力性骨折的新病例。
