Insufficiency fractures in patients with chronic inflammatory joint diseases.

@article{citeulike:190378, abstract = {OBJECTIVE: To describe the typical sites of stress fractures in the lower extremities and pelvis in rheumatoid patients (rheumatoid arthritis, juvenile chronic arthritis, psoriatic arthritis, ankylosing spondylitis). METHODS: Thirty-three patients with 52 stress fractures [mean age 44 years (range 11-73)] were studied at the authors' institution when they were being treated for their rheumatic diseases. Fourteen patients had RA, 9 JCA, 5 PsoA, and 5 SPA. Stress fractures were detected from patient documents and from series radiographs in suspected cases. In some cases magnetic resonance imaging was also performed. RESULTS: One patient presented with 5 fractures, 2 patients with 4 and 3 fractures, and 7 patients with 2 fractures each. Other patients (n = 19) had only one fracture each. The metatarsal (MT) bones were the most common site of involvement. Twenty-five of the 52 fractures were located on MT I-V. The second and third most common sites were thefibula (n = 13) and tibia (n = 6). All fractures of the lower tibia or fibula were associated with valgus malalignment of the ankle. CONCLUSION: If a patient with rheumatic disease experiences sudden and unexplained pain localised in the forefoot, above the ankle, below the knee, or in the pelvis, a stress fracture should be suspected. Patients with severe osteoporosis, high-load corticosteroid or methotrexate therapy, or marked joint deformity are at high risk of developing stress fracture.}, address = {Rheumatism Foundation Hospital, Department of Orthopedics, Heinola, Finland. heikki.maenpaa@scanpoint.fi}, author = {M\"{a}enp\"{a}\"{a}, H. M. and Soini, I. and Lehto, M. U. and Belt, E. A. }, citeulike-article-id = {190378}, issn = {0392-856X}, journal = {Clin Exp Rheumatol}, keywords = {arthritis, fractures, insuffiency, study}, number = {1}, pages = {77--79}, posted-at = {2005-05-09 23:50:06}, priority = {4}, title = {Insufficiency fractures in patients with chronic inflammatory joint diseases.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/11894837}, volume = {20}, year = {2002} }

TY - JOUR ID - citeulike:190378 L3 - citeulike-article-id:190378 N2 - OBJECTIVE: To describe the typical sites of stress fractures in the lower extremities and pelvis in rheumatoid patients (rheumatoid arthritis, juvenile chronic arthritis, psoriatic arthritis, ankylosing spondylitis). METHODS: Thirty-three patients with 52 stress fractures [mean age 44 years (range 11-73)] were studied at the authors' institution when they were being treated for their rheumatic diseases. Fourteen patients had RA, 9 JCA, 5 PsoA, and 5 SPA. Stress fractures were detected from patient documents and from series radiographs in suspected cases. In some cases magnetic resonance imaging was also performed. RESULTS: One patient presented with 5 fractures, 2 patients with 4 and 3 fractures, and 7 patients with 2 fractures each. Other patients (n = 19) had only one fracture each. The metatarsal (MT) bones were the most common site of involvement. Twenty-five of the 52 fractures were located on MT I-V. The second and third most common sites were thefibula (n = 13) and tibia (n = 6). All fractures of the lower tibia or fibula were associated with valgus malalignment of the ankle. CONCLUSION: If a patient with rheumatic disease experiences sudden and unexplained pain localised in the forefoot, above the ankle, below the knee, or in the pelvis, a stress fracture should be suspected. Patients with severe osteoporosis, high-load corticosteroid or methotrexate therapy, or marked joint deformity are at high risk of developing stress fracture. IS - 1 JF - Clin Exp Rheumatol SN - 0392-856X AD - Rheumatism Foundation Hospital, Department of Orthopedics, Heinola, Finland. heikki.maenpaa@scanpoint.fi EP - 79 TI - Insufficiency fractures in patients with chronic inflammatory joint diseases. VL - 20 SP - 77 KW - arthritis KW - fractures KW - insuffiency KW - study AU - Mäenpää, HM AU - Soini, I AU - Lehto, MU AU - Belt, EA PY - 2002///b UR - http://view.ncbi.nlm.nih.gov/pubmed/11894837 ER -