شکستگی استرسی دوطرفه دیستال فمور(گزارش موردی)

نوع مقاله : گزارش موردی

نویسندگان

مرکز تحقیقات ارتوپدی، دانشگاه علوم پزشکی مازندران، ساری، ایران

چکیده
چکیده:
شکستگی‌های استرسی از آسیب‌های نادر هستند که بر اثر فشار مکانیکی مکرر یا استفاده بیش‌ازحد از استخوان ایجاد می‌شوند. هدف ما در این مطالعه گزارش یک مورد شکستگی استرسی دوطرفه دیستال فمور با گسترش داخل - مفصلی در خانمی سالمند با پیشینه طولانی بیماری دژنراتیو مفصل (DJD) و پوکی استخوان بود. در این گزارش، وضعیت زنی سالمند با پیشینه پوکی استخوان و آرتروز بررسی می‌شود که دچار شکستگی استرسی داخل - مفصلی دوطرفه دیستال فمور شده بود. این زن با شکایت از تشدید درد، محدودیت حرکتی و اختلال در تحمل وزن مراجعه کرده بود. پس از یک سال دیگر که مراجعه کرد، تحت عمل جراحی تعویض کامل مفصل زانو (TKA) در هر دو زانو با فاصله سه ماه قرار گرفت. پس از دو سال پیگیری، درد در ناحیه زانوهای او از بین رفته بودند و شکایت خاصی ذکر نشد. شکستگی‌های استرسی حتی با گسترش داخل - مفصلی در سالمندان مبتلا به آرتروز ممکن است علائم خاصی نداشته باشند و گاهی با علائم آرتریت اشتباه گرفته شوند یا پشت آن پنهان بمانند. ارتوپدها باید، در تشخیص‌های افتراقی بیماران سالمند مبتلا به آرتروز و درد مداوم، شکستگی استرسی را در نظر داشته باشند.

کلیدواژه‌ها

موضوعات

عنوان مقاله English

Bilateral Distal Femur Stress Fracture(Case Report)

نویسندگان English

Mehran Razavipour
sina zamani
Salman Ghaffari
Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
چکیده English

Abstract
Stress fractures are rare injuries that occur due to redundant mechanical pressure or overuse of the bone. We aim to report a case of bilateral distal femoral stress fracture with intra-articular extension in an old woman with degenerative joint disease (DJD) and osteoporosis. Here we report a bilateral intra-articular distal femoral stress fractures in an elderly woman with a history of osteoporosis and osteoarthritis with complaints of intensification of pain, limitation of movements and weight bearing. Unfortunately, the patient neglected, and did not visit for more than a year after the initial visit. She underwent total knee arthroplasty for both knees three months apart. After two years of follow-up, her knees were free of pain, and no specific complaint was mentioned. Stress fractures even with intra-articular extension in the elderly with osteoarthritis may mimic arthritis symptoms and hide behind them. Orthopedics must consider stress fractures in the differential diagnosis of elderly patients with osteoarthritis and persistent pain.

کلیدواژه‌ها English

Stress fractures
Distal femur fractures
Total knee arthroplasty
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