Clinical Pain

Korean Association of Pain Medicine (대한임상통증학회)
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Insufficiency Fracture of Proximal Tibia in a Young Male Patient with Osteoporosis

젊은 남성 골다공증 환자에서 발생한 경골의 부전 골절

  • An, Min-Ji (Department of Rehabilitation Medicine, Gwangju Veterans Hospital) ;
  • Im, Nam-Gyu (Department of Rehabilitation Medicine, Gwangju Veterans Hospital) ;
  • Yoon, Seo-Ra (Department of Rehabilitation Medicine, Gwangju Veterans Hospital) ;
  • Ryu, Su-Ra (Department of Rehabilitation Medicine, Gwangju Veterans Hospital)
  • 안민지 (광주보훈병원 재활의학과) ;
  • 임남규 (광주보훈병원 재활의학과) ;
  • 윤서라 (광주보훈병원 재활의학과) ;
  • 류수라 (광주보훈병원 재활의학과)
  • Received : 2020.05.11
  • Accepted : 2020.06.24
  • Published : 2020.12.31
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Abstract

We report a case of a healthy 38-year-old man presenting with insufficiency fracture of proximal tibia associated with unrecognized osteoporosis. Radiologic bone DEXA (Dual Energy X-ray Absorptiometry) assessment revealed osteoporosis, but the patient displayed no apparent risk factors for insufficiency fractures and osteoporosis except for a history of smoking. Following right proximal tibial open reduction and internal fixation, the patient commenced smoking cessation and began taking alendronate. The patient was treated for gait rehabilitation, which included quadriceps strengthening exercises and his condition improved with independent walking. This report highlights an unusual site of proximal tibial insufficiency fractures and the potential effect of smoking on low bone mineral density in a young male patient.

Keywords

References

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