Tibial stress fracture

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Medial knee pain.

Patient Data

Age: 60 years
Gender: Female
x-ray

A linear, ill-defined area of sclerosis is seen in the medial aspect of the proximal tibia, suggesting stress fracture.

Subchondral sclerosis and joint space narrowing are evident on the medial side of the knee.

Osteophytosis can be seen in the knee's tibiofemoral and patellofemoral joint surfaces.

Additionally, several calcified loose bodies are evident in the joint space, inferring synovial osteochondromatosis.

Case Discussion

An incomplete transverse sclerotic line in the medial aspect of the proximal metaphysis of the tibia suggests a stress fracture. The tibia is the common site of stress fracture.

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