Spontaneous Fractures in Rheumatoid Arthritis

Haider, Riaz; Storey, Geoffrey O

doi:10.1136/bmj.1.5291.1514

Cited by 19 publications

(9 citation statements)

References 8 publications

(4 reference statements)

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“…Spontaneous fractures are known to occur in rheumatoid arthritis, and generalized osteoporosis had been considered to be the main factor in their pathogenesis (Haider et al, 1966). Generalized osteopenia (skeletal rarefaction as measured from an x-ray film; Nordin, 1973) can complicate rheumatoid arthritis per se (McConkey et al, 1962), but it may be aggravated by corticosteroid therapy (Boland et al, 1950) and by the age and sex of the patient (Saville et al, 1967).…”

Section: Discussionmentioning

confidence: 99%

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Vitamin D Deficiency, Spontaneous Fractures, and Osteopenia in Rheumatoid Arthritis

Maddison¹,

Bacon²

1974

BMJ

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Section: Discussionmentioning

confidence: 99%

“…Spontaneous fractures occurrng in the long bones are well recognized in patients with rheumatoid arthritis, whether or not they are receiving corticosteroid therapy (Baer, 1941;Haider, 1966;Taylor et al, 1971). Generalized osteoporosis is considered to be an important factor in the pathogenesis of these fractures.…”

Section: Introductionmentioning

confidence: 99%

Vitamin D Deficiency, Spontaneous Fractures, and Osteopenia in Rheumatoid Arthritis

Maddison¹,

Bacon²

1974

BMJ

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“…Spontaneous and stress fractures have been reported in patients with rheumatoid arthritis (RA), whether or not they were receiving steroids (Haider and Storey, 1962;Taylor et al, 1971). Generalised osteoporosis has been considered important in their aetiology.…”

mentioning

confidence: 99%

Osteomalacia in rheumatoid arthritis.

O’Driscoll¹,

O'Driscoll²

1980

Annals of the Rheumatic Diseases

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“…[1][2][3][4][5][6][7] Factors thought to be relevant in the pathogenesis of these fractures include osteoporosis, with or without prior corticosteroid treatment, and abnormal mechanical stresses. The latter may result from angular joint deformities, joint ankylosis, and enhanced activity or unaccustomed exercise after reconstructive joint surgery.…”

Section: Discussionmentioning

confidence: 99%

Stress fractures of the legs and swelling of the ankles in a patient with lupus: a diagnostic dilemma.

Buskila

Gladman

1990

Annals of the Rheumatic Diseases

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A patient with systemic lupus erythematosus (lupus) is described, in whom stress fractures of both legs developed, accompanied by swelling of both ankles. The swelling of the right ankle associated with fracture mimicked lupus synovitis, but resolved with healing of the fracture. On the left side the swelling represented true lupus synovitis coexistent with the tibial stress fracture. This presentation posed a diagnostic dilemma. It is necessary to maintain vigilance in the diagnosis of these fractures in lupus. Case report A 51 year old white woman with a 24 year history of discoid skin lesions and a photosensitive malar rash spontaneously developed pain and swelling of the right ankle in May 1987. The pain was aggravated by walking. Radiographs taken at the time were normal. She was referred for rheumatological consultation a month later because of the persistence of her complaints. She had taken prednisone 15 mg every other day and chloroquine phosphate 250 mg a day for the discoid skin lesions. There was some evidence of osteoporosis on old x rays. Skin examination confirmed the presence of discoid skin lesions on her back. On musculoskeletal examination, stress pain was elicited in both the tibiotalar and the subtalar components of the right ankle joint, and an effusion was detected. Straw coloured fluid (2 ml) was aspirated from the right ankle; there were a few cells, no crystals, and cultures were negative. The initial impression was that of a synovitis, and the question of systemic lupus erythematosus was raised. Both rheumatoid factor and antinuclear factor were negative, anti-DNA antibodies were not detected, and serum complement concentrations were normal. The patient was treated with an intra-articular injec-

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Spontaneous Fractures in Rheumatoid Arthritis

Cited by 19 publications

References 8 publications

Vitamin D Deficiency, Spontaneous Fractures, and Osteopenia in Rheumatoid Arthritis

Vitamin D Deficiency, Spontaneous Fractures, and Osteopenia in Rheumatoid Arthritis

Osteomalacia in rheumatoid arthritis.

Stress fractures of the legs and swelling of the ankles in a patient with lupus: a diagnostic dilemma.

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