Spontaneous bilateral distal ulna fracture: an unusual complication in a rheumatoid patient
2011

Bilateral Ulna Stress Fractures in a Rheumatoid Arthritis Patient

Sample size: 1 publication Evidence: low

Author Information

Author(s): Venkatachalam Santosh, Dixon Paul

Primary Institution: Department of Orthopaedics, Sunderland Royal Hospital

Hypothesis

This case report aims to highlight the occurrence of bilateral stress fractures of the ulna in a patient with rheumatoid arthritis.

Conclusion

Bilateral stress fractures of the ulna are rare but can occur in patients with rheumatoid arthritis, and prompt recognition and activity modification are essential for recovery.

Supporting Evidence

  • Bilateral ulna stress fractures are extremely rare.
  • Patients with rheumatoid arthritis often have osteopenic bone.
  • The fractures healed well with conservative management in 12 weeks.

Takeaway

This study talks about a lady with rheumatoid arthritis who got two fractures in her arms without any injury, and it shows that doctors need to be careful and check for fractures in similar cases.

Methodology

The case report details the clinical presentation, diagnosis, and treatment of a patient with bilateral ulna stress fractures.

Potential Biases

Potential bias may arise from the subjective nature of the clinical assessment and the reliance on patient history.

Limitations

The study is based on a single case report, limiting the generalizability of the findings.

Participant Demographics

The patient is a 71-year-old female with a 6-year history of seropositive rheumatoid arthritis.

Digital Object Identifier (DOI)

10.1007/s10195-011-0140-4

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