Isolated Distal Fibular Stress Fracture after Total Hip Arthroplasty in a Patient with Developmental Dysplasia of the Hip
Stress fractures following total hip arthroplasty in the lower limbs away from the surgical area are very rare. We report a case of stress fracture in the isolated distal fibula that presented five months after total hip arthroplasty in a patient with developmental dysplasia of the hip. A 67-year-ol...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/4218719 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547725685555200 |
|---|---|
| author | Tomofumi Nishino Fumi Ochiai Tomohiro Yoshizawa Hajime Mishima Masashi Yamazaki |
| author_facet | Tomofumi Nishino Fumi Ochiai Tomohiro Yoshizawa Hajime Mishima Masashi Yamazaki |
| author_sort | Tomofumi Nishino |
| collection | DOAJ |
| description | Stress fractures following total hip arthroplasty in the lower limbs away from the surgical area are very rare. We report a case of stress fracture in the isolated distal fibula that presented five months after total hip arthroplasty in a patient with developmental dysplasia of the hip. A 67-year-old woman diagnosed with coxarthrosis of the right hip joint, classified as Crowe’s group 3, underwent total hip arthroplasty with acetabular reconstruction using a bulk bone graft. The surgery successfully treated the preoperative leg length discrepancy and flexion and external rotation contractures. The alignment of the right lower limbs changed from slight varus to valgus knee following surgery. The postoperative process went well; however, she experienced lateral ankle pain on the affected side five months after surgery. No obvious fracture was observed via radiograph; however, she received a subsequent diagnosis of isolated distal fibula stress fracture. Additionally, she was diagnosed with vitamin D deficiency. Valgus alignment change of the knee joint and vitamin D deficiency were considered the main causes of the stress fracture. Stress fractures should be suspected in patients complaining of unexpected pain following total hip arthroplasty, even in distant areas of the affected limb, especially in osteoporotic patients. |
| format | Article |
| id | doaj-art-a8211dbe90724d05b288e9dea67f4806 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-a8211dbe90724d05b288e9dea67f48062025-02-03T06:43:38ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/42187194218719Isolated Distal Fibular Stress Fracture after Total Hip Arthroplasty in a Patient with Developmental Dysplasia of the HipTomofumi Nishino0Fumi Ochiai1Tomohiro Yoshizawa2Hajime Mishima3Masashi Yamazaki4Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, JapanStress fractures following total hip arthroplasty in the lower limbs away from the surgical area are very rare. We report a case of stress fracture in the isolated distal fibula that presented five months after total hip arthroplasty in a patient with developmental dysplasia of the hip. A 67-year-old woman diagnosed with coxarthrosis of the right hip joint, classified as Crowe’s group 3, underwent total hip arthroplasty with acetabular reconstruction using a bulk bone graft. The surgery successfully treated the preoperative leg length discrepancy and flexion and external rotation contractures. The alignment of the right lower limbs changed from slight varus to valgus knee following surgery. The postoperative process went well; however, she experienced lateral ankle pain on the affected side five months after surgery. No obvious fracture was observed via radiograph; however, she received a subsequent diagnosis of isolated distal fibula stress fracture. Additionally, she was diagnosed with vitamin D deficiency. Valgus alignment change of the knee joint and vitamin D deficiency were considered the main causes of the stress fracture. Stress fractures should be suspected in patients complaining of unexpected pain following total hip arthroplasty, even in distant areas of the affected limb, especially in osteoporotic patients.http://dx.doi.org/10.1155/2020/4218719 |
| spellingShingle | Tomofumi Nishino Fumi Ochiai Tomohiro Yoshizawa Hajime Mishima Masashi Yamazaki Isolated Distal Fibular Stress Fracture after Total Hip Arthroplasty in a Patient with Developmental Dysplasia of the Hip Case Reports in Orthopedics |
| title | Isolated Distal Fibular Stress Fracture after Total Hip Arthroplasty in a Patient with Developmental Dysplasia of the Hip |
| title_full | Isolated Distal Fibular Stress Fracture after Total Hip Arthroplasty in a Patient with Developmental Dysplasia of the Hip |
| title_fullStr | Isolated Distal Fibular Stress Fracture after Total Hip Arthroplasty in a Patient with Developmental Dysplasia of the Hip |
| title_full_unstemmed | Isolated Distal Fibular Stress Fracture after Total Hip Arthroplasty in a Patient with Developmental Dysplasia of the Hip |
| title_short | Isolated Distal Fibular Stress Fracture after Total Hip Arthroplasty in a Patient with Developmental Dysplasia of the Hip |
| title_sort | isolated distal fibular stress fracture after total hip arthroplasty in a patient with developmental dysplasia of the hip |
| url | http://dx.doi.org/10.1155/2020/4218719 |
| work_keys_str_mv | AT tomofuminishino isolateddistalfibularstressfractureaftertotalhiparthroplastyinapatientwithdevelopmentaldysplasiaofthehip AT fumiochiai isolateddistalfibularstressfractureaftertotalhiparthroplastyinapatientwithdevelopmentaldysplasiaofthehip AT tomohiroyoshizawa isolateddistalfibularstressfractureaftertotalhiparthroplastyinapatientwithdevelopmentaldysplasiaofthehip AT hajimemishima isolateddistalfibularstressfractureaftertotalhiparthroplastyinapatientwithdevelopmentaldysplasiaofthehip AT masashiyamazaki isolateddistalfibularstressfractureaftertotalhiparthroplastyinapatientwithdevelopmentaldysplasiaofthehip |