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Updated: May 12, 2026

Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
Proximal tibia and fibula fragility fracture complicated by anticoagulation and demand-mediated myocardial infarction
Daniel Mendelson1, Stephen Kates, Jason Pacos
1Department of Medicine, Highland Hospital; Division of Geriatrics, University of Rochester School of Medicine & Dentistry, Rochester, NY.
Abstract:
We present for discussion a case of a right displaced proximal metaphyseal tibial fracture with intraarticular extension and a same-level proximal fibula fracture with severe degenerative arthritis in a medically complex 89 year old community dwelling woman with a history of paroxysmal atrial fibrillation, right lower extremity deep venous thrombosis 1 month prior to this admission on warfarin, obesity, peripheral vascular disease, and previous stroke. Her course is complicated by demand-mediated myocardial infarction. This case demonstrates that comanagement can lead to minimal delays and a satisfactory outcome in a complex, high-risk patient.
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