TIBIAL INSUFFICIENCY FRACTURES IN ADULT RENAL-TRANSPLANT RECIPIENTS

Osteonecrosis and osteopenia are widely recognized skeletal complicati ons of therapy in recipients of renal transplants. These conditions ar e often complicated by fractures, usually in the femora, pelvis or ver tebrae. The authors describe two sedentary adult allograft recipients who presented with leg pain and in whom bone scintigraphy, serial radi ographs, and clinical progress were suggestive of insufficiency fractu res of the tibiae. Although seldom reported, insufficiency fractures s hould be considered in the differential diagnosis of renal allograft r ecipients with leg pain.