DOI: https://doi.org/10.36347/sjmcr.2025.v13i08.024

Pages: 1848-1850

Disuse osteoporosis is a frequently overlooked consequence of prolonged spinal cord injury, leading to severe bone fragility and predisposing affected individuals to spontaneous or iatrogenic fractures. We report the case of a 50-year-old paraplegic woman who developed painless right knee swelling a few hours after a routine session of passive physiotherapy. A CT scan revealed a partial articular fracture of the medial femoral condyle (AO type B2) occurring on markedly demineralized bone, along with subchondral cysts suggestive of type I complex regional pain syndrome. This case underscores the critical importance of imaging in the early detection of silent osteoarticular complications in neurologically impaired patients. It also highlights the need for systematic bone assessment prior to initiating rehabilitation programs in individuals with long-standing immobilization.