Nontraumatic bilateral tibial fractures are rarely seen. They can present as various types of flares in rheumatoid arthritis (RA). We describe 2 such cases presenting as RA flares in patients in their 50s. Both patients’ RA was in sustained remission and both were taking methotrexate. One was treated with adalimumab. Neither was prescribed corticosteroids, and neither smoked or had trauma.
The …