Multiple insufficiency fractures related to Vitamin D deficiency in a young lady

Apollo Medicine

关键词: femur;    insufficiency fractures;    osteomalacia;    osteoporosis;    pelvis;    vitamin d;   

DOI  :  10.4103/am.am_103_20

来源: DOAJ

【 摘 要 】

A young girl presented with increasing bilateral groin pain for the past 3 months (visual analog scale score 8/10) and inability to weight bear for the last 1 month. Plain X-rays showed bilateral fractures of the femoral neck, extending in the intertrochanteric and subtrochanteric regions on both sides. Laboratory investigations revealed severe Vitamin D deficiency with secondary hyperparathyroidism. The insufficiency fractures are subtypes of stress fractures with decreased mineralization and weakened zone calcification of the bone. Clinical awareness about the insufficiency fractures and a high index of suspicion is required to make an early diagnosis. The majority of insufficiency fractures due to Vitamin D deficiency can be managed conservatively with timely diagnosis, adequate supplementation of Vitamin D, and calcium.

【 授权许可】

Unknown