Multiple insufficiency fractures related to Vitamin D deficiency in a young lady
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 si...
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| Language: | English |
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SAGE Publishing
2020-01-01
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| Series: | Apollo Medicine |
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| Online Access: | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2020;volume=17;issue=4;spage=283;epage=285;aulast=Vaish |
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| _version_ | 1850084597105164288 |
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| author | Abhishek Vaish Raju Vaishya |
| author_facet | Abhishek Vaish Raju Vaishya |
| author_sort | Abhishek Vaish |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-d0a602c803d6486999986aa2925070ff |
| institution | DOAJ |
| issn | 0976-0016 2213-3682 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Apollo Medicine |
| spelling | doaj-art-d0a602c803d6486999986aa2925070ff2025-08-20T02:43:58ZengSAGE PublishingApollo Medicine0976-00162213-36822020-01-0117428328510.4103/am.am_103_20Multiple insufficiency fractures related to Vitamin D deficiency in a young ladyAbhishek VaishRaju VaishyaA 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.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2020;volume=17;issue=4;spage=283;epage=285;aulast=Vaishfemurinsufficiency fracturesosteomalaciaosteoporosispelvisvitamin d |
| spellingShingle | Abhishek Vaish Raju Vaishya Multiple insufficiency fractures related to Vitamin D deficiency in a young lady Apollo Medicine femur insufficiency fractures osteomalacia osteoporosis pelvis vitamin d |
| title | Multiple insufficiency fractures related to Vitamin D deficiency in a young lady |
| title_full | Multiple insufficiency fractures related to Vitamin D deficiency in a young lady |
| title_fullStr | Multiple insufficiency fractures related to Vitamin D deficiency in a young lady |
| title_full_unstemmed | Multiple insufficiency fractures related to Vitamin D deficiency in a young lady |
| title_short | Multiple insufficiency fractures related to Vitamin D deficiency in a young lady |
| title_sort | multiple insufficiency fractures related to vitamin d deficiency in a young lady |
| topic | femur insufficiency fractures osteomalacia osteoporosis pelvis vitamin d |
| url | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2020;volume=17;issue=4;spage=283;epage=285;aulast=Vaish |
| work_keys_str_mv | AT abhishekvaish multipleinsufficiencyfracturesrelatedtovitaminddeficiencyinayounglady AT rajuvaishya multipleinsufficiencyfracturesrelatedtovitaminddeficiencyinayounglady |