본문 바로가기
KERD
논문KCI 등재

Atraumatic Bilateral Fracture of the Femoral Neck in Young Male Patient with Suspected Osteomalacia

0

조회

0

다운로드

2

인용

0

참고문헌

키워드

주제분류정형외과학

초록

In this report, we describe the case of a healthy 37-year-old male patient without a history of disease, who developed atraumatic bilateral fracture of the femoral neck. Radiological and blood investigations revealed osteopenia and severe vitamin D deficiency (7.42 ng/mL), respectively, but patient had no apparent risk factors for insufficiency fracture. Bilateral osteosynthesis was obtained using cannulated screws and laboratory findings improved after vitamin D supplementation. This case highlights the effect of vitamin D deficiency on demineralization in a young male patient.

Abstract

In this report, we describe the case of a healthy 37-year-old male patient without a history of disease, who developed atraumatic bilateral fracture of the femoral neck. Radiological and blood investigations revealed osteopenia and severe vitamin D deficiency (7.42 ng/mL), respectively, but patient had no apparent risk factors for insufficiency fracture. Bilateral osteosynthesis was obtained using cannulated screws and laboratory findings improved after vitamin D supplementation. This case highlights the effect of vitamin D deficiency on demineralization in a young male patient.

참고문헌 (14)

  1. 윤동식, "Inadequate Dietary Calcium and Vitamin D Intake in Patients with Osteoporotic Fracture", 대한골대사학회지, 23(2), pp.55~61 (2016), 대한골대사학회[DOI]
  2. Holick MF, "Vitamin D deficiency: a worldwide problem with health consequences", Am J Clin Nutr, 87, pp.1080s~1086s (2008)
  3. 권용욱, "Femur Neck Fracture in a Young Marfan Syndrome Patient", Hip and Pelvis, 28(4), pp.264~268 (2016), 대한고관절학회[DOI]
  4. Holick MF, "Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline", J Clin Endocrinol Metab, 96, pp.1911~1930 (2011)
  5. Ly TV, "Treatment of femoral neck fractures in young adults", J Bone Joint Surg Am, 90, pp.2254~2266 (2008)
  6. Malluche HH, "Low-energy fracFigtures without low T-scores characteristic of osteoporosis: a possible bone matrix disorder", J Bone Joint Surg Am, 95, pp.e1391~e1396 (2013)
  7. Selek O, "Bilateral femoral neck fatigue fracture due to osteomalacia secondary to celiac disease: Report of three cases", Arch Iran Med, 18, pp.542~544 (2015)
  8. Rader CP, "Osteomalacia and vitamin D deficiency", Orthopade, 44, pp.695~702 (2015)
  9. Desai M, "Spontaneous bilateral fracture neck of femur secondary to vitamin D deficiency: a case report", Clin Cases Miner Bone Metab, 12, pp.282~284 (2015)
  10. Carter T, "Bilateral femoral neck insufficiency fractures secondary to vitamin D deficiency and concurrent corticosteroid use--a case report", Arch Osteoporos, 9, pp.172~ (2014)
  11. Baki ME, "Bilateral femoral neck insufficiency fractures in pregnancy", Eklem Hastalik Cerrahisi, 25, pp.60~62 (2014)
  12. Hanley DA, "Vitamin D insufficiency in North America", J Nutr, 135, pp.332~337 (2005)
  13. Gordon CM, "Prevalence of vitamin D deficiency among healthy adolescents", Arch Pediatr Adolesc Med, 158, pp.531~537 (2004)
  14. Holick MF, "The influence of vitamin D on bone health across the life cycle", J Nutr, 135, pp.2726s~2727s (2005)

관련 논문AI추천

이 간행물의 다른 논문 (7건)