Atraumatic Bilateral Fracture of the Femoral Neck in Young Male Patient with Suspected Osteomalacia
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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)
- 윤동식, "Inadequate Dietary Calcium and Vitamin D Intake in Patients with Osteoporotic Fracture", 대한골대사학회지, 23(2), pp.55~61 (2016), 대한골대사학회[DOI]
- Holick MF, "Vitamin D deficiency: a worldwide problem with health consequences", Am J Clin Nutr, 87, pp.1080s~1086s (2008)
- 권용욱, "Femur Neck Fracture in a Young Marfan Syndrome Patient", Hip and Pelvis, 28(4), pp.264~268 (2016), 대한고관절학회[DOI]
- 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)
- Ly TV, "Treatment of femoral neck fractures in young adults", J Bone Joint Surg Am, 90, pp.2254~2266 (2008)
- 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)
- 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)
- Rader CP, "Osteomalacia and vitamin D deficiency", Orthopade, 44, pp.695~702 (2015)
- 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)
- 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)
- Baki ME, "Bilateral femoral neck insufficiency fractures in pregnancy", Eklem Hastalik Cerrahisi, 25, pp.60~62 (2014)
- Hanley DA, "Vitamin D insufficiency in North America", J Nutr, 135, pp.332~337 (2005)
- Gordon CM, "Prevalence of vitamin D deficiency among healthy adolescents", Arch Pediatr Adolesc Med, 158, pp.531~537 (2004)
- Holick MF, "The influence of vitamin D on bone health across the life cycle", J Nutr, 135, pp.2726s~2727s (2005)
