| CASE REPORT |
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| Year : 2020 | Volume
: 17
| Issue : 4 | Page : 283-285 |
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Multiple insufficiency fractures related to Vitamin D deficiency in a young lady
Abhishek Vaish, Raju Vaishya
Department Of Orthopedics, Indraprastha Apollo Hospital, New Delhi, India
Correspondence Address:
Dr. Abhishek Vaish
Indraprastha Apollo Hospital, New Delhi - 110 076
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/am.am_103_20
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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.
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