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Year : 2020  |  Volume : 17  |  Issue : 4  |  Page : 283-285

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

Department Of Orthopedics, Indraprastha Apollo Hospital, New Delhi, India

Correspondence Address:
Dr. Abhishek Vaish
Indraprastha Apollo Hospital, New Delhi - 110 076
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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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