J Bone Metab.  2017 Aug;24(3):197-200. 10.11005/jbm.2017.24.3.197.

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

Affiliations
  • 1Department of Orthopaedic Surgery, Inje University College of Medicine, Seoul Paik Hospital, Seoul, Korea. cragy0215@naver.com

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.

Keyword

Femur neck; Fractures; Bone; Osteomalacia; Vitamin D deficiency

MeSH Terms

Adult
Bone Diseases, Metabolic
Femur Neck*
Fractures, Stress
Humans
Male*
Osteomalacia*
Risk Factors
Vitamin D
Vitamin D Deficiency
Vitamin D

Figure

  • Fig. 1 (A) Pelvic anteroposterior X-ray demonstrating the transcervical fracture of the neck of the left femur. (B) T2-weighted magnetic resonance imaging of both hips showing increased signal around the femoral necks in keeping with acute bilateral femoral neck fractures.

  • Fig. 2 At 6 months postoperatively, the radiograph showed complete union of the fractures.


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