Esterberg Justin, Kassim Rida A, Redmon John, Coad James, Macari George S, Saleh Khaled J
Department of Orthopaedics & Clinical Outcome Research Center, Health Services Research & Policy School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
Am J Orthop (Belle Mead NJ). 2003 Sep;32(9):455-8.
Hypophosphatemic rickets, a rare metabolic bone disease, presents mainly in children but has also been reported in several adults. In this report, we describe the case of a man presenting with hip pain and weakness, both of several months' duration, and tested for hypophosphatemic rickets. The patient was eventually referred to a tertiary-care center, where he was diagnosed with bilateral subtrochanteric femoral stress fractures and severe osteopenia secondary to hypophosphatemic osteomalacia. The patient was treated with closed reduction and internal fixation and vitamin D and phosphorus. Outcomes were good at 7-month follow-up.
低磷性佝偻病是一种罕见的代谢性骨病，主要发生于儿童，但也有在一些成年人中报道的情况。在本报告中，我们描述了一名男性患者的病例，他出现髋部疼痛和无力症状，持续数月，接受了低磷性佝偻病检测。该患者最终被转诊至一家三级医疗中心，在那里他被诊断为双侧股骨转子下应力性骨折以及继发于低磷性骨软化症的严重骨质减少。患者接受了闭合复位内固定治疗以及维生素D和磷治疗。7个月随访时结果良好。
