Ofluoglu Demet, Ofluoglu Onder, Akyuz Gulseren
Department of Physical Medicine and Rehabilitation, Physiatrist, Marmara University School of Medicine, Istanbul, Turkey.
Rheumatol Int. 2006 Mar;26(5):469-72. doi: 10.1007/s00296-005-0026-y. Epub 2005 Aug 12.
Osteoporosis is commonly thought of as a disease of postmenopausal women, and older men have a lower risk of fracture than women. A stress fracture is an overuse injury and an important cause of disability in the athletic population. Presented here is a 30-year-old healthy man with pain on the anterior surface of the bilateral tibia. He did not communicate any trauma or overuse activity. The neurologic and locomotor system examinations were normal. Radiological examinations revealed tibial stress fractures in both left and right tibia and he had low bone mineral density. Routine hematological tests, bone resorption and formation markers were normal, except for hypercalciuria. After analyzing the results of these tests, the patient was diagnosed with bilateral tibial stress fractures due to hypercalciuric secondary osteoporosis. Osteoporosis should be considered in the differential diagnosis of atraumatic insufficiency fractures, especially in young healthy adults.
骨质疏松症通常被认为是绝经后女性的疾病，老年男性骨折风险低于女性。应力性骨折是一种过度使用损伤，是运动员群体致残的重要原因。本文介绍一名30岁健康男性，双侧胫骨前表面疼痛。他未提及任何外伤或过度使用情况。神经和运动系统检查正常。影像学检查显示双侧胫骨应力性骨折，且骨密度低。除高钙尿症外，常规血液学检查、骨吸收和形成标志物均正常。分析这些检查结果后，患者被诊断为高钙尿性继发性骨质疏松导致的双侧胫骨应力性骨折。在非创伤性不全骨折的鉴别诊断中应考虑骨质疏松症，尤其是在年轻健康成年人中。
