Gilbody Julian, Trevett Michael
Trauma & Orthopaedics, Worcestershire Royal Hospitals NHS Trust, United Kingdom.
Foot Ankle Surg. 2009;15(2):96-100. doi: 10.1016/j.fas.2008.06.001. Epub 2008 Jul 18.
We present the case of an apparently healthy 22-year-old female who presented with atraumatic stress fractures of both fibulae. Further investigation demonstrated that she had osteopoenia secondary to occult coeliac disease. The fractures were successfully treated non-operatively. The awareness of the prevalence of occult coeliac disease is increasing due to simpler diagnostic tests, as is its significance as a cause of secondary osteoporosis. Knowing the relationship between these two conditions will help orthopaedic surgeons treating such patients to refer them promptly to appropriate specialists.
我们报告了一名看似健康的22岁女性病例，她双侧腓骨出现无创伤性应力性骨折。进一步检查发现她患有因隐匿性腹腔疾病继发的骨质减少。骨折通过非手术治疗成功治愈。由于诊断测试更简便，隐匿性腹腔疾病的患病率意识正在提高，其作为继发性骨质疏松症病因的重要性也是如此。了解这两种情况之间的关系将有助于骨科医生在治疗此类患者时及时将他们转诊给合适的专科医生。
