一名53岁男性，无明显危险因素，疑似并存骨质疏松和骨软化症，双侧股骨颈无创伤性骨折。
Suspected coexistent osteoporosis and osteomalacia with atraumatic bilateral neck of femur fractures in a 53-year-old man without apparent risk factors.
作者信息
De Marchi Joshua, Bajwa Raazi, Duggan Sinead Noelle, Magill Paul
机构信息
Department of Surgery, Beaumont Hospital, Dublin, Ireland.
Department of Surgery, Tallaght Hospital, Trinity College Dublin, Dublin, Ireland.
出版信息
BMJ Case Rep. 2014 Sep 4;2014:bcr2014205205. doi: 10.1136/bcr-2014-205205.
Abstract
Atraumatic bilateral hip fractures in the relatively young are exceedingly rare. In this case report, we present one such patient diagnosed by MRI and treated with bilateral hip screws. Subsequent investigations revealed severe osteoporosis and primary 25-hyroxyvitamin D (25OHD) deficiency at a level suggestive of concurrent osteomalacia.
摘要
相对年轻患者发生的非创伤性双侧髋部骨折极为罕见。在本病例报告中，我们呈现了一名经MRI诊断并接受双侧髋螺钉治疗的此类患者。后续检查发现严重骨质疏松以及原发性25-羟基维生素D（25OHD）缺乏，其水平提示同时存在骨软化症。
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本文引用的文献
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2
Low-energy fractures without low T-scores characteristic of osteoporosis: a possible bone matrix disorder.无低 T 评分骨质疏松特征的低能量骨折：可能的骨基质紊乱。
J Bone Joint Surg Am. 2013 Oct 2;95(19):e1391-6. doi: 10.2106/JBJS.L.01281.
3
Before and after hip fracture, vitamin D deficiency may not be treated sufficiently.髋部骨折前后，维生素 D 缺乏可能得不到充分治疗。
Osteoporos Int. 2013 Nov;24(11):2765-73. doi: 10.1007/s00198-013-2400-z. Epub 2013 May 29.
4
Vitamin D status of Irish adults: findings from the National Adult Nutrition Survey.爱尔兰成年人的维生素 D 状况：全国成人营养调查结果。
Br J Nutr. 2013 Apr 14;109(7):1248-56. doi: 10.1017/S0007114512003212. Epub 2012 Aug 10.
5
Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline.维生素 D 缺乏的评估、治疗和预防：内分泌学会临床实践指南。
J Clin Endocrinol Metab. 2011 Jul;96(7):1911-30. doi: 10.1210/jc.2011-0385. Epub 2011 Jun 6.
6
Osteoporosis disease management: What every orthopaedic surgeon should know.骨质疏松症疾病管理：每位骨科医生都应了解的内容。
J Bone Joint Surg Am. 2009 Nov;91 Suppl 6:79-86. doi: 10.2106/JBJS.I.00521.
7
Treatment of femoral neck fractures in young adults.年轻成年人股骨颈骨折的治疗
J Bone Joint Surg Am. 2008 Oct;90(10):2254-66.
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Curr Med Res Opin. 2005 Jul;21(7):1069-74. doi: 10.1185/030079905X50598.
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