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Bilateral femoral neck insufficiency fractures secondary to vitamin D deficiency and concurrent corticosteroid use--a case report.

Carter, T and Nutt, J and Simons, A (2014) Bilateral femoral neck insufficiency fractures secondary to vitamin D deficiency and concurrent corticosteroid use--a case report. Archives of osteoporosis, 9 (1). p. 172. ISSN 1862-3514. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login Ids

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Official URL: http://link.springer.com/article/10.1007/s11657-01...

Abstract

UNLABELLED

We present a rare case of a 67-year-old Indian female who was found to have bilateral insufficiency of the neck of femur fractures secondary to osteomalacia from vitamin D deficiency, with her symptoms exacerbated by a course of oral steroids prescribed for suspected polymyalgia rheumatica.

INTRODUCTION

Bilateral femoral neck fractures are rare and are known to be associated with a variety of conditions such as parathyroid or renal dysfunction.

METHOD

We present a rare case of a 67-year-old Indian female who was found to have bilateral insufficiency of the neck of femur fractures secondary to osteomalacia from vitamin D deficiency, with her symptoms exacerbated by a course of oral steroids prescribed for suspected polymyalgia rheumatica.

RESULT

In patients with severe bilateral hip pain and a normal pelvic radiograph, it is important to consider magnetic resonance imaging early to avoid missing this important diagnosis.

CONCLUSION

Osteomalacia and vitamin D deficiency is an important differential diagnosis in any patient presenting with bone and muscle pain. Vitamin D levels are easily available and deficiency is easily treated.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login Ids
Subjects: WT Geriatrics. Elderly care
Divisions: Emergency Services > Elderly
Related URLs:
Depositing User: Mr Philip O'Reilly
Date Deposited: 05 Sep 2014 08:53
Last Modified: 05 Sep 2014 08:53
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/702

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