Журнал исследований костей
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Timely Therapeutic Intervention Can Prevent Fractures and Surgical Intervention in Pseudofractures Due to Osteomalacia

Kavya Jonnalagadda

Osteomalacia is a metabolic bone disorder caused predominantly by nutritional deprivation followed by other causes. Altered bone mineralisation, bone pain, fragile bones and fractures occur depending on the severity of osteomalacia. Multiple etiologies like Nutritional deprivation, Malabsorption, Malabsorptive surgeries, Kidney disorders, Liver disorders and Drugs (Phenytoin and Phenobarbital) lead to osteomalacia. Nutritional deprivation is the frequent cause of osteomalacia in Asian female. We report a case of 17 year girl with pain in the left hip along with pain at other sites. Suspecting osteomalacia with pseudofracture she was evaluated. Both radiographic and biochemical features matched, confirming osteomalacia with pseudofracture. She was treated with therapeutic doses of calcium and vitamin D without any surgical intervention. After 2 months of medical management the pseudofracture healed. So timely therapeutic intervention can prevent fractures and surgical intervention in pseudofractures due to osteomalacia. This case report aims to throw light on clinical, radiographic and biochemical features of osteomalacia.