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

Abstract

Summary

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.

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Correspondence to T. Carter.

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Carter, T., Nutt, J. & Simons, A. Bilateral femoral neck insufficiency fractures secondary to vitamin D deficiency and concurrent corticosteroid use—a case report. Arch Osteoporos 9, 172 (2014). https://doi.org/10.1007/s11657-014-0172-5

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Keywords

  • Insufficiency fractures
  • Vitamin D
  • Osteomalacia