Bilateral simultaneous combined intra- and extracapsular femoral neck fracture secondary to nutritional osteomalacia: a case report
Faraj, A.A.
Acta Orthopaedica Belgica 69(2): 201-203
2003
ISSN/ISBN: 0001-6462 PMID: 12769024 Document Number: 554880
A case of bilateral simultaneous combined extra- and intracapsular femoral neck fractures is presented in an adult Asian male patient suffering from nutritional osteomalacia. The radiological and biochemical findings were classical for osteomalacia with Looser's zones affecting the shoulder and the pelvic girdle. Treatment consisted of bed rest and calcium and vitamin-D replacement. The fractures healed without surgery. A high index of suspicion for nutritional osteomalacia among Asian immigrants especially among the low socio-economic classes is required in the Western community. Early diagnosis and treatment prevents chronic disability and skeletal deformity.