title: Suspected coexistent osteoporosis and osteomalacia with atraumatic bilateral neck of femur fractures in a 53-year-old man without apparent risk factors.
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.
authors.affiliation: Department of Surgery, Beaumont Hospital, Dublin, Ireland.
authors.forename: Joshua
authors.identifier: http://orcid.org/0000-0003-4314-7785
authors.initials: J
authors.lastname: De Marchi
authors.affiliation: Department of Surgery, Beaumont Hospital, Dublin, Ireland.
authors.forename: Raazi
authors.initials: R
authors.lastname: Bajwa
authors.affiliation: Department of Surgery, Tallaght Hospital, Trinity College Dublin, Dublin, Ireland.
authors.forename: Sinead Noelle
authors.initials: SN
authors.lastname: Duggan
authors.affiliation: Department of Orthopaedics, RCSI, Dublin, Ireland.
authors.forename: Paul
authors.initials: P
authors.lastname: Magill
mesh_terms: D001863:Bone Screws; D005265:Femoral Neck Fractures / Q000175:diagnosis* / Q000601:surgery; D005593:Fracture Fixation, Internal; D006119:Groin; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010018:Osteomalacia / Q000150:complications*; D010024:Osteoporosis / Q000150:complications*; D010146:Pain / Q000209:etiology; D014807:Vitamin D / Q000031:analogs & derivatives; D014808:Vitamin D Deficiency / Q000150:complications
chemical_list: D014807:Vitamin D; C104450:25-hydroxyvitamin D