title: Osteomalacia: a forgotten cause of fractures in the elderly.
abstract: We present a case of a man who suffered bilateral neck of femur fractures secondary to osteomalacia, attributable to a combination of his reclusive lifestyle, poor diet and long-term anticonvulsant therapy. These fractures may have been prevented if certain risk factors had been identified early. This case aims to highlight the importance of identifying vulnerable older adults in the community who are at risk of fragility fractures secondary to osteomalacia. It should be recognised that not only osteoporosis but other factors can precipitate these fractures as well and that preventative measures should be undertaken in those individuals at risk.
authors: Department of Surgery, Ulster Hospital, Belfast, UK.
authors: Z
authors: Z
authors: Rokan
authors: Department of Orthopaedic Surgery, Royal Victoria Hospital, Belfast, UK.
authors: W D
authors: WD
authors: Kealey
mesh_terms: D000368:Aged; D000927:Anticonvulsants / Q000009:adverse effects; D002220:Carbamazepine / Q000009:adverse effects; D057210:Delayed Diagnosis; D004032:Diet / Q000009:adverse effects; D004827:Epilepsy / Q000188:drug therapy; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D010018:Osteomalacia / Q000150:complications* / Q000175:diagnosis; D011859:Radiography; D012307:Risk Factors; D057185:Sedentary Behavior; D014808:Vitamin D Deficiency / Q000175:diagnosis / Q000209:etiology*
chemical_list: D000927:Anticonvulsants; D002220:Carbamazepine