Presentation
Pain and limping in bilateral lower limbs. No history of trauma.
Patient Data
Linear lucencies in the bilateral femoral neck with cortical discontinuity.
Linear hypo intensity in the bilateral femoral neck on T1W/T2W images with mild surrounding bone marrow edema.
Follow up X-ray (hip joints)
Follow-up X-ray after two months showing near complete healing of bilateral femoral neck insufficiency fractures.
Case Discussion
The imaging findings and low serum 25-OH Vitamin D level ( 9.5 ng/ml ) are suggestive of insufficiency fractures due to vitamin D deficiency.
After treatment with therapeutic dose of vitamin D, Follow up X-ray after two months shows near complete healing of bilateral femoral neck insufficiency fractures with normal serum 25-OH Vitamin D level ( 32 ng/ml ) .
Co-author:
Dr. Vivek Ranjan (DNB Pediatrician).
Dr. Anshuman Kumar (DM Endocrinologist).
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