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We discuss a case of a 52-year-old patient with an intermetatarsal phosphaturic mesenchymal tumor who came to the orthopedic sports medicine clinic with metabolic deficiencies and bilateral subtrochanteric stress fractures indicative of osteomalacia. This case report details unusual onset of stress fractures in orthopedic sports medicine clinics and the variety of phosphaturic mesenchymal tumor formations.
Source link: https://doi.org/10.7759/cureus.26847
Bone stress injuries are common among athletes and have a high incidence of recurrence. In this cross-sectional analysis, we included 51 female runners with a record of u22641 BSI or u22653 BSIs. We measured lumbar spine, total hip, and femoral neck bone mineral density by dual-energy X-ray absorption index using impact microindentation, volumetric bone mineral density, microarchitecture, and estimated reliability by high-resolution peripheral quantitative computed tomography. Those with multiBSI had higher Eating Disorder Questionnaire scores and a larger percentage difference between the lowest and highest body mass at their new height. These preliminary results show that women with a history of multiple BSIs suffered more frequent low-energy fractures in the past than controls, as well as higher historical and current estimates of energy deficit. Our findings provide solid support for future studies to determine whether subopticical energy deficiencies contribute to the risk of multiple BSIs in female runners.
Source link: https://doi.org/10.1123/ijsnem.2021-0323
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