case 28 || Solution || Part 1

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The answer to the given question is “Osteomalacia” also known as:

✅Malacosteon (Due to malformed Osteon)
✅Hunger Osteopathy (As Bone needs Calcium)
✅War Osteopathy

⏩Causes:

⏹Low Dietary Calcium intake

✅M/C Cause

⏹Poor G.I absorption

Maybe due to:

✅Malabsorption Syndrome
✅Celiac Disease
✅Tropical Sprue
✅Short Bowel Syndrome

⏹Poor Renal Tubular Reabsorption

⏩Note:

All the above 3 cause leads to

⬇️

Deficiency of Serum Calcium

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case 28 Solution Part 2

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The answer to the given question is “Osteomalacia” also known as:



⏩Osteomalacia is a ‘Qualitative Defect’

⏩Clinical Picture:

✅Young female

✅Bone pains

✅Polyarthralgia

✅Proximal Myopathy

⏩On X-ray:

⏹Looser’s Zone:

✅Also called as ‘Pseudofractures’ because

•No Displacement of fragments on ambulation (The patient is able to walk)

•No callus formation during the process of healing

✅Named after ‘Dr Emil Looser’

✅These are X-ray Hallmark of Osteomalacia

✅These are “uncalcified translucencies”

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case 28 Solution Last Part

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The answer to the given question is “Osteomalacia” also known as:

⏩Bone Markers of Formation:

✅Serum Osteocalcin: High
✅Serum Osteonectin: High


Why?

As there is too much of Bone formation, Osteoblastic markers are usually High

⏩X-ray:

⏹Bilateral Protrusio Acetabuli:

✅The femoral head extends medial to a white line drawn from the lateral aspect of the pelvis and the lateral aspect of the obturator foramen

(As shown in the picture)



⏩Waddling Gait:

✅Due to the weakness of the proximal muscles of the pelvic girdle

✅Body swings from side to side


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