<- Home <- Arhive <- Vol. 22, Issue 4, December 2014

Rom J Leg Med22(4)217-220(2014)
© Romanian Society of Legal Medicine

Multiple repetitive fragility fractures in young patients- differentiation between osteogenesis imperfecta, osteomalacia (secondary to vitamin D deficiency) and domestic abuse

C. Capatina, M. Carsote, C. Capatina, C. Poiana, M. Berteanu

Abstract: Fragility fractures (i.e. fractures occuring in abnormal bones, caused by minimal or no trauma) during childhood are infrequent and secondary to rare metabolic or bone diseases. The presence of multiple fractures should also raise the suspicion of inflicted injury (abuse), which is much more frequent, thus it is extremely important to distinguish between genuine fragility fractures and traumatic fractures.
We report the case of a 20 years old male with a history of multiple unexplained fractures of the long bones during the entire childhood and adolescence. In this patient a diagnosis of both osteogenesis imperfecta and severe vitamin D deficiency was made on the basis of the clinical picture, biological data and radiographic findings. We provide a brief overview of the most important elements to be sought for in the differential diagnosis between fractures caused by induced trauma and fragility fractures secondary to either osteogenesis imperfecta or defective bone mineralisation due to vitamin D deficiency.
Keywords: fragility fractures, osteogenesis imperfecta, vitamin D deficiency, domestic abuse.

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