J Korean Orthop Assoc.  2018 Dec;53(6):552-557. 10.4055/jkoa.2018.53.6.552.

Multiple Sequential Physeal Injuries with Vitamin D Deficiency

• Kim BK
• Kim YG
• Lee HJ
• Choi DS
• Dan J

• KMID: 2430063
• DOI: http://doi.org/10.4055/jkoa.2018.53.6.552

Abstract

Vitamin D plays a major role in bone metabolism, and its deficiency has an impact on fracture risk and healing. Low vitamin D levels are a cause of poor bone mineralization and have been associated with a significantly higher risk of physeal injury in children. This paper presents a case of a 13-year-old boy with a vitamin D deficiency, who sustained multiple sequential epiphyseal injuries at various areas. This report suggests that vitamin D deficiency is not only a significant cause of the clinical disease itself, but also an important factor affecting the successful recovery of injuries.

Keyword

vitamin D deficiency; multiple; sequential; physeal injury

MeSH Terms

Adolescent
Calcification, Physiologic
Child
Humans
Male
Metabolism
Vitamin D Deficiency*
Vitamin D*
Vitamins*
Vitamin D
Vitamins

Figure

• 

  Figure 1 Left olecranon tip avulsion injury by falling on the ground. (A) Preoperation radiograph on August 2013. (B) Postoperation radiograph, 2 months after surgery.

• 

  Figure 2 Left olecranon process fracture by falling on the ground. (A) Preoperation radiograph on January 2014. (B) Postoperation radiograph, 2 months after surgery.

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  Figure 3 Right distal radius displaced fracture by falling on the ground with an outstretched hand. (A) Preoperation radiograph on March 2014. (B) Postoperation radiograph, 2 months after surgery.

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  Figure 4 Left proximal tibia fracture by direct impact on the ground. (A) Preoperation radiograph on March 2015. (B) Postoperation radiograph, 3 months after surgery.

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  Figure 5 Right medial epicondyle fracture and displacement by falling on the ground with an outstretched hand. (A) Preoperation radiograph on July 2015. (B) Postoperation radiograph, 2 months after surgery.

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