Plasma 25-hydroxyvitamin d levels in operative patella fractures. Academic Article uri icon

Overview

abstract

  • BACKGROUND: Patella fractures have not traditionally been considered "fragility" fractures. QUESTIONS/PURPOSE: The purpose of this study was to examine the demographic patterns (age and gender distribution) and plasma 25-hydroxyvitamin D levels of a cohort of patients with operative patella fractures. PATIENTS AND METHODS: Medical records were reviewed on all consecutive patients presenting to our institution with operative patella fractures from 2003 to 2009. Seventy-eight operative patella fractures (25 male, 53 female) were identified with a mean age of 58 years (range, 22-89 years). RESULTS: The majority of patients with patella fractures in this series were females over the age of 50 years who sustained low-energy falls from a standing height or less. Twenty-four patients (80%) had vitamin D insufficiency or deficiency at the time of injury. For 68 patients (87%), the patella fracture represented their first fracture. Patients with known osteoporosis risk factors did not have higher rates of vitamin D insufficiency/deficiency. CONCLUSIONS: The age and gender distribution, as well as the prevalence of vitamin D insufficiency/deficiency, of operative patella fractures, suggest that these patients likely have abnormal vitamin D levels and should undergo a metabolic bone work-up.

publication date

  • January 24, 2013

Identity

PubMed Central ID

  • PMC3640726

Scopus Document Identifier

  • 37849006465

Digital Object Identifier (DOI)

  • 10.1016/j.bone.2007.11.002

PubMed ID

  • 24426839

Additional Document Info

volume

  • 9

issue

  • 1