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OSTEOMALACIA IN ELDERLY PATIENTS WITH FRACTURE OF THE FEMORAL NECK

A Clinico-pathological Study

D. H. R. Jenkins 1; J. G. Roberts 1; D. Webster 1; ; and E. O. Williams 1

1 Departments of Orthopaedics and Pathology, University Hospital of Wales, Cardiff; Wales

1. Seventy-four patients over the age of seventy with either subcapital or intertrochanteric fracture have been investigated for evidence of osteomalacia. To establish an index of suspicion the incidence of biochemically defined osteomalacia has been compared with quantitative histology in this group.

2. Whereas no significant difference in the incidence of the disease was noted in the comparison of subcapital with trochanteric fracture groups, there was a high incidence of osteomalacia overall. Furthermore, a subclinical form of the disease appears to exist.

3. The relevance of these observations is discussed with particular reference to the established diagnostic criteria of the condition.
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General