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Journal of Bone and Joint Surgery - British Volume, Vol 72-B, Issue 6, 1053-1056
Copyright © 1990 by British Editorial Society of Bone and Joint Surgery

Articles

Is vitamin D necessary for skeletal integrity in the elderly?

SP Thompson, TJ Wilton, DJ Hosking, DA White, and E Pawley

Department of Biochemistry, University Hospital, Queen's Medical Centre, Nottingham, England.

Serum 1.25 dihydroxyvitamin D concentrations were reduced in elderly patients with femoral neck fractures, irrespective of the presence of osteomalacia. This reduction was not attributable to a decrease in vitamin D binding protein. The low rate of bone turnover in these elderly patients might reduce the requirement for vitamin D and protect against the development of osteomalacia. Serum vitamin D metabolite concentration cannot be used as a screening test for osteomalacia in these patients.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General