{"id":"https://openalex.org/W4412901358","doi":"https://doi.org/10.15388/amed.2025.32.2.1","title":"Bilateral Olecranon and Left Lesser Trochanter Avulsion Fractures in Renal Osteodystrophy: A Rare Case Report and Comprehensive Review","display_name":"Bilateral Olecranon and Left Lesser Trochanter Avulsion Fractures in Renal Osteodystrophy: A Rare Case Report and Comprehensive Review","publication_year":2025,"publication_date":"2025-07-29","ids":{"openalex":"https://openalex.org/W4412901358","doi":"https://doi.org/10.15388/amed.2025.32.2.1","pmid":"https://pubmed.ncbi.nlm.nih.gov/41659143","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12875559"},"language":"en","primary_location":{"id":"doi:10.15388/amed.2025.32.2.1","doi":"https://doi.org/10.15388/amed.2025.32.2.1","is_oa":true,"landing_page_url":"https://doi.org/10.15388/amed.2025.32.2.1","pdf_url":"https://www.journals.vu.lt/AML/article/download/38859/40037","source":{"id":"https://openalex.org/S4210167940","display_name":"Acta medica Lituanica","issn_l":"1392-0138","issn":["1392-0138","2029-4174"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","ddh","doaj","ki-jl-1","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310317512","host_organization_name":"Vilnius University","host_organization_lineage":["https://openalex.org/P4310317512"],"host_organization_lineage_names":["Vilnius University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta medica Lituanica","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.journals.vu.lt/AML/article/download/38859/40037","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5017751441","display_name":"Vijay Ram Kumar Papineni","orcid":"https://orcid.org/0000-0002-6162-3290","observed_orcids":["https://orcid.org/0000-0002-6162-3290"]},"institutions":[{"id":"https://openalex.org/I4210093832","display_name":"Sheikh Shakhbout Medical City","ror":"https://ror.org/00gk5fa11","country_code":"AE","type":"healthcare","lineage":["https://openalex.org/I4210093832"]}],"countries":["AE"],"is_corresponding":false,"raw_author_name":"Vijay Papineni","raw_affiliation_strings":["Sheikh Shakhbout Medical City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sheikh Shakhbout Medical City","institution_ids":["https://openalex.org/I4210093832"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031483947","display_name":"Rajesh Botchu","orcid":"https://orcid.org/0000-0001-7998-2980","observed_orcids":["https://orcid.org/0000-0001-7998-2980"]},"institutions":[{"id":"https://openalex.org/I2801914139","display_name":"Royal Orthopaedic Hospital","ror":"https://ror.org/03scbek41","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801914139"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Rajesh Botchu","raw_affiliation_strings":["Royal Orthopaedic Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Orthopaedic Hospital","institution_ids":["https://openalex.org/I2801914139"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060182360","display_name":"Karthikeyan Parthasarathy Iyengar","orcid":"https://orcid.org/0000-0002-4379-1266","observed_orcids":["https://orcid.org/0000-0002-4379-1266"]},"institutions":[{"id":"https://openalex.org/I131705669","display_name":"Southport and Ormskirk Hospital NHS Trust","ror":"https://ror.org/0586bt104","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I131705669","https://openalex.org/I2800695023"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kartikeyan P. Iyengar","raw_affiliation_strings":["Southport and Ormskirk Hospital NHS Trust"],"raw_orcid":"https://orcid.org/0000-0002-4379-1266","affiliations":[{"raw_affiliation_string":"Southport and Ormskirk Hospital NHS Trust","institution_ids":["https://openalex.org/I131705669"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099517604","display_name":"Shashank Chapala","orcid":"https://orcid.org/0009-0007-2956-0270","observed_orcids":["https://orcid.org/0009-0007-2956-0270"]},"institutions":[{"id":"https://openalex.org/I4210137328","display_name":"Asian Institute of Gastroenterology","ror":"https://ror.org/03pq6f684","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210137328"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Shashank Chapala","raw_affiliation_strings":["Asian Institute of Gastroenterology"],"raw_orcid":"https://orcid.org/0009-0007-2956-0270","affiliations":[{"raw_affiliation_string":"Asian Institute of Gastroenterology","institution_ids":["https://openalex.org/I4210137328"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Asad Rabbani Shah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210093832","display_name":"Sheikh Shakhbout Medical City","ror":"https://ror.org/00gk5fa11","country_code":"AE","type":"healthcare","lineage":["https://openalex.org/I4210093832"]}],"countries":["AE"],"is_corresponding":false,"raw_author_name":"Asad Rabbani Shah","raw_affiliation_strings":["Sheikh Shakhbout Medical City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sheikh Shakhbout Medical City","institution_ids":["https://openalex.org/I4210093832"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5074699225","display_name":"Balamurugan Rathinavelu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210093832","display_name":"Sheikh Shakhbout Medical City","ror":"https://ror.org/00gk5fa11","country_code":"AE","type":"healthcare","lineage":["https://openalex.org/I4210093832"]}],"countries":["AE"],"is_corresponding":false,"raw_author_name":"Balamurugan Rathinavelu","raw_affiliation_strings":["Sheikh Shakhbout Medical City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sheikh Shakhbout Medical City","institution_ids":["https://openalex.org/I4210093832"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5031483947"],"corresponding_institution_ids":["https://openalex.org/I2801914139"],"apc_list":null,"apc_paid":null,"fwci":0.5726,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.60236673,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"32","issue":"2","first_page":"313","last_page":"321"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10516","display_name":"Parathyroid Disorders and Treatments","score":0.4368000030517578,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10516","display_name":"Parathyroid Disorders and Treatments","score":0.4368000030517578,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.43479999899864197,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10071","display_name":"Bone health and osteoporosis research","score":0.039000000804662704,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/avulsion-fracture","display_name":"avulsion fracture","score":0.8360000252723694},{"id":"https://openalex.org/keywords/olecranon-fractures","display_name":"olecranon fractures","score":0.7680000066757202},{"id":"https://openalex.org/keywords/lesser-trochanter-fracture","display_name":"lesser trochanter fracture","score":0.9509999752044678},{"id":"https://openalex.org/keywords/renal-osteodystrophy","display_name":"renal osteodystrophy","score":0.9710000157356262},{"id":"https://openalex.org/keywords/ckd-mbd","display_name":"chronic kidney disease-mineral and bone disorder","score":0.9660000205039978},{"id":"https://openalex.org/keywords/end-stage-renal-disease","display_name":"end-stage renal disease","score":0.9819999933242798},{"id":"https://openalex.org/keywords/fracture-risk","display_name":"fracture risk","score":0.7429999709129333},{"id":"https://openalex.org/keywords/fracture-imaging","display_name":"fracture imaging","score":0.5559999942779541},{"id":"https://openalex.org/keywords/secondary-hyperparathyroidism","display_name":"secondary hyperparathyroidism","score":0.8230000138282776},{"id":"https://openalex.org/keywords/osteomalacia","display_name":"osteomalacia","score":0.8059999942779541},{"id":"https://openalex.org/keywords/adynamic-bone-disease","display_name":"adynamic bone disease","score":0.8140000104904175}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7671289443969727},{"id":"https://openalex.org/C2776699218","wikidata":"https://www.wikidata.org/wiki/Q822598","display_name":"Renal osteodystrophy","level":3,"score":0.7610878944396973},{"id":"https://openalex.org/C2909389717","wikidata":"https://www.wikidata.org/wiki/Q6531656","display_name":"Lesser Trochanter","level":3,"score":0.6998611688613892},{"id":"https://openalex.org/C2779339964","wikidata":"https://www.wikidata.org/wiki/Q1939887","display_name":"Avulsion fracture","level":3,"score":0.6695296168327332},{"id":"https://openalex.org/C37754001","wikidata":"https://www.wikidata.org/wiki/Q1815472","display_name":"Avulsion","level":2,"score":0.6424028873443604},{"id":"https://openalex.org/C2780711802","wikidata":"https://www.wikidata.org/wiki/Q2536335","display_name":"Olecranon","level":3,"score":0.45792990922927856},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.30800384283065796},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2959837317466736},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.15600049495697021},{"id":"https://openalex.org/C2780554211","wikidata":"https://www.wikidata.org/wiki/Q176503","display_name":"Femur","level":2,"score":0.1392093002796173},{"id":"https://openalex.org/C2781184374","wikidata":"https://www.wikidata.org/wiki/Q42586","display_name":"Elbow","level":2,"score":0.11562773585319519},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.06350293755531311}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.15388/amed.2025.32.2.1","doi":"https://doi.org/10.15388/amed.2025.32.2.1","is_oa":true,"landing_page_url":"https://doi.org/10.15388/amed.2025.32.2.1","pdf_url":"https://www.journals.vu.lt/AML/article/download/38859/40037","source":{"id":"https://openalex.org/S4210167940","display_name":"Acta medica Lituanica","issn_l":"1392-0138","issn":["1392-0138","2029-4174"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","ddh","doaj","ki-jl-1","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310317512","host_organization_name":"Vilnius University","host_organization_lineage":["https://openalex.org/P4310317512"],"host_organization_lineage_names":["Vilnius University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta medica Lituanica","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:11683024","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12875559","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:41659143","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41659143","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta medica Lituanica","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12875559","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12875559/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta Med Litu","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:d9d11c2296c04ccbb83b6590ddd2ad71","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/d9d11c2296c04ccbb83b6590ddd2ad71","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Acta Medica Lituanica, Vol 32, Iss 2 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.15388/amed.2025.32.2.1","doi":"https://doi.org/10.15388/amed.2025.32.2.1","is_oa":true,"landing_page_url":"https://doi.org/10.15388/amed.2025.32.2.1","pdf_url":"https://www.journals.vu.lt/AML/article/download/38859/40037","source":{"id":"https://openalex.org/S4210167940","display_name":"Acta medica Lituanica","issn_l":"1392-0138","issn":["1392-0138","2029-4174"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","ddh","doaj","ki-jl-1","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310317512","host_organization_name":"Vilnius University","host_organization_lineage":["https://openalex.org/P4310317512"],"host_organization_lineage_names":["Vilnius University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta medica Lituanica","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4412901358.pdf","grobid_xml":"https://content.openalex.org/works/W4412901358.grobid-xml"},"referenced_works_count":27,"referenced_works":["https://openalex.org/W1778155971","https://openalex.org/W1968160166","https://openalex.org/W1980878646","https://openalex.org/W2005359013","https://openalex.org/W2022545999","https://openalex.org/W2060059832","https://openalex.org/W2078053531","https://openalex.org/W2085437055","https://openalex.org/W2157647768","https://openalex.org/W2169246071","https://openalex.org/W2177581662","https://openalex.org/W2413896565","https://openalex.org/W2626675752","https://openalex.org/W2891964293","https://openalex.org/W2899000623","https://openalex.org/W2901496558","https://openalex.org/W2944722922","https://openalex.org/W2957989088","https://openalex.org/W3010476151","https://openalex.org/W3015144706","https://openalex.org/W3025660712","https://openalex.org/W3080805151","https://openalex.org/W3095980057","https://openalex.org/W3099630192","https://openalex.org/W3116346937","https://openalex.org/W3134749617","https://openalex.org/W4212816484"],"related_works":["https://openalex.org/W2140285293","https://openalex.org/W4405842042","https://openalex.org/W2504712836","https://openalex.org/W2901254447","https://openalex.org/W2033727062","https://openalex.org/W4417033171","https://openalex.org/W2899378211","https://openalex.org/W2982292927","https://openalex.org/W2043368155","https://openalex.org/W3005786161"],"abstract_inverted_index":{"Chronic":[0],"Kidney":[1],"Disease-Mineral":[2],"and":[3,9,21,34,42,87,107,130,145,179],"Bone":[4],"Disorder":[5],"(CKD-MBD)":[6],"disrupts":[7],"phosphorus":[8],"calcium":[10],"metabolism,":[11],"leading":[12],"to":[13,69,112],"skeletal":[14],"disorders":[15],"such":[16],"as":[17,29,161],"demineralization,":[18],"weakened":[19],"bones,":[20],"an":[22],"increased":[23],"fracture":[24],"risk.":[25],"These":[26],"disorders,":[27],"known":[28],"renal":[30,157,175],"osteodystrophy,":[31],"vary":[32],"widely":[33],"are":[35,72,85,89],"classified":[36],"into":[37],"secondary":[38,111],"hyperparathyroidism,":[39],"adynamic":[40],"bone,":[41],"osteomalacia":[43],"based":[44],"on":[45],"bone":[46],"turnover.":[47],"Fracture":[48],"risk":[49,74],"increases":[50],"with":[51,67,119,155,173],"the":[52,79,103,132,137,167,182],"severity":[53],"of":[54,75,78,98,139],"CKD,":[55],"particularly":[56],"in":[57,83,102,115,149,153,165,171],"advanced":[58],"stages":[59],"(creatinine":[60],"clearance":[61],"<15\u201320":[62],"mL/min),":[63],"but":[64],"even":[65],"patients":[66,154,172],"mild":[68],"moderate":[70],"CKD":[71],"at":[73],"fractures.":[76,189],"Fractures":[77],"Lesser":[80],"Trochanter":[81],"(LT)":[82],"adults":[84],"rare,":[86],"most":[88],"caused":[90],"by":[91],"underlying":[92],"malignancies.":[93],"We":[94],"present":[95],"a":[96,116,162],"case":[97],"simultaneous":[99],"avulsion":[100,151,188],"fractures":[101,152],"left":[104],"lesser":[105],"trochanter":[106],"bilateral":[108],"olecranon":[109],"processes":[110],"minor":[113],"trauma":[114],"young":[117],"patient":[118],"End":[120],"Stage":[121],"Renal":[122],"Disease,":[123],"which":[124],"has":[125],"not":[126],"been":[127],"previously":[128],"reported,":[129],"review":[131,135],"literature.":[133],"This":[134],"summarizes":[136],"role":[138],"imaging":[140,184],"(Radiography,":[141],"US,":[142],"Computed":[143],"Tomography,":[144],"Magnetic":[146],"Resonance":[147],"Imaging)":[148],"assessing":[150,187],"end-stage":[156,174],"disease.":[158],"Ultrasound":[159],"serves":[160],"supportive":[163],"tool":[164],"evaluating":[166],"neuromusculoskeletal":[168],"system;":[169],"however,":[170],"disease,":[176],"radiography,":[177],"CT,":[178],"MRI":[180],"remain":[181],"primary":[183],"modalities":[185],"for":[186]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2025-10-10T00:00:00"}