{"id":"https://openalex.org/W7225140656","doi":"https://doi.org/10.1093/rap/rkag113.003","title":"OA03 An unusual cause of fragility neck of femur fracture in a 24 years old young adult: severe Vitamin D deficiency and Osteomalacia.","display_name":"OA03 An unusual cause of fragility neck of femur fracture in a 24 years old young adult: severe Vitamin D deficiency and Osteomalacia.","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7225140656","doi":"https://doi.org/10.1093/rap/rkag113.003"},"language":"en","primary_location":{"id":"doi:10.1093/rap/rkag113.003","doi":"https://doi.org/10.1093/rap/rkag113.003","is_oa":true,"landing_page_url":"https://doi.org/10.1093/rap/rkag113.003","pdf_url":"https://academic.oup.com/rheumap/article-pdf/10/Supplement_1/rkag113.003/72371866/rkag113.003.pdf","source":{"id":"https://openalex.org/S2735938563","display_name":"Rheumatology Advances in Practice","issn_l":"2514-1775","issn":["2514-1775"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rheumatology Advances in Practice","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/rheumap/article-pdf/10/Supplement_1/rkag113.003/72371866/rkag113.003.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160554835","display_name":"Zina Afroja","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802371838","display_name":"Northampton General Hospital","ror":"https://ror.org/03rfbyn37","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802371838","https://openalex.org/I4210091058","https://openalex.org/I4210127145"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Zina Afroja","raw_affiliation_strings":["Northampton General Hospital , Northampton,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northampton General Hospital , Northampton,","institution_ids":["https://openalex.org/I2802371838"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108867133","display_name":"Saima Almas","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802371838","display_name":"Northampton General Hospital","ror":"https://ror.org/03rfbyn37","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802371838","https://openalex.org/I4210091058","https://openalex.org/I4210127145"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Saima Almas","raw_affiliation_strings":["Northampton General Hospital , Northampton,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northampton General Hospital , Northampton,","institution_ids":["https://openalex.org/I2802371838"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099778973","display_name":"Chisom Nwanejuafor","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802371838","display_name":"Northampton General Hospital","ror":"https://ror.org/03rfbyn37","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802371838","https://openalex.org/I4210091058","https://openalex.org/I4210127145"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Chisom Nwanejuafor","raw_affiliation_strings":["Northampton General Hospital , Northampton,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northampton General Hospital , Northampton,","institution_ids":["https://openalex.org/I2802371838"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123539582","display_name":"James Taylor","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802371838","display_name":"Northampton General Hospital","ror":"https://ror.org/03rfbyn37","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802371838","https://openalex.org/I4210091058","https://openalex.org/I4210127145"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"James Taylor","raw_affiliation_strings":["Northampton General Hospital , Northampton,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northampton General Hospital , Northampton,","institution_ids":["https://openalex.org/I2802371838"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062662968","display_name":"Rachel C. Jeffery","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802371838","display_name":"Northampton General Hospital","ror":"https://ror.org/03rfbyn37","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802371838","https://openalex.org/I4210091058","https://openalex.org/I4210127145"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Rachel Jeffery","raw_affiliation_strings":["Northampton General Hospital , Northampton,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northampton General Hospital , Northampton,","institution_ids":["https://openalex.org/I2802371838"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2802371838"],"apc_list":{"value":2255,"currency":"GBP","value_usd":2974},"apc_paid":{"value":2255,"currency":"GBP","value_usd":2974},"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"10","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10277","display_name":"Vitamin D Research Studies","score":0.9682999849319458,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"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/T10277","display_name":"Vitamin D Research Studies","score":0.9682999849319458,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"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":0.02669999934732914,"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/T10516","display_name":"Parathyroid Disorders and Treatments","score":0.0005000000237487257,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/femoral-neck-fracture","display_name":"femoral neck fracture","score":0.968999981880188},{"id":"https://openalex.org/keywords/vitamin-d-deficiency","display_name":"vitamin D deficiency","score":0.9070000052452087},{"id":"https://openalex.org/keywords/osteomalacia","display_name":"osteomalacia","score":0.9610000252723694},{"id":"https://openalex.org/keywords/fragility-fractures","display_name":"fragility fractures","score":0.7559999823570251},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.7179999947547913},{"id":"https://openalex.org/keywords/low-energy-trauma","display_name":"low-energy trauma","score":0.8009999990463257},{"id":"https://openalex.org/keywords/hypocalcemia","display_name":"hypocalcemia","score":0.8360000252723694},{"id":"https://openalex.org/keywords/hypophosphatemia","display_name":"hypophosphatemia","score":0.9929999709129333},{"id":"https://openalex.org/keywords/vitamin-d3-supplementation","display_name":"vitamin D3 supplementation","score":0.8970000147819519},{"id":"https://openalex.org/keywords/bone-mineral-density","display_name":"bone mineral density","score":0.753000020980835},{"id":"https://openalex.org/keywords/metabolic-bone-disease","display_name":"metabolic bone disease","score":0.6980000138282776},{"id":"https://openalex.org/keywords/smoking","display_name":"smoking","score":0.4390000104904175},{"id":"https://openalex.org/keywords/dynamic-hip-screw-fixation","display_name":"dynamic hip screw fixation","score":0.7160000205039978},{"id":"https://openalex.org/keywords/lifestyle-modification","display_name":"lifestyle modification","score":0.5680000185966492},{"id":"https://openalex.org/keywords/smoking-cessation","display_name":"smoking cessation","score":0.43799999356269836}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9544000029563904},{"id":"https://openalex.org/C2779740938","wikidata":"https://www.wikidata.org/wiki/Q4138762","display_name":"vitamin D deficiency","level":3,"score":0.7745000123977661},{"id":"https://openalex.org/C2778812048","wikidata":"https://www.wikidata.org/wiki/Q936382","display_name":"Hypocalcaemia","level":3,"score":0.6880000233650208},{"id":"https://openalex.org/C2779240191","wikidata":"https://www.wikidata.org/wiki/Q6822340","display_name":"Metabolic bone disease","level":3,"score":0.6305999755859375},{"id":"https://openalex.org/C2778049618","wikidata":"https://www.wikidata.org/wiki/Q860395","display_name":"Osteomalacia","level":3,"score":0.5587000250816345},{"id":"https://openalex.org/C124490489","wikidata":"https://www.wikidata.org/wiki/Q7936963","display_name":"Vitamin D and neurology","level":2,"score":0.5090000033378601},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5005000233650208},{"id":"https://openalex.org/C2776541429","wikidata":"https://www.wikidata.org/wiki/Q165328","display_name":"Osteoporosis","level":2,"score":0.42719998955726624},{"id":"https://openalex.org/C2775854910","wikidata":"https://www.wikidata.org/wiki/Q4844892","display_name":"Femoral neck","level":3,"score":0.4207000136375427},{"id":"https://openalex.org/C2780554211","wikidata":"https://www.wikidata.org/wiki/Q176503","display_name":"Femur","level":2,"score":0.4203999936580658},{"id":"https://openalex.org/C2776940978","wikidata":"https://www.wikidata.org/wiki/Q34956","display_name":"Vitamin","level":2,"score":0.38429999351501465},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.38269999623298645},{"id":"https://openalex.org/C2992660301","wikidata":"https://www.wikidata.org/wiki/Q4350503","display_name":"Femur fracture","level":3,"score":0.3675999939441681},{"id":"https://openalex.org/C2776489590","wikidata":"https://www.wikidata.org/wiki/Q183392","display_name":"Rickets","level":3,"score":0.362199991941452},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.3549000024795532},{"id":"https://openalex.org/C170033053","wikidata":"https://www.wikidata.org/wiki/Q952019","display_name":"Bone remodeling","level":2,"score":0.35030001401901245},{"id":"https://openalex.org/C2780505380","wikidata":"https://www.wikidata.org/wiki/Q7142931","display_name":"Past medical history","level":2,"score":0.33719998598098755},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.33660000562667847},{"id":"https://openalex.org/C206179267","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Medical history","level":2,"score":0.3264000117778778},{"id":"https://openalex.org/C2776767379","wikidata":"https://www.wikidata.org/wiki/Q5318981","display_name":"Dynamic hip screw","level":3,"score":0.30559998750686646},{"id":"https://openalex.org/C2776169692","wikidata":"https://www.wikidata.org/wiki/Q4941552","display_name":"Bone disease","level":3,"score":0.3050000071525574},{"id":"https://openalex.org/C2778885795","wikidata":"https://www.wikidata.org/wiki/Q240856","display_name":"Hip fracture","level":3,"score":0.30399999022483826},{"id":"https://openalex.org/C2781179581","wikidata":"https://www.wikidata.org/wiki/Q2857712","display_name":"Family history","level":2,"score":0.30070000886917114},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.2800999879837036},{"id":"https://openalex.org/C2781038967","wikidata":"https://www.wikidata.org/wiki/Q3567802","display_name":"Neck pain","level":3,"score":0.2750999927520752},{"id":"https://openalex.org/C2779329777","wikidata":"https://www.wikidata.org/wiki/Q2304401","display_name":"Bone density","level":3,"score":0.27469998598098755},{"id":"https://openalex.org/C2781016418","wikidata":"https://www.wikidata.org/wiki/Q194435","display_name":"Vitamin deficiency","level":3,"score":0.2669999897480011},{"id":"https://openalex.org/C8337478","wikidata":"https://www.wikidata.org/wiki/Q1777289","display_name":"Bone healing","level":2,"score":0.2621000111103058}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/rap/rkag113.003","doi":"https://doi.org/10.1093/rap/rkag113.003","is_oa":true,"landing_page_url":"https://doi.org/10.1093/rap/rkag113.003","pdf_url":"https://academic.oup.com/rheumap/article-pdf/10/Supplement_1/rkag113.003/72371866/rkag113.003.pdf","source":{"id":"https://openalex.org/S2735938563","display_name":"Rheumatology Advances in Practice","issn_l":"2514-1775","issn":["2514-1775"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rheumatology Advances in Practice","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13728565","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13728565/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13728565/pdf/rkag113.003.pdf","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":"Rheumatol Adv Pract","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/rap/rkag113.003","doi":"https://doi.org/10.1093/rap/rkag113.003","is_oa":true,"landing_page_url":"https://doi.org/10.1093/rap/rkag113.003","pdf_url":"https://academic.oup.com/rheumap/article-pdf/10/Supplement_1/rkag113.003/72371866/rkag113.003.pdf","source":{"id":"https://openalex.org/S2735938563","display_name":"Rheumatology Advances in Practice","issn_l":"2514-1775","issn":["2514-1775"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rheumatology Advances in Practice","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"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/W7225140656.pdf","grobid_xml":"https://content.openalex.org/works/W7225140656.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2418055909","https://openalex.org/W3021043821","https://openalex.org/W2759776980","https://openalex.org/W2474179352","https://openalex.org/W4380077799","https://openalex.org/W2604341569","https://openalex.org/W1971996346","https://openalex.org/W2565911116","https://openalex.org/W2440016611","https://openalex.org/W7131621816"],"abstract_inverted_index":{"Abstract":[0],"Introduction":[1],"Young":[2,741],"adult":[3,608],"neck":[4,66,132,365,396,642],"of":[5,32,38,58,67,129,133,167,184,205,236,332,397,424,485,496,501,529,535,544,561,571,602,618,643,673,689,716,756,810,829,878],"femur":[6,68,398,644],"fractures":[7,166,185,366,645,718,746],"following":[8,173,569],"low-energy":[9,64,148],"trauma":[10],"are":[11,370,646],"rare":[12,647],"and":[13,76,113,135,165,170,196,200,211,260,297,303,329,352,355,372,421,443,466,510,533,575,580,588,621,651,683,712,733,771,827,833,836,842,863,874],"should":[14,373,652,747,807],"prompt":[15,375,654],"urgent":[16,138,655],"investigation":[17,151,376,656],"for":[18,152,377,625,629,657,752],"underlying":[19,153,378,523,546,658,812,859],"metabolic":[20,154,335,379,659,802],"bone":[21,40,155,188,273,313,380,440,476,512,565,660,696,758,794,867],"disease":[22,661],"or":[23,186,239,278,493,662,698],"secondary":[24,70,417,497,630,663,754],"osteoporosis.":[25,498],"Although":[26,221,382],"vitamin":[27,73,201,247,298,347,383,503,530,572,581,676,816,885],"D":[28,74,248,251,299,348,384,409,504,531,573,582,677,817,886],"deficiency":[29,43,75,249,385,410,451,532,574,678,887],"is":[30,386,405,549,554,709,778,804,846,856],"one":[31],"the":[33,56,88,130,168,330,522,545,550,559,600,616,623,671,686,811,857,876],"most":[34],"common":[35],"reversible":[36,334,714,801],"causes":[37,495,755],"impaired":[39,413,475],"mineralisation,":[41],"severe":[42,72,116,502],"may":[44,452,679],"remain":[45,453,680],"clinically":[46,454,681,775],"silent":[47,455,682],"until":[48,456,701],"presentation":[49,392],"with":[50,62,118,143,265,295,316,393,541,585,610,725,744,792,814,839],"a":[51,59,63,96,104,125,174,193,198,333,394,457,611,626,702,800],"fragility":[52,395,459,612,704,717,745],"fracture.":[53],"We":[54],"present":[55,684],"case":[57,447,598],"24-year-old":[60,82,404],"man":[61,85],"intracapsular":[65,127],"fracture":[69,128,399,460,705,872],"to":[71,87,120,358,430,474,593,670],"nutritional":[77,519,854],"osteomalacia":[78,520,604,708,855],"Case":[79],"description":[80],"A":[81],"previously":[83],"healthy":[84,403],"presented":[86],"Emergency":[89],"Department":[90],"on":[91,103,109,345,515,527,797],"2":[92],"February":[93],"2025":[94],"after":[95,306],"low-impact":[97],"fall":[98,175],"at":[99,176,883],"home.":[100],"He":[101,190,216],"slipped":[102],"wet":[105],"kitchen":[106],"floor,":[107],"landing":[108],"his":[110,227,326],"left":[111,131],"hip,":[112],"immediately":[114],"developed":[115],"pain":[117,697],"inability":[119],"weight":[121],"bear.":[122],"Radiographs":[123],"demonstrated":[124,245],"displaced":[126],"femur,":[134],"he":[136,222,270],"underwent":[137],"dynamic":[139],"hip":[140,322],"screw":[141],"fixation":[142],"an":[144,401,710,749],"uncomplicated":[145],"recovery.":[146,361,596],"The":[147,499],"mechanism":[149,672],"prompted":[150],"disease.":[156,189,381],"His":[157,462],"medical":[158],"history":[159,183],"included":[160],"orthognathic":[161],"surgery":[162],"in":[163,367,389,400,412,558,605,615,648,719,723,850,888],"2022":[164],"third":[169],"fourth":[171],"metacarpals":[172],"age":[177,328],"18.":[178],"There":[179],"was":[180,286,339],"no":[181,233],"family":[182],"inherited":[187,237,486,762],"worked":[191],"as":[192,490,521,564,739,765],"restaurant":[194],"manager":[195],"reported":[197],"calcium-":[199],"D-poor":[202],"diet,":[203],"avoidance":[204],"dairy":[206],"products,":[207],"limited":[208,463,730],"sunlight":[209,464,731,834],"exposure":[210,465,732],"smoking":[212,467,825],"three":[213],"cigarettes":[214],"daily.":[215],"did":[217,480],"not":[218,340,481,556,848],"consume":[219],"alcohol.":[220],"recalled":[223],"being":[224,667],"smaller":[225],"than":[226,666],"peers":[228],"during":[229],"childhood,":[230],"examination":[231],"revealed":[232],"features":[234,434,483],"suggestive":[235,484],"skeletal":[238,360,487,595],"connective":[240],"tissue":[241],"disorders.":[242],"Laboratory":[243],"investigations":[244],"profound":[246,450],"(25-hydroxyvitamin":[250],"<":[252],"20":[253],"nmol/L),":[254],"hypocalcaemia":[255],"(corrected":[256],"calcium":[257,296,302,415,536,576,579,728,820,831],"2.16":[258],"mmol/L)":[259],"hypophosphataemia":[261],"(0.78":[262],"mmol/L),":[263],"consistent":[264],"osteomalacia.":[266,431],"Despite":[267],"these":[268],"abnormalities,":[269,507,783],"denied":[271],"preceding":[272],"pain,":[274,441],"proximal":[275,436,692],"muscle":[276,437,693],"weakness":[277],"functional":[279,699],"limitation.":[280],"High-dose":[281],"cholecalciferol":[282,291],"50,000":[283],"IU":[284,293],"weekly":[285],"commenced,":[287],"followed":[288],"by":[289,780],"maintenance":[290],"(800\u20131,000":[292],"daily)":[294],"supplementation.":[300],"Serum":[301],"phosphate":[304,419],"normalised":[305],"treatment.":[307],"Dual-energy":[308],"X-ray":[309],"absorptiometry":[310],"showed":[311],"reduced":[312,511,757,786,793],"mineral":[314,513,759,795,868],"density":[315,514,566,796],"lumbar":[317],"spine":[318],"T-score":[319,323],"\u22122.9,":[320],"total":[321],"\u22121.4).":[324],"Given":[325],"young":[327,368,539,607,649,720,851],"presence":[331],"cause,":[336],"anti-osteoporotic":[337],"therapy":[338,553,845],"initiated.":[341],"Ongoing":[342],"management":[343,806],"focused":[344,526],"correcting":[346],"deficiency,":[349,505],"lifestyle":[350,735,822],"modification":[351,823],"serial":[353,586,840],"biochemical":[354,506,587,782],"DXA":[356,516,589],"monitoring":[357,590,838],"assess":[359,594],"Discussion":[362],"Low-energy":[363,641],"femoral":[364],"adults":[369,540,650,742,852],"uncommon":[371],"always":[374,653],"frequently":[387],"encountered":[388],"clinical":[390,433],"practice,":[391],"otherwise":[402],"exceptionally":[406],"rare.":[407],"Vitamin":[408],"results":[411],"intestinal":[414],"absorption,":[416],"hyperparathyroidism,":[418],"wasting":[420],"defective":[422],"mineralisation":[423,547],"newly":[425],"formed":[426],"osteoid,":[427],"ultimately":[428],"leading":[429],"Classical":[432],"include":[435],"weakness,":[438,694],"diffuse":[439,695],"fatigue,":[442],"pseudofractures,":[444],"however,":[445],"this":[446],"demonstrates":[448],"that":[449],"major":[458,703],"occurs.":[461,706],"were":[468,591],"important":[469,711],"modifiable":[470,734],"risk":[471,736,873],"factors":[472,737],"contributing":[473],"health.":[477],"Clinical":[478],"assessment":[479,751],"identify":[482],"disorders":[488,763],"such":[489,738],"osteogenesis":[491,766],"imperfecta":[492],"other":[494,753],"combination":[500],"radiographic":[508],"osteopenia":[509],"strongly":[517],"supported":[518,779],"diagnosis.":[524,860],"Management":[525],"correction":[528,543,570,809],"restoration":[534],"homeostasis.":[537,577],"In":[538],"osteomalacia,":[542,690],"defect":[548],"priority.":[551],"Anti-resorptive":[552,844],"generally":[555,847],"indicated":[557,849],"absence":[560,617],"primary":[562,858],"osteoporosis,":[563],"often":[567],"improves":[568],"Long-term":[578],"supplementation":[583],"together":[584,791],"recommended":[592],"This":[597],"emphasises":[599],"importance":[601,877],"considering":[603],"any":[606],"presenting":[609,743],"fracture,":[613],"even":[614],"classical":[619,687],"symptoms":[620],"highlights":[622],"need":[624],"systematic":[627],"evaluation":[628],"osteoporosis":[631,635,664],"before":[632],"initiating":[633],"long-term":[634],"therapy.":[636],"Key":[637],"learning":[638],"points":[639],"\u2022":[640],"rather":[665],"attributed":[668],"solely":[669],"injury.":[674],"Severe":[675],"without":[685],"manifestations":[688],"including":[691,761,784],"limitation,":[700],"Nutritional":[707],"potentially":[713],"cause":[715,803],"adults,":[721],"particularly":[722],"those":[724],"poor":[726],"dietary":[727,830],"intake,":[729],"smoking.":[740],"undergo":[748],"appropriate":[750],"density,":[760,869],"(such":[764],"imperfecta),":[767],"endocrine,":[768],"renal,":[769],"gastrointestinal":[770],"inflammatory":[772],"conditions,":[773],"where":[774],"indicated.":[776],"Diagnosis":[777],"characteristic":[781],"profoundly":[785],"25-hydroxyvitamin":[787],"D,":[788],"hypocalcaemia,":[789],"hypophosphataemia,":[790],"DXA.":[798,843],"When":[799],"identified,":[805],"prioritise":[808],"abnormality":[813],"high-dose":[815],"replacement,":[818],"adequate":[819],"supplementation,":[821],"(including":[824],"cessation":[826],"optimisation":[828],"intake":[832],"exposure)":[835],"longitudinal":[837],"biochemistry":[841],"when":[853],"Early":[861],"recognition":[862],"treatment":[864],"can":[865],"improve":[866],"reduce":[870],"future":[871],"reinforce":[875],"public":[879],"health":[880],"measures":[881],"aimed":[882],"preventing":[884],"at-risk":[889],"populations.":[890]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-11-04T00:00:00"}
