An Unusual Stress Fracture in an Archer with Hypophosphatasia
We report a 45-year-old male archer with stress fracture in his left ulna on the background of adult type of hypophosphatasia. The patient presented to several medical centers for pain around the left elbow and received medical treatment upon diagnosis of tenosynovitis. History of the patient reveal...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/350236 |
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| author | Umut Yavuz Sami Sökücü Bilal Demir Evren Akpınar Osman Lapçin Yunus Atıcı Yavuz Kabukçuoğlu |
| author_facet | Umut Yavuz Sami Sökücü Bilal Demir Evren Akpınar Osman Lapçin Yunus Atıcı Yavuz Kabukçuoğlu |
| author_sort | Umut Yavuz |
| collection | DOAJ |
| description | We report a 45-year-old male archer with stress fracture in his left ulna on the background of adult type of hypophosphatasia. The patient presented to several medical centers for pain around the left elbow and received medical treatment upon diagnosis of tenosynovitis. History of the patient revealed that he had had diagnosis of hypophosphatasia ten years ago and underwent percutaneous screwing for stress fracture on both of his femoral necks. Upon finding nondisplaced stress fracture on proximal metaphysis of the ulna on X-ray, the patient underwent magnetic resonance imaging (MRI) in order to exclude pathological causes. No additional pathology was observed in MRI scanning. The patient’s sportive activities were restricted for 6 weeks and he received conservative management with arm slings. Adult type of hypophosphatasia is a disease manifesting with widespread osteoporosis and presenting with low serum level of alkali phosphatase (ALP). Stress fracture should definitely be considered in the patients with history of hypophosphatasia and refractory extremity pain. |
| format | Article |
| id | doaj-art-119ff8f63fcb48cbbdf6dbe45fa6f83a |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-119ff8f63fcb48cbbdf6dbe45fa6f83a2025-02-03T05:46:36ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/350236350236An Unusual Stress Fracture in an Archer with HypophosphatasiaUmut Yavuz0Sami Sökücü1Bilal Demir2Evren Akpınar3Osman Lapçin4Yunus Atıcı5Yavuz Kabukçuoğlu6MS Baltalimani Bone Diseases Training and Research Hospital, Orthopaedics and Traumatology Department, 34470 Istanbul, TurkeyMS Baltalimani Bone Diseases Training and Research Hospital, Orthopaedics and Traumatology Department, 34470 Istanbul, TurkeyMS Baltalimani Bone Diseases Training and Research Hospital, Orthopaedics and Traumatology Department, 34470 Istanbul, TurkeyMS Baltalimani Bone Diseases Training and Research Hospital, Orthopaedics and Traumatology Department, 34470 Istanbul, TurkeyMS Baltalimani Bone Diseases Training and Research Hospital, Orthopaedics and Traumatology Department, 34470 Istanbul, TurkeyMS Baltalimani Bone Diseases Training and Research Hospital, Orthopaedics and Traumatology Department, 34470 Istanbul, TurkeyMS Baltalimani Bone Diseases Training and Research Hospital, Orthopaedics and Traumatology Department, 34470 Istanbul, TurkeyWe report a 45-year-old male archer with stress fracture in his left ulna on the background of adult type of hypophosphatasia. The patient presented to several medical centers for pain around the left elbow and received medical treatment upon diagnosis of tenosynovitis. History of the patient revealed that he had had diagnosis of hypophosphatasia ten years ago and underwent percutaneous screwing for stress fracture on both of his femoral necks. Upon finding nondisplaced stress fracture on proximal metaphysis of the ulna on X-ray, the patient underwent magnetic resonance imaging (MRI) in order to exclude pathological causes. No additional pathology was observed in MRI scanning. The patient’s sportive activities were restricted for 6 weeks and he received conservative management with arm slings. Adult type of hypophosphatasia is a disease manifesting with widespread osteoporosis and presenting with low serum level of alkali phosphatase (ALP). Stress fracture should definitely be considered in the patients with history of hypophosphatasia and refractory extremity pain.http://dx.doi.org/10.1155/2013/350236 |
| spellingShingle | Umut Yavuz Sami Sökücü Bilal Demir Evren Akpınar Osman Lapçin Yunus Atıcı Yavuz Kabukçuoğlu An Unusual Stress Fracture in an Archer with Hypophosphatasia Case Reports in Orthopedics |
| title | An Unusual Stress Fracture in an Archer with Hypophosphatasia |
| title_full | An Unusual Stress Fracture in an Archer with Hypophosphatasia |
| title_fullStr | An Unusual Stress Fracture in an Archer with Hypophosphatasia |
| title_full_unstemmed | An Unusual Stress Fracture in an Archer with Hypophosphatasia |
| title_short | An Unusual Stress Fracture in an Archer with Hypophosphatasia |
| title_sort | unusual stress fracture in an archer with hypophosphatasia |
| url | http://dx.doi.org/10.1155/2013/350236 |
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