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Bone Scintigraphy and Laboratory Clues to Osteomalacia in a Middle-Aged Man With Hip Fractures

Year: 2025

Type: article

Abstract: A 43-year-old man with a 1-year history of bilateral hip pain, worsened by standing and walking, presented with a limping gait. x-rays showed diffuse osteoporosis (osteoblastic-lytic), and a bone scan revealed symmetric uptake in the costochondral junctions (rosary beads), femoral neck, proximal tibia, and feet, with no visualization of the kidneys, suggesting a metabolic disorder or neoplasm. Computed tomography revealed osteolytic lesions in multiple bones. Suspecting metabolic bone disease or metastasis, laboratory tests were conducted. Magnetic resonance imaging confirmed bilateral femoral neck fractures. He underwent open reduction internal fixation for the hip fractures. The imaging and laboratory findings suggest osteomalacia.

Source: Clinical Nuclear Medicine

DOI: 10.1097/rlu.0000000000005935

Authors: Tzyy-Ling Chuang, Yuh-Feng Wang

Institutions: Tzu Chi University, Dalin Tzu Chi Hospital, National Yang Ming Chiao Tung University, Yuanpei University, Taipei Veterans General Hospital

Language: English

Topic: Parathyroid Disorders and Treatments

Subfield: Nephrology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4410356408

FWCI: 0.602

Cites: 15

Cited by: 1

Related to: 10