NEW ORLEANS, March 6, 2018 /PRNewswire-USNewswire/ -- Children who are vitamin D deficient have a greater risk of havingmore severe forearm fractures requiring surgical treatment, according to a new study presented today at the 2018 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). This is the first report that shows the important link between
Fractures in children are very common, with some estimates as high as 50 percent of boys and 40 percent of girls having at least one fracture by age 18. Of these fractures, the forearm is the most common site, accounting for approximately 25 percent of all pediatric fractures in the U.S.
"Not only are forearm fractures common in children, but so is vitamin D deficiency and insufficiency," said Pooya Hosseinzadeh, MD, assistant professor, Department of Orthopaedic Surgery at Washington University School of Medicine in St. Louis. "Knowing that vitamin D deficiency can lead to negative calcium balance, low bone mineral density and quality leading to compromised bone strength, it makes sense for patients to be more susceptible to fractures at lower impact load and more susceptible to greater severity when fractures do occur."
In this study, 100 children (ages 3 to 15; 65 percent male, 35 percent female) with low-energy forearm fractures were prospectively enrolled. Each participant filled out a questionnaire focusing on risk factors for vitamin D deficiency. The mean 25-hydroxyvitamin D (25[OH]D) concentration was 27.5 + 8.3 ng/ml.
The fractures were then categorized as requiring non-operative or operative management. The children's vitamin D status was based on measurement of 25(OH)D concentration obtained during the clinic visit, and was compared between the two fracture groups.
Among the results of the study:
"This study provides an important takeaway for parents and pediatricians," explains Dr. Hosseinzadeh. "If a child does have a forearm fracture, we would encourage the physician to check the patient's vitamin D levels. The good news is that in most cases, children can reduce deficiency with a vitamin D supplement and increasing outdoor activity."
2018 AAOS Annual Meeting Disclosure Statement
The American Academy of Orthopaedic SurgeonsWith more than 38,000 members, the American Academy of Orthopaedic Surgeons (AAOS) is the world's largest medical association of musculoskeletal specialists. The AAOS provides education programs for orthopaedic surgeons and allied health professionals, champions and advances the highest quality musculoskeletal care for patients, and is the authoritative source of information on bone and joint conditions, treatments and related issues.
Visit AAOS at:Newsroom.aaos.org for bone and joint health news, stats, facts, images and interview requests.ANationinMotion.org for inspirational patient stories, and orthopaedic surgeon tips on maintaining bone and joint health, avoiding injuries, treating musculoskeletal conditions and navigating recovery.Orthoinfo.org for patient information on hundreds of orthopaedic diseases and conditions.Facebook.com/AAOS1Twitter.com/AAOS1Instagram.com/AAOS_1
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SOURCE American Academy of Orthopaedic Surgeons
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