Osteomalacia: Looser zones

Case contributed by Dr Iqbal Naseem

Presentation

Right thigh pain.

Patient Data

Age: 40 years
Gender: Female
Modality: X-ray

Osteopenic changes involving bony pelvis and proximal femurs. Multiple pseudofractures/ lossers's zones are seen involving superior and inferior pubic rami bilaterally. There is also transcervical fracture on right side.

Case Discussion

Pseudofractures or Looser zones are seen in osteomalacia. Common sites being the scapula, pubic rami and proximal femurs medially. In late stages the shape of pelvis also becomes deformed giving characteristic triradiate pelvis.

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Case Information

rID: 20086
Case created: 2nd Nov 2012
Last edited: 21st Feb 2016
Inclusion in quiz mode: Included

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