Devastating Fracture In An Adolescent Runner: Nature Vs. Nurture? - Page #3
 

Lab Studies:
8/2010: Normal CBC, electrolytes, renal and liver function. Estradiol was low at 45pg/ml. Remaining hormone workup including FSH, LH, prolactin, PTH, TSH, and 25-OH-vitamin D (79ng/ml) was normal. Osteocalcin and urine N-telopeptide slightly elevated at 39ng/ml and 55 respectively.

10/2010: DXA (Z-score) for lumbar spine -1.4, right total hip +0.6, right femoral neck -0.5. Negative celiac panel. Normal 24 hour Urine Calcium.

Other Studies:
X-rays of her left hip in September 2010 showed a partially healed non-union with varus angulation.[Photo 3], [Photo 4]

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.
 

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