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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(03): 351-355
DOI: 10.1055/s-0040-1721362
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Serum Levels of Vitamin D in Children with or without Isolated Distal Radius Fractures: A Prospective Clinical Study[*]

Article in several languages: português | English
Mehmet Ali Talmac 
1   Departamento de Cirurgia Ortopédica e Traumatologia, Sisli Hamidiye Etfal Training and Research Hospital, Istambul, Turquia
,
Mehmer Akif Gorgel 
1   Departamento de Cirurgia Ortopédica e Traumatologia, Sisli Hamidiye Etfal Training and Research Hospital, Istambul, Turquia
,
Ali Varol 
2   Ministério da Saúde, Departamento de Cirurgia Ortopédica e Traumatologia, Silopi State Hospital, Sirnak, Turquia
,
Semih Ak 
3   Departamento de Cirurgia Ortopédica e Traumatologia, Fatih Sultan Mehmet Education and Research Hospital, Istambul, Turquia
,
Bekir Eray Kilinc 
3   Departamento de Cirurgia Ortopédica e Traumatologia, Fatih Sultan Mehmet Education and Research Hospital, Istambul, Turquia
,
Hacı Mustafa Ozdemir 
1   Departamento de Cirurgia Ortopédica e Traumatologia, Sisli Hamidiye Etfal Training and Research Hospital, Istambul, Turquia
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Abstract

Objective To compare the serum levels of vitamin D and minerals in children with or without isolated distal radius fractures.

Methods The present prospective clinical study included 50 children (aged between 5 and 15 years) with isolated distal radius fractures who were admitted to our emergency unit between February and May 2018 as the study group (group A), and 50 healthy children with no history of fracture as the control group (group B). Peripheral venous blood samples were obtained and analyzed for measurements of 25-hydroxyvitamin D (25(OH)D), calcium (Ca), magnesium (Mg), phosphorus (P), alkaline phosphatase (ALP), and parathyroid hormone (PTH) in both groups. Patient characteristics and peripheral venous blood samples were compared between the groups.

Results The mean age, height, weight, body mass index (BMI) and gender distribution were similar in both groups. There were no statistical differences in the blood analyses, including Ca, Mg, P, ALP, and PTH. However, the serum levels of 25(OH)D were statistically lower in group A when compared to group B (p < 0.001), and the number of patients with 25(OH)D insufficiency was statistically higher in group A than in group B (p = 0.012).

Conclusion Children with isolated distal radius fracture should be informed about vitamin D deficiency, and, in children with low levels of vitamin D, supplementation may be considered.

Keywords

alkaline phosphatase - children - parathyroid hormone - radius fractures - vitamin D

* Work developed at the Department of Orthopedic Surgery and Traumatology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.




Publication History

Received: 31 March 2020

Accepted: 17 September 2020

Article published online:
31 March 2021

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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