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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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Níveis séricos de vitamina D de crianças com ou sem fraturas isoladas da extremidade distal do rádio: Um estudo clínico prospectivo[*]

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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Resumo

Objetivo Comparar os níveis séricos de vitamina D e minerais de crianças com ou sem fraturas isoladas da extremidade distal do rádio.

Métodos Este estudo clínico prospectivo incluiu 50 crianças (com idade entre 5 e 15 anos) com fratura isolada distal do rádio que deram entrada em nossa unidade de emergência entre fevereiro e maio de 2018 como grupo de estudo (grupo A), e 50 crianças saudáveis sem histórico de fratura como grupo controle (grupo B). Foram obtidas e analisadas amostras de sangue venoso periférico para medições de 25-hidroxivitamina D (25(OH)D), Cálcio (Ca), Magnésio (Mg), Fósforo (P), fosfatase alcalina (FA) e hormônio da paratireoide (HPT) em ambos os grupos. As características dos pacientes e as amostras de sangue venoso periférico foram comparadas entre os grupos.

Resultados A média de idade, altura, peso, índice de massa corporal (IMC) e distribuição de gênero foram semelhantes em ambos os grupos. Não houve diferenças estatísticas nas análises sanguíneas, incluindo Ca, Mg, P, FA e HPT. No entanto, os níveis séricos de 25(OH)D foram estatisticamente menores no grupo A do que no grupo B (p < 0,001), e o número de pacientes com insuficiência de 25(OH)D foi estatisticamente maior no grupo A do que no grupo B (p = 0,012).

Conclusão Crianças com fratura isolada distal do rádio devem ser informadas sobre deficiência de vitamina D, e, em crianças com baixos níveis de vitamina D, a suplementação pode ser considerada.

Palavras-chave

fosfatase alcalina - crianças - hormônio da paratireoide - fraturas do rádio - vitamina D

* Trabalho desenvolvido no Departamento de Cirurgia Ortopédica e Traumatologia, Sisli Hamidiye Etfal Training and Research Hospital, Istambul, Turquia.




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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