Fractura humeral bilateral por deficiencia de vitamina D: reporte de un caso

Resumen

Introduction: Vitamin D is a fat-soluble vitamin used by the body for bone development and maintenance through the increased absorption of calcium, magnesium, and phosphate. Vitamin D deficiency, or insufficiency, has been identified as a global problem that affects at least one billion people worldwide. The presence of muscle weakness, falls, and fractures associated with vitamin D deficiency is frequent in the elderly; however, its impact on young people is little known. 

Clinical Case: We present the case of a 34-year-old male with no sun exposure and a history of consuming alcoholic beverages, presenting with progressive muscle weakness and a non-traumatic bilateral humeral fracture associated with vitamin D deficiency. We also describe the diagnostic-therapeutic approach as well as review the literature and its current importance. 

Conclusions: Vitamin D deficiency is common and often unrecognized, yet it can play an important role in exacerbating underlying pathologies, especially in vulnerable populations. Proximal humerus fractures are common among elderly patients, but not in young people, and less in the absence of trauma. In low-energy fractures without obvious traumatic mechanisms, greater prevalence has been observed in patients with low vitamin levels.