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Serum Levels of Vitamin D in Children with or without Isolated Distal Radius Fractures: A Prospective Clinical Study

Mehmet Ali Talmac1, Mehmer Akif Gorgel1, Ali Varol2

  • 1Departamento de Cirurgia Ortopédica e Traumatologia, Sisli Hamidiye Etfal Training and Research Hospital, Istambul, Turquia.

Revista Brasileira De Ortopedia
|July 9, 2021
PubMed

Insights

Children with distal radius fractures have lower serum vitamin D levels. Vitamin D insufficiency was more common in this group, suggesting supplementation may be beneficial.

Area of Science:

  • Pediatric Orthopedics
  • Nutritional Biochemistry

Background:

  • Distal radius fractures are common pediatric injuries.
  • Vitamin D plays a crucial role in bone health and mineral metabolism.

Purpose of the Study:

  • To investigate serum vitamin D and mineral levels in children with isolated distal radius fractures.
  • To compare these levels with healthy children.

Main Methods:

  • Prospective study of 50 children with distal radius fractures and 50 controls (ages 5-15).
  • Blood samples analyzed for 25-hydroxyvitamin D (25(OH)D), calcium, magnesium, phosphorus, ALP, and PTH.

Main Results:

  • Serum 25(OH)D levels were significantly lower in children with fractures (p < 0.001).
  • Vitamin D insufficiency was more prevalent in the fracture group (p = 0.012).
  • No significant differences in calcium, magnesium, phosphorus, ALP, or PTH levels were observed.

Conclusions:

  • Children with distal radius fractures exhibit lower vitamin D levels.
  • Vitamin D deficiency should be considered in pediatric distal radius fractures.
  • Supplementation may be warranted for children with low vitamin D levels.

Keywords:
alkaline phosphatasechildrenparathyroid hormoneradius fracturesvitamin D

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