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Serum Levels of Vitamin D in Children with or without Isolated Distal Radius Fractures: A Prospective Clinical Study / Níveis séricos de vitamina D de crianças com ou sem fraturas isoladas da extremidade distal do rádio: Um estudo clínico prospectivo
Talmac, Mehmet Ali; Gorgel, Mehmer Akif; Varol, Ali; Ak, Semih; Kilinc, Bekir Eray; Ozdemir, Hacı Mustafa.
  • Talmac, Mehmet Ali; Sisli Hamidiye Etfal Training and Research Hospital. Department of Orthopedic Surgery and Traumatology. Istanbul. TR
  • Gorgel, Mehmer Akif; Sisli Hamidiye Etfal Training and Research Hospital. Department of Orthopedic Surgery and Traumatology. Istanbul. TR
  • Varol, Ali; Silopi State Hospital. Department of Orthopedic Surgery. Health Ministry. Sirnak. TR
  • Ak, Semih; Fatih Sultan Mehmet Education and Research Hospital. Department of Orthopedic Surgery and Traumatology. Istanbul. TR
  • Kilinc, Bekir Eray; Fatih Sultan Mehmet Education and Research Hospital. Department of Orthopedic Surgery and Traumatology. Istanbul. TR
  • Ozdemir, Hacı Mustafa; Sisli Hamidiye Etfal Training and Research Hospital. Department of Orthopedic Surgery and Traumatology. Istanbul. TR
Rev. bras. ortop ; 56(3): 351-355, May-June 2021. tab, graf
Article in English | LILACS | ID: biblio-1288681
ABSTRACT
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.
RESUMO
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.
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Full text: Available Index: LILACS (Americas) Main subject: Parathyroid Hormone / Radius Fractures / Vitamin D / Vitamin D Deficiency / Body Weight / Body Mass Index / Calcium / Alkaline Phosphatase Limits: Child / Humans Language: English Journal: Rev. bras. ortop Journal subject: Orthopedics Year: 2021 Type: Article Affiliation country: Turkey Institution/Affiliation country: Fatih Sultan Mehmet Education and Research Hospital/TR / Silopi State Hospital/TR / Sisli Hamidiye Etfal Training and Research Hospital/TR

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Full text: Available Index: LILACS (Americas) Main subject: Parathyroid Hormone / Radius Fractures / Vitamin D / Vitamin D Deficiency / Body Weight / Body Mass Index / Calcium / Alkaline Phosphatase Limits: Child / Humans Language: English Journal: Rev. bras. ortop Journal subject: Orthopedics Year: 2021 Type: Article Affiliation country: Turkey Institution/Affiliation country: Fatih Sultan Mehmet Education and Research Hospital/TR / Silopi State Hospital/TR / Sisli Hamidiye Etfal Training and Research Hospital/TR