Lab Studies:
Calcium: 9.9 mg/dL
<br>Ionized Calcium: 1.40 mmol/L
<br>Parathyroid Hormone: 36 (Normal range: 9 - 77 pg/mL)
<br>Vitamin D 25-OH: 25 (Normal range: 30 - 80 ng/mL)
<br>Thyroid Stimulating Hormone: 2.35 (Normal range: 0.4 - 4.1 mIU/mL)
<br>Complete Blood Count and Basic Metabolic Panel: within normal limits
Other Studies:
X-ray Left Tibia/Fibula: No acute fracture or dislocation <a href="CaseStudyImages/CS1ChronicBilateralL-660.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> , <a href="CaseStudyImages/CS2CS1ChronicBilater-660.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a>
<br>X-ray Right Tibia/Fibula: Healed fracture deformities of the proximal fibular diaphysis and the mid tibial diaphysis <a href="CaseStudyImages/CS3CS2CS1ChronicBila-660.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> , <a href="CaseStudyImages/CS4CS3CS2CS1ChronicB-660.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a>
<br>MRI Left Tibia/Fibula: Transversely oriented incomplete stress type fracture within the left fibular head with surrounding bone marrow edema <a href="CaseStudyImages/CS5CS4CS3CS2CS1Chron-660.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> , <a href="CaseStudyImages/CS6CS5CS4CS3CS2CS1Ch-660.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a> , <a href="CaseStudyImages/CS7CS6CS5CS4CS3CS2CS-660.jpg" title="Case Photo #7" data-lity><b>Case Photo #7</b></a> , <a href="CaseStudyImages/CS8CS7CS6CS5CS4CS3CS-660.jpg" title="Case Photo #8" data-lity><b>Case Photo #8</b></a> , <a href="CaseStudyImages/CS9CS8CS7CS6CS5CS4CS-660.jpg" title="Case Photo #9" data-lity><b>Case Photo #9</b></a>
<br>MRI Right Tibia/Fibula: Healed tibia/fibula fracture deformities, otherwise unremarkable
<br>DEXA Scan (T-score): Spine (-2.3), Left Femoral Neck (-2.7), Right Femoral Neck (-2.6)
Consultations:
He underwent rheumatology and endocrine consultations for osteoporosis. Further lab testing was unremarkable, including C-telopeptide, thyroid studies, testosterone and sex hormone binding globulin.
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