48 years, mother of five presented to out patient department with inability to walk and pains in all body for past five days. On further probing generalised body pains were present for about a Bilatreral hips were tender on examination.
Xray revealed fracture of neck of femur bilaterally and a deformed pelvis suggesting osteomalacia.
Osteomalacia is a condition that occurs due to Vit D deficiency in adult [ In children the counterpart is rickets].
Osteomalcia leads to softening of bones and pseudofractures in regions like neck of femur, pubic rami etc which may on go to form complete fracture.
This patient was advised surgery [closed/open reduction+fixation] for both the neck of femur fracture but she refused any kind of surgical intervention.