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Hello , my brother who is 21 years old was having slight hip pain in pelvic area which usually happens . We went to the doctor he said to do xray, and the results showed a minor crack in that region also he said to do MRI as why there's a crack without any injury. After doing MRI we again went, and the results showed multifocal fractures around pelvic and spine region. Then he suggested dexa scan and in that bone density t score was -3.2, -2.8 in some areas... The doctor said his bones are very weak according to his age and he has underlying osteoporosis. So he gave him denosaub injection and zotide injection which is to be taken daily. Along with 5-6 other tablets and supplements. We are really worried and wanted to consult a specialist in this field who can guide us better.
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Have to find out what is causing the pathology.Detailed clinical examination with blood investigations are needed
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Osteoporosis in this very young have to be evaluated. Is he having any loss of weight or loss of appetite!? Or is he having any other symptoms. Some blood investigations need to be taken
CBC
ESR
CRP
Serum electrophoresis
Bence jones proteins
Next Steps
Review with reports
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Consult endocrinologist
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Hi, this is Dr Varun Kumar, orthopedician. Considering your history, at this age group, reduced bone density and multiple fractures in hip and knee and reduced t score indicates some underlying pathology which is causing weakening of bones.
Next Steps
Need to further evaluate hormonal status to check if they are abnormal which might cause early weakening of bones and need to treat that underlying pathology appropriately so that this problem won't be repeated again
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Chances of fracture even with minor fall can happen, need to be more careful
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I would like to examine and investigate the patient, before I give any opinion.
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Itâs quite unusual and alarming to see multiple fragility fractures and such low bone density (T-score: â3.2) in a 21-year-old male. fragility fractures does require multifaceted approach and these medications are given in such cases. However there is a further need to evaluate the root cause of the issue.
Next Steps
Visit to orthopedic surgeon/ Endocrinologist for evaluation
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You can meet a specialist orthopaedics surgeon for further consultation.
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Please personally meet orthopedic and nephrologist also
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Dr. Sharath Kumar
Orthopedist
26 yrs exp
Bangalore
First should know the cause for osteoporosis
What type of fragility disease and treat accordingly
Just treating bone strength is not enough
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
6 yrs exp
Ahmedabad
Consult orthopedic
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.