* Avulsion, impaction, stress, compression, incomplete or pseudofracture
At the end of the fourteenth month, there was a progressing healing of the pseudofracture
at the left superior pubic rami while the other areas had already recovered radiologically (Figure 3,4).
Adult HPP typically presents in middle age with foot pain owing to stress fractures of the metatarsals or thigh pain because of pseudofractures
of the femur.
An attempt should be made to bypass all pseudofractures
with the femoral prosthesis.
Childhood-and adult-onset HPP typically present with premature loss of deciduous teeth, rachitic changes in children and osteopenia, recurrent fractures, and pseudofractures
with early loss of adult dentition, common osteomalacia in adult, and delayed healing of fractures (7).
These relate to the softening of bone and include kyphosis, Looser's zones (pseudofractures
), amyloid deposition and osteopaenia.
He addresses anatomy, biomechanics, radiography, computed tomography, myelography, mechanisms of injury, a system for assessing radiologic signs of vertebral injury, vertebral stability and instability, and normal variants and pseudofractures
. The edition adds a new chapter on pediatric injuries and updates illustrations.
Radiologically bony deformities were seen in 10 (58.82%) patients which included genu varum in 9, genu valgum in 2, wind swept deformity in 1, bilateral coxa vara in 1, protrusio acetabulae in 1, fractures in 5, pseudofractures
in 3, and lytic bone lesions with osteosclerotic margin over acetabular roof in 1 patient (Fig.
(also called Looser's zone or Milkman's fractures), often found on the concave side of femoral neck, pubic rami, ribs, clavicles, and lateral aspect of scapulae
were seen on radiographic examination, and typical findings of osteomalacia were found on bone examination.
Radiological features with specificity include widened and irregular epiphyseal line, metaphyseal splaying widening and cupping, pseudofractures
, Harris lines of arrested growth and findings of secondary hyperparathyroidism.
Wide prevalence of clinically overt osteomalacia/rickets and associated pseudofractures
could be due to VDD related low peak bone mass in Asian Indians.