A case report on the comprehensive management of recurrent fractures in polyostotic Paget’s disease

Abstract

Paget’s disease of the bone is a chronic and long-lasting disorder that causes bones to grow larger and become weaker than normal. Pelvis, skull, spine, and leg bones are the most commonly affected bones and Paget’s disease affects just one or a few bones from the skeletal system. This metabolic bone disease does not come with specific symptoms and the people affected are found with no symptoms in some scenarios. However, bone changes occur which can result in ostealgia or osteodynia, malformed and fragile bones prone to recurrent fractures, tumors, inflammation, and arthritis in the joints close to the affected bones. At times, Paget’s illness is discovered by incident during a routine X-ray or blood test. The symptoms can be managed with surgical interventions and medications which improve pain and control the effects of the disease. The exact factor causing the condition is unknown but some factors contributing may include genetic, lifestyle factors, such as poor diet, or bone injury in early life which may trigger the development of Paget’s disease. Our case report explicates about a 70-year-old male patient who had an alleged history of slip and fall at home and sustained an injury to the right thigh and leg. The patient was a known case of Paget’s disease who underwent dynamic hip screw fixation surgery for right femur in the former hospital admission. This case report elaborates on the medical management with calcium and vitamin supplements along with bone modifying agents and surgical intervention proceeded in the recurrent fractures with the underlying mechanism of the illness.