Abstract: Background: Osteoporosis is mostly an age related process which is characterized by presence of decreased bone mass and microstructural status of the bone. Vitamin D deficiency is one of the factors responsible for development of osteoporosis and proximal muscle weakness adversely affecting the mobility and functional ability to put an elderly person at increased risk of falling and sustaining hip fractures.
Aim: To estimate the prevalence of decreased serum vitamin - D levels and investigate its correlation with Singh’s index and comminution at the fracture site in patients admitted with hip fractures due to trivial trauma at R.D. Gardi Medical College (CRGH), Ujjain, M.P.
Material and Methods: An observational study was done on 100 patients admitted with hip fractures due to trivial trauma, their serum Vitamin D was estimated using enhanced chemiluminiscence. Digital radiograph of pelvis with both hips antero-posterior and lateral views of involved side was taken. Singh’s index and comminution at the fracture site was observed. Hypovitaminosis D was correlated with Singh’s index and comminution at the fracture site.
Results: Study showed 84% of patients had osteoporosis with Singh’s index grade 3 or below, 90% of patients had low serum vitamin D levels with average of 16.93 ng/ml and 40% had comminution at the fracture site. Statistical significance was seen between the variables.
Conclusion: There was a strong association seen between low serum vitamin D, Osteoporosis, low Singh’s index and comminution at the fracture site. Measures should be taken to improve awareness and pharmacological management for low serum Vitamin D levels.
