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Orthopedic Surgery - Osteoporosis
A 27-year-old male with a known history of alcohol abuse presented to the emergency department after being struck by a car while walking. He reported acute pain in the right arm, both legs, and neck. Notably, he had experienced a motorcycle accident two weeks earlier and had developed bilateral hand paraesthesia, which had progressively extended to his elbows. He denied any history of prior surgeries, medication use, allergies, or relevant family illness.
On examination, he had a right humerus deformity, wrist and finger extension weakness, and sensory deficits in the right upper limb. The left upper extremity showed diffuse weakness and paraesthesia from the elbow down. The right lower limb had a visible deformity with an associated buttock wound, while the left thigh was shortened and externally rotated. Neurologically, he displayed bilateral clonus, diminished upper limb sensation, and inverted brachioradialis reflexes. Imaging revealed diffuse skeletal sclerosis consistent with osteopetrosis, alongside a right distal humerus fracture, right distal tibial shaft fracture, left subtrochanteric femur fracture, and cervical spine stenosis with central cord syndrome.
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