What Caused the Fracture? The Tale of the Three Metabolic Bone Diseases

Paget’s disease of bone, osteoporosis and osteomalacia are known collectively as metabolic bone diseases and if left untreated, can result in fractures with serious, debilitating effects. These metabolic bone diseases are commonly found in geriatric population. There are several case reports for each of these diseases, but there have been only sporadic cases reported involving all three comorbities. We present a case of an elderly woman with all three metabolic bone diseases resulting in hip fracture. A review of these metabolic disorders will be discussed.