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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
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Pathologic fracture of the thoracic spine in a male master ultra-marathoner due to the combination of a vertebral hemangioma and osteopenia

1
Gesundheitszentrum St. Gallen, St. Gallen, Switzerland
2
Institute of Primary Care, University of Zurich, Zurich, Switzerland
3
Exercise Physiology Laboratory, Nikaia, Greece
4
RODIAG Diagnostic Centers, St. Gallen, Switzerland
5
Wirbelsäulenchirurgie Ostschweiz, Klinik Stephanshorn, St. Gallen, Switzerland
*
Author to whom correspondence should be addressed.
Medicina 2017, 53(2), 131-137; https://doi.org/10.1016/j.medici.2017.02.003
Received: 12 May 2016 / Revised: 11 February 2017 / Accepted: 20 February 2017 / Published: 27 March 2017
Vertebral hemangiomas are the most common benign vertebral neoplasms and are generally asymptomatic. In the present study, we report the case of a 52-year-old male master ultra-marathoner suffering from a pathologic fracture of the thoracic spine due to a vertebral hemangioma. A further examination in the athlete revealed an accompanying osteopenia, which was most likely due to a deficiency in both vitamin D and testosterone. The treatment of the fracture consisted of percutaneous vertebroplasty. Shortly after the operation the athlete was able to continue running. The most likely reason for the pathologic fracture of the vertebral body was the combination of the vertebral hemangioma and osteopenia. The further treatment consisted of supplementation of both vitamin D and testosterone. Athletes and physicians should be aware that male master ultra-marathoners older than 50 years might suffer from osteopenia, where a deficiency in vitamin D and testosterone could be contributing factors for osteopenia development in general.
Keywords: Athlete; Endurance; Testosterone; Vitamin D Athlete; Endurance; Testosterone; Vitamin D
MDPI and ACS Style

Knechtle, B.; Nikolaidis, P.T.; Lutz, B.; Rosemann, T.; Baerlocher, C.B. Pathologic fracture of the thoracic spine in a male master ultra-marathoner due to the combination of a vertebral hemangioma and osteopenia. Medicina 2017, 53, 131-137.

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