Skip to Main Content

++

Condition/Disorder Synonym

++

  • Osteitis deformans

++

ICD-9-CM Code

++

  • 731.0 Osteitis deformans without mention of bone tumor

++

ICD-10-CM Code

++

  • M88.9 Osteitis deformans of unspecified bone

++

Preferred Practice Patterns1

++

  • 4A: Primary Prevention/Risk Reduction for Skeletal Demineralization
  • 4B: Impaired Posture
  • 4C: Impaired Muscle Performance
  • 4F: Impaired Joint Mobility, Motor Function, Muscle Performance, ROM and Reflex Integrity Association With Spinal Disorders
  • 4G: Impaired Joint Mobility, Muscle Performance, and ROM Associated With Fracture
  • 4A: Primary Prevention/Risk Reduction for Skeletal Demineralization
  • 4B: Impaired Posture
  • 4C: Impaired Muscle Performance
  • 4F: Impaired Joint Mobility, Motor Function, Muscle Performance, ROM and Reflex Integrity Association with Spinal Disorders
  • 4G: Impaired Joint Mobility, Muscle Performance, and ROM Associated With Fracture

++

Key Features

++

Description

++

  • Osteometabolic bone disease
  • Excessive reabsorption of bone by osteoclasts, followed by vascular and fibrous tissue filling in the bone marrow
  • Weakening of the bones
  • Slow progressive enlargement of the bones
  • Accelerated bone remodeling

++

Essentials of Diagnosis

++

  • Phase 1: Osteolytic phase
    • Prominent bone reabsorption
  • Phase 2: Sclerotic phase
    • Decreased cellular activity
  • Phase 3: Mixed phase
    • Both active bone reabsorption and bone formation

++

General Considerations

++

  • Can be asymptomatic
  • Managed with surgery or medicine
  • Pathologic fractures
  • Can cause paraplegia or stenosis
  • Paget’s disease of the nipple
  • Chronic rash on the nipple

++

Demographics

++

  • More common with elderly, aging population
  • Individuals with absorption issues in the intestines
  • Men > women
  • Anglo-Saxon descent

++

Clinical Findings

++

Signs and Symptoms

++

  • Bone growth
  • Bone pain
  • Bone deformity
  • Enlarged head
  • Hearing loss
  • Headaches
  • Joint pain
  • Tingling
  • Muscle weakness
  • Nerve compression
  • Joint stiffness
  • Genu varus
  • Neck pain
  • Pathologic fractures
  • Osteoarthritis
  • Heart failure
  • Bone cancer

++

Functional Implications

++

  • Delayed fracture union
  • Hearing problems
  • Gait dysfunction

++

Possible Contributing Causes

++

  • Age (>/= 50 years)
  • Gender (female>male)
  • No specific cause
  • Several genes maybe related
  • Hereditary
  • Insufficient calcium and vitamin D

++

Differential Diagnoses

++

  • Trauma
  • Pathologic fracture from neoplasm
  • Osteogenesis imperfecta
  • Inadequate mineralization of existing bone matrix (osteoid) or poor bone quality
  • Osteoporosis
  • Infections, such as tuberculosis
  • Fibrous dysplasia
  • Peripheral neuropathy
  • Repetitive stress fractures
  • Multiple myeloma, lymphoma, or metastatic cancer
  • Leukemia
  • Renal osteodystrophy
  • Hormone deficiency (estrogen in women; androgen in men)
  • Cushing's syndrome or glucocorticoid administration
  • Hyperthyroidism
  • Hyperparathyroidism
  • History of drug abuse or misuse (alcohol, tobacco)
  • Excessive vitamin D and A
  • Juvenile osteoporosis occurs in children or young adults of both genders with normal gonadal function; onset typically occurs around age 8 to 14 years and hallmarks include rapid onset of bone pain and/or fracture secondary to trauma
  • Type I (Postmenopausal osteoporosis) typically occurs in women 50 to 65 years of age and is characterized ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessPhysiotherapy Full Site: One-Year Subscription

Connect to the full suite of AccessPhysiotherapy content and resources including interactive NPTE review, more than 500 videos, Anatomy & Physiology Revealed, 20+ leading textbooks, and more.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPhysiotherapy

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.