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 ...

Pop-up div Successfully Displayed

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