Case Scenario:
Alexa Moon is an active 41-year-old woman who is a former collegiate gymnast. She loves coaching in gymnastic camps throughout the year. During the last camp of the summer, Alexa was teaching landing techniques from the uneven bars. On dismount, Alexa fell awkwardly to the ground hearing and feeling a "pop" in her ankle. She noticed immediate swelling and a deformity to her right ankle.
Due to the inability to bear weight on her leg, Alexa presented to the emergency department and underwent radiographs and was found to have a right distal tibia fracture. Alexa was placed into a splint with instructions to follow up in your clinic for further treatment.
Upon presentation to your clinic, Alexa is found to have the following vitals and labs:
BP: 134/80 mmHg
HR: 92
Temp: 98.7ºF
Vitamin D level: 9 ng/mL
Q1. Explain fracture healing pathophysiology and how it relates to the fracture Alexa sustained.
Q2. Based on the Vitamin D level obtained in your clinic, describe the interactions of hormones in bone formation and metabolism.
Provide three (3) teaching points you would use to teach Alexa about her current diagnosis and treatment plan.