A CASE OF OSTEOGENESIS IMPERFECTA (FRAGILITAS OSSIUM).

By C. D. TORPY, MILITARY ASSISTANT SURGEON, I.M.D.,

British Military Hospital, Trimnlgherry, Deccan.

A girl, N. G., aged 8 years, reported for a radiologic^ 'examination of her right forearm and wrist. The his-

tory given was that the child had slipped and fallen on her hand, an accident which the parents witnessed and which, in their opinion, was quite a trivial injury and out of proportion to the deformity of the hand caused by it. ,

On rr-ray examination it was found that she hacI sustained a fracture of the lower third of the radius with some backward displacement. Reduction of fracture was eas}', and with massage and movements the result was good. _

,

At the time of the x-ray examination, it wasi noticed that the child had markedly blue sclerotics, and the

mother of the child volunteered the information that the child had never eaten meat or vegetables, and

though nearly 9 years of age had " stuck " to her xni'K

diet?and further that she was very apt to break her bones following on the simplest injury. A diagnosis o

fragilitas ossium was made, and the patient warned to

avoid falls. ,

Since then she has refractured the same arm, fractured the left forearm twice?making in all no IeS?

than five fractures in eight months.

The points of interest are:? 1. The rarity of the condition. 2. No hereditary tendency could be ascer-

tained in this case.

3. The child is well developed and quite big for her age.

4. In spite of these repeated fractures there has been no deformity either from mal-uniow of fractures or from natural bending and

Oct., 1931.] A CASE OF VESICAL CALCULI: DUTT. 571

distortion of bones, a condition usually met With in such cases.

5. The condition seems to have been accen- tuated by unsuitable diet.

6. With a vitaminous diet, and the adminis- tration of Kalzana, the union of the fractures appears to have been accelerated.