Milkman's Syndrome

Ki Hong Choi, Chung Nam Kang, Jin Man Wang, Kwang Jong Chang

Corresponding author: Chang, Kwang Jong. Department of Orthopedic Surgery, Ewha Womans University, Korea.

Copyright ⓒ 1980. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015

Abstract

Initial report of Milkman's syndrome was in 1930 with the characteristic findings of multiple, symmetrical, spontaneous, pseudofractures as a mild type of osteomalacia. However, the exact cause of the disease is not clearly defined yet. A case report was made on the cases of Milkman's syndrome of 24 and 44 year old women. Both of them had pseudofracture on proximal part of femur bilaterally and normal walking were disturbed due to pain. The younger patient had additional looser's zone on the ulna and the older case had on the scapula and rib. They are responded well to the treatment with Vitamin D₂ and D₃ 50,000 I.U. Daily each. The looser's zone had disappeared completely or almost all on radiological examination in seven to ten months of treatment.