Osteogenesis imperfecta (brittle bone disease)
Osteogenesis imperfecta · Osteogenesis imperfecta (nemoc křehkých kostí)
What it is
A fault in a collagen gene makes bones break easily — from a few fractures in a lifetime to hundreds before birth.
Symptoms & signs
- Fractures from little force
- short stature and bowed bones
- blue-grey whites of the eyes
- hearing loss in adulthood
- loose joints and weak teeth
🚩 Get help if…
- call 112 / 911 now Weakness, numbness or headache with neck pain
- call 112 / 911 now Breathlessness or chest pain
- see a doctor soon Pain, swelling or bending of a limb after a knock
- see a doctor soon Hearing getting worse
Where it strikes
- Skeleton
- Femur
- Collagen & elastin
Medical treatment
- Bisphosphonates (pamidronate, zoledronate) in children
- telescopic rods in the long bones
- physiotherapy and safe handling
- hearing aids and dental care
Natural & lifestyle
- Swimming and safe exercise
- enough calcium and vitamin D
- a safe home to prevent falls
Emerging & experimental
- Setrusumab (anti-sclerostin) in trials
- denosumab
- gene and stem-cell therapy (BOOST)
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Calcium megadoses — no benefit beyond having enough anecdotal / traditional
- Magnet therapy and 'bone-healing frequencies' — anecdotal anecdotal / traditional
ICD codes
- ICD-10 Q78.0
- ICD-11 LD24.K0 Osteogenesis imperfecta