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His previous medical history is important for Crohn’s illness, managed with a combination of prednisone and mesalamine and presently in remission. On Actual physical examination, there is restricted flexion and extension with the remaining hip. The rest of the examination, which includes a whole neurological examination, is unremarkable. On abdominal imaging in the left hip joint, a transcervical fracture is famous within the remaining hip with bordering bony sclerosis. A DEXA scan shows a T-score of -2.5 within the hips and -one.five on the lumbar spine (ordinary T-score ≥ -one.0). Which of the following is more than likely being the underlying lead to with the fracture Within this affected individual?
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