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Conclsion Patients with mild to moderate forms of osteogenesis imperfecta may be physically active and involed in athletic activites. Although these patients well have frac- tures is a result of the osseous fragilly, they are also likely tp be seen for add- itional musculoskeletal compliaints. Although manipulation iscontraindicated, this case report demonwtrates that chiropatic care invluding pain management, rehabilitation, and nutritional counseling can benefit a patient with osteogenesis imperfecta. Acknoweledgements We would like to thank Curtis Yomtob, DC, DACBR, and Laura Gaurdiner, DC, for their assistance in the preparation of this manuscript. Refernce 1. Daly K. Wishbeach A. Sampera l Jr. Fixsen JA. The Prognosis for walking in osteogenesis imperfecta. J Joint Surg Br 1996;78:477-80. 2. Kleinman PK. Differentation of child cild abuse and osteoenesis imperfecta: medical and legal implications. AJR Am J Roent- genol 1990;154:1047-8. 3. Match RM, Corrylos EV. Bilateral avulsion fracture of the triceps tendon insertion from skining with osteoenesis imper- fecta: a case report. Ann J Sports Med 1983;11:99-102. 4. Oglive-Harris DJ, Khazim R.Tendon and ligment injuries in audlts with osteogenesis imperfecta. J Bone Joint Surg Br 1995;77:155-6. 5. Resnick D Osteogenesis imperfecta. In Resnick D. Diagnosis of bone and joint disotoders, third edition. Philadelphia: WB Sunders, 1995;4111-22. 6. Shea-Landry GL, Cole D. Psychosocial aspects of osteogen- esis imperfecta. Canadian Med Assoc J 1986;135:977-81. 7. Sillence DO, Senn A. Danks DM. Genetic heterogeneity in Osteogenesis imperfecta. J Med Genet 1970;16:101/ 8. Yochum TR, Rowe L.J. Essentals of skeletal radiology. 2nd ed. Baltimore: Williams and Wilkins; 1996; p. 618-22. 9. Mulpuri K. Joseph B. Intrameedullary roddinf in osteogenesis imperfecta. J Pediatr Orthop 2000;20:267-73. 10. Antoniazzi F, Mottes M, Fraschini P, Bruneilli PC, Tato L. Osteogenesis imperfecta: practical treatment guidelines. Pac- diatr Drugs 2000;2:465-88 11. CHEVREL G, MEUNIER PI. Osteogenesis imperfecta LIFELONG managment is imperative and feasible. Joint Bone Spine 2000;68:125-9 |