Current concepts in vitamin D and orthopaedic surgery - 10/03/19

Doi : 10.1016/j.otsr.2018.12.006

Andrew S. Moon ^a,^b, Sellers Boudreau ^b, Eric Mussell ^b, Jun Kit He ^b,^⁎ , Eugene W. Brabston ^b, Brent A. Ponce ^b, Amit M. Momaya ^b
^a Tufts University School of Medicine, Boston, MA, USA
^b Department of Orthopaedics, The University of Alabama at Birmingham, 951 18th St. S, 35205 Birmingham, AL, USA

^⁎Corresponding author.

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Abstract

Introduction

Vitamin D plays an important role in the musculoskeletal system of the human body. Here, we review the most current literature on vitamin D as it relates to orthopaedic surgery and the musculoskeletal system, focusing largely on non-fracture applications.

Materials and methods

A literature review was performed on the basic science of vitamin D metabolism, epidemiology of vitamin D levels, role of vitamin D within the musculoskeletal system, and the correlation of vitamin D with injuries and orthopaedic surgical outcomes.

Results

The existing literature suggests vitamin D plays multiple roles in the musculoskeletal system. Recent research has shed light on the importance of vitamin D in the setting of soft tissue healing and recovery in addition to affecting postoperative outcomes after common orthopaedic procedures.

Conclusions

Given the widespread prevalence of vitamin D deficiency, orthopaedic surgeons should be aware of the current evidence regarding clinical implications in patients with musculoskeletal complaints.

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Keywords : Vitamin D, Athletes, Muscle function, ACL reconstruction, Rotator cuff injury, Arthroplasty, Osteoarthritis