Correlation of Vitamin-D Level and Chondromalacia patellae (Anterior Knee Pain) in Pregnancy

Abstract

Objectives: To determine the level of vitamin D and its correlation in pregnant females presented with Chondromalacia patellae (anterior knee pain).

Methodology: A cross-sectional study design carried out on 300 pregnant females either in their first trimester or second trimester presented in the Orthopedic Department OPD of Aziz Bhatti Shaheed Teaching Hospital, Gujrat in collaboration with Pathology department of Nawaz Sharif Medical College Gujrat from March 2023 to Nov 2023. A total of 300 pregnant between the age of 18y ears and 35years either in their first trimester or second trimester having knee pain were included in the study

Visual Analog Scale for pain was used to assess the pain and disability in terms of severity. The scale is graded on a scale of 0 to 10, with 0 score, 1-3, 4-6 and 7 to 10 showing severity of pain. Statistical analysis was done using Microsoft excel 16 and SPSS 27 for the determination of frequency, percentage, mean, and standard deviation for the demographic characteristics of the patients and vitamin D levels among pregnant females

Results Vitamin D levels were analyzed for each pregnant woman and the results showed that 93(31%) had severe deficiency (<7ng/ml), 54(18%) had deficiency (7ng/ml to 20ng/ml), and 114(38%) had insufficient levels (20ng/ml to 29ng/ml). A negative correlation was found between the vitamin D levels and the severity of anterior knee pain at based on visual analog scale.

Conclusion: There is increased prevalence of vitamin D deficiency in pregnant females associated with chondromalacia patellae.