Chronic wrist pain is a common problem encountered by orthopaedic surgeons, yet osteomalacia is rarely considered in the differential diagnosis in the United States. We present a case involving a 37-year-old man who experienced bilateral wrist pain and weakness for more than 2 years. Further investigation revealed a history of chronic leg pain, low serum 25-hydroxy vitamin D levels, and decreased bone density. He was diagnosed with osteomalacia and treated with vitamin D supplementation and increased sun exposure. At 6 months follow-up, the patient had resolution of his pain and normalized vitamin D levels. To our knowledge, the literature has not previously reported on osteomalacia in a young adult presenting with chronic wrist pain. Although uncommon, osteomalacia should be considered in the work-up for chronic wrist pain

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