system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 15-year-old girl is brought to the physician because she has not yet had her first menstrual period. She reports that she frequently experiences cramping and pain in her legs during school sports. The patient is at the 20th percentile for height and 50th percentile for weight. Her temperature is 37°C (98.6°F), pulse is 70/min, and blood pressure is 155/90 mm Hg. Examination shows a high-arched palate with maloccluded teeth and a low posterior hairline. The patient has a broad chest with widely spaced nipples. Pelvic examination shows normal external female genitalia. There is scant pubic hair. Without appropriate treatment, this patient is at the greatest risk of developing which of the following complications?
assistant
Pathologic fractures