Srinivasan S, Rai AK, Bandebuche AR, Bansal D, Ulhaque F, Kumar K. Parathyroid Adenoma with a Pathological Fracture: A Rare Case Report.
J Orthop Case Rep 2022;
12:37-40. [PMID:
36873342 PMCID:
PMC9983403 DOI:
10.13107/jocr.2022.v12.i09.3006]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2022] [Revised: 07/30/2022] [Indexed: 01/07/2023] Open
Abstract
Introduction
Primary hyperparathyroidism may mimic osteoporosis and lead to pathological fractures.
Case Report
We report a case of 35-year-old female who sustained left distal tibia-fibula fracture after a trivial fall, later diagnosed to have left inferior parathyroid adenoma. The fracture was managed conservatively and left inferior parathyroidectomy for the adenoma. At 4 years follow-up, there are no clinical or biochemical signs of recurrence.
Conclusion
Pathological fracture in a case of parathyroid adenoma is extremely rare and requires a multidisciplinary approach for optimal outcome. A combination of clinical, biological, radiological, and biochemical markers with a high index of suspicion in an isolated bone fracture is required to diagnose parathyroid adenoma.
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