Case reports in orthopedics · 2023
Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Schmitt Mark W, Modrak Maxwell J, Bouza Soumar J, Smith Brian G, Adrados Murillo A
Аннотация
CASE: A previously healthy 11-year-old girl underwent expedited surgical fixation of a femoral neck fracture sustained while jump-roping. After further work up, she was diagnosed with primary hyperparathyroidism. Parathyroidectomy of a hypertrophic adenoma proved curative. Now, five months post left hip surgery, the patient is pain-free and walks without a limp.
CONCLUSION: We describe the first published case of primary hyperparathyroidism presenting as a pathologic hip fracture in a child. Although presentation with a fracture is exceedingly rare, bone pain is a frequent complaint of pediatric hyperparathyroidism. Orthopedic surgeons may find themselves the front-line caregivers for the condition.
CONCLUSION: We describe the first published case of primary hyperparathyroidism presenting as a pathologic hip fracture in a child. Although presentation with a fracture is exceedingly rare, bone pain is a frequent complaint of pediatric hyperparathyroidism. Orthopedic surgeons may find themselves the front-line caregivers for the condition.