Parathyroid Adenoma with a Pathological Fracture: A Rare Case Report

Primary hyperparathyroidism may mimic osteoporosis and lead to pathological fractures. 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 l...

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Bibliographic Details
Published in:	Journal of orthopaedic case reports Vol. 12; no. 9; pp. 37 - 40
Main Authors:	Srinivasan, Smruti, Rai, Abhishek Kumar, Bandebuche, Ajinkya Ramesh, Bansal, Dixit, Ulhaque, Furqan, Kumar, Kiran
Format:	Journal Article
Language:	English
Published:	India Indian Orthopaedic Research Group 01-09-2022
Subjects:	Case Report Pathological fracture parathyroid adenoma parathyroidectomy single photon emission computed tomography tibia-fibula fracture
Online Access:	Get full text
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Summary:	Primary hyperparathyroidism may mimic osteoporosis and lead to pathological fractures. 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. 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.
ISSN:	2250-0685 2321-3817
DOI:	10.13107/jocr.2022.v12.i09.3006