Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism
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...
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Format: | Article |
Language: | English |
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Wiley
2023-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2023/5550451 |
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author | Mark W. Schmitt Maxwell J. Modrak Soumar J. Bouza Brian G. Smith Murillo A. Adrados |
author_facet | Mark W. Schmitt Maxwell J. Modrak Soumar J. Bouza Brian G. Smith Murillo A. Adrados |
author_sort | Mark W. Schmitt |
collection | DOAJ |
description | 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. |
format | Article |
id | doaj-art-d7622584fe16494993823303bcccb33e |
institution | Kabale University |
issn | 2090-6757 |
language | English |
publishDate | 2023-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-d7622584fe16494993823303bcccb33e2025-02-03T05:57:00ZengWileyCase Reports in Orthopedics2090-67572023-01-01202310.1155/2023/5550451Femoral Neck Fracture in a Pediatric Patient with Primary HyperparathyroidismMark W. Schmitt0Maxwell J. Modrak1Soumar J. Bouza2Brian G. Smith3Murillo A. Adrados4Department of Orthopaedic SurgeryDepartment of Orthopaedics and RehabilitationDepartment of PathologyDepartment of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryCase. 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.http://dx.doi.org/10.1155/2023/5550451 |
spellingShingle | Mark W. Schmitt Maxwell J. Modrak Soumar J. Bouza Brian G. Smith Murillo A. Adrados Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism Case Reports in Orthopedics |
title | Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism |
title_full | Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism |
title_fullStr | Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism |
title_full_unstemmed | Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism |
title_short | Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism |
title_sort | femoral neck fracture in a pediatric patient with primary hyperparathyroidism |
url | http://dx.doi.org/10.1155/2023/5550451 |
work_keys_str_mv | AT markwschmitt femoralneckfractureinapediatricpatientwithprimaryhyperparathyroidism AT maxwelljmodrak femoralneckfractureinapediatricpatientwithprimaryhyperparathyroidism AT soumarjbouza femoralneckfractureinapediatricpatientwithprimaryhyperparathyroidism AT briangsmith femoralneckfractureinapediatricpatientwithprimaryhyperparathyroidism AT murilloaadrados femoralneckfractureinapediatricpatientwithprimaryhyperparathyroidism |