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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Main Authors: Mark W. Schmitt, Maxwell J. Modrak, Soumar J. Bouza, Brian G. Smith, Murillo A. Adrados
Format: Article
Language:English
Published: Wiley 2023-01-01
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.
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institution Kabale University
issn 2090-6757
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publishDate 2023-01-01
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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
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AT soumarjbouza femoralneckfractureinapediatricpatientwithprimaryhyperparathyroidism
AT briangsmith femoralneckfractureinapediatricpatientwithprimaryhyperparathyroidism
AT murilloaadrados femoralneckfractureinapediatricpatientwithprimaryhyperparathyroidism