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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Autores principales: Schmitt, Mark W., Modrak, Maxwell J., Bouza, Soumar J., Smith, Brian G., Adrados, Murillo A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578970/
https://www.ncbi.nlm.nih.gov/pubmed/37849972
http://dx.doi.org/10.1155/2023/5550451
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author Schmitt, Mark W.
Modrak, Maxwell J.
Bouza, Soumar J.
Smith, Brian G.
Adrados, Murillo A.
author_facet Schmitt, Mark W.
Modrak, Maxwell J.
Bouza, Soumar J.
Smith, Brian G.
Adrados, Murillo A.
author_sort Schmitt, Mark W.
collection PubMed
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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spelling pubmed-105789702023-10-17 Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism Schmitt, Mark W. Modrak, Maxwell J. Bouza, Soumar J. Smith, Brian G. Adrados, Murillo A. Case Rep Orthop Case Report 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. Hindawi 2023-10-09 /pmc/articles/PMC10578970/ /pubmed/37849972 http://dx.doi.org/10.1155/2023/5550451 Text en Copyright © 2023 Mark W. Schmitt et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Schmitt, Mark W.
Modrak, Maxwell J.
Bouza, Soumar J.
Smith, Brian G.
Adrados, Murillo A.
Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578970/
https://www.ncbi.nlm.nih.gov/pubmed/37849972
http://dx.doi.org/10.1155/2023/5550451
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AT smithbriang femoralneckfractureinapediatricpatientwithprimaryhyperparathyroidism
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