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Parathyroid Adenoma with a Pathological Fracture: A Rare Case Report

INTRODUCTION: Primary hyperparathyroidism may mimic osteoporosis and lead to pathological fractures. CASE REPORT: 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 m...

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Detalles Bibliográficos
Autores principales: Srinivasan, Smruti, Rai, Abhishek Kumar, Bandebuche, Ajinkya Ramesh, Bansal, Dixit, Ulhaque, Furqan, Kumar, Kiran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983403/
https://www.ncbi.nlm.nih.gov/pubmed/36873342
http://dx.doi.org/10.13107/jocr.2022.v12.i09.3006
Descripción
Sumario:INTRODUCTION: Primary hyperparathyroidism may mimic osteoporosis and lead to pathological fractures. CASE REPORT: 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. CONCLUSION: 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.