Primary hyperparathyroidism as a cause of pathological fracture in a 16-year-old teenager

Abstract

This article presents a rare clinical observation of a bone form of primary hyperparathyroidism in a 16-year-old adolescent complicated by a pathological fracture of the right femur. The features of the given case are: late diagnosis of primary hyperparathyroidism in an adolescent with clinical manifestations; complication of the disease with a pathological fracture, which required two-stage treatment, open repositioning and metal plate osteosynthesis; difficulties in the organization of the examination and treatment of the patient, related to the detection of covid-19 and his stay in an infectious department; the need for tactical decision on the sequence of surgical treatment of the fracture and its cause - primary hyperparathyroidism.

Keywords

• hyperparathyroidism
• parathyroid glands
• hypercalcemia
• parathyroid hormone
• osteodystrophy
• pathological fracture