Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism

Mark W Schmitt; Maxwell J Modrak; Soumar J Bouza; Brian G Smith; Murillo A Adrados

doi:10.1155/2023/5550451

Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism

Case Rep Orthop. 2023 Oct 9:2023:5550451. doi: 10.1155/2023/5550451. eCollection 2023.

Authors

Mark W Schmitt¹, Maxwell J Modrak², Soumar J Bouza³, Brian G Smith⁴, Murillo A Adrados¹

Affiliations

¹ Department of Orthopaedic Surgery, Institute for Orthopaedics & Neurosciences, Carilion Clinic, 2331 Franklin Road Southwest, Roanoke, Virginia 24014, USA.
² Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 20 York Street, New Haven, Connecticut 06510, USA.
³ Department of Pathology, Yale University School of Medicine, 20 York Street, New Haven, Connecticut 06510, USA.
⁴ Department of Orthopaedic Surgery, Texas Children's Hospital, Main Campus, 6701 Fannin Street, Houston, Texas 77030, USA.

Abstract

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.

Publication types

Case Reports