一名原发性甲状旁腺功能亢进症患儿的股骨颈骨折
Femoral Neck Fracture in a Pediatric Patient with Primary Hyperparathyroidism.
作者信息
Schmitt Mark W, Modrak Maxwell J, Bouza Soumar J, Smith Brian G, Adrados Murillo A
机构信息
Department of Orthopaedic Surgery, Institute for Orthopaedics & Neurosciences, Carilion Clinic, 2331 Franklin Road Southwest, Roanoke, Virginia 24014, USA.
Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 20 York Street, New Haven, Connecticut 06510, USA.
出版信息
Case Rep Orthop. 2023 Oct 9;2023:5550451. doi: 10.1155/2023/5550451. eCollection 2023.
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.
病例
一名此前健康的11岁女孩在跳绳时股骨颈骨折，随后接受了紧急手术固定。经过进一步检查，她被诊断为原发性甲状旁腺功能亢进症。切除一个肥大的腺瘤后甲状旁腺切除术被证明是治愈性的。现在，左髋手术后五个月，患者没有疼痛，走路也不跛行。
结论
我们描述了第一例发表的原发性甲状旁腺功能亢进症表现为儿童病理性髋部骨折的病例。虽然以骨折形式出现极为罕见，但骨痛是儿童甲状旁腺功能亢进症的常见症状。骨科医生可能会发现自己是这种疾病的一线护理人员。
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