Pathological femoral neck fracture secondary to Ectopic Parathyroid adenoma located in the Mediastinal Aoroto-Pulmonary window : A Rare Case

Abstract

Vol 34 | Issue 3 | Sep - Dec 2019 | page: 41-45 | Pulak Sharma, Niraj Ranjan Authors: Pulak Sharma [1], Niraj Ranjan [1] [1] Department of Orthopaedics, APEX TRAUMA CENTER, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, UttarPradesh, India.. Address of Correspondence: Dr. Niraj Ranjan, Department of Orthopaedics, APEX TRAUMA CENTER, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, UttarPradesh, India. E-mail: niraj.ranjan333gmail.com Abstract Primary Hyperparathyroidism (PHPT) has a diverse clinical spectrum which varies from asymptomatic hypercalcaemia to severe metabolic bone disease, pathological fractures and renal stones. Biochemical parameters including serum calcium, phosphorus, alkaline phosphatase (ALP) and PTH assay help in diagnosing PHPT. Ectopic parathyroid adenoma is a rare cause of PHPT. High index of clinical suspicion and a systematic approach is required for its diagnosis and management .Pathological fractures due to ectopic parathyroid adenoma is even rare .We present a case of pathological femoral neck fracture as a result of PHPT due to ectopic parathyroid adenoma situated adjacent to the Aoroto pulmonary window . Stabilization of the fracture once the PTH hormone levels have settled following treatment of hyperparathyroidism are the mainstay in the treatment of this rare clinical entity. Keywords: Femoral Neck , Hyperparathyroidism, Ectopic parathyroid