Case.A previously healthy 11-year-old girl underwent expedited surgical fixation of a Tick 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 Deck Mount Bushing the condition.