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

Author:

Matveeva Z. S.1ORCID,Karpatsky I. V.1ORCID,Gostimskii A. V.2ORCID,Peredereev S. S.1ORCID,Vorobyev S. L.3ORCID,Makharoblishvili D. V.1ORCID

Affiliation:

1. Saint Petersburg State Pediatric Medical University

2. Children’s City Multidisciplinary Clinical Specialized Center of High Medical Technologies

3. National Center for Clinical Morphological Diagnostics

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.

Publisher

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Subject

General Medicine

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