A Case of Parathyroid Adenoma Presenting as Pathological Fracture Neck of Femur

Parathyroid adenoma is the common etiology for primary hyperparathyroidism which results in hypercalcaemia. Fractures of bone are generally rare and tend to involve the vertebra commonly. Women are affected more than men. We present a 41-year-old female who suffered a pathological fracture of Left Femur and diagnosed with a left solitary parathyroid adenoma. The patient underwent removal of parathyroid adenoma followed by internal fixation of the fractured femur.

A high index of suspicion is required to diagnose parathyroid adenoma in such cases of pathological fractures. An intraoperative assay of PTH and meticulous dissection is required for adequate management of the parathyroid adenoma. Postoperative hypocalcaemia is expected and requires calcium supplements to prevent complications.