Tibial Fracture
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Reports outline hyperparathyroidism research from P.S. Sauve and colleagues
2009 JUN 22 - (NewsRx.com) -- "We describe a case of delayed union in a tibial fracture secondary to primary hyperparathyroidism. A closed intra-articular proximal tibia fracture was stabilized with a hybrid external fixator," researchers in Basingstoke, the United Kingdom report. "At 5 months clinical and radiological evaluation failed to demonstrate evidence of fracture healing. Fixation was stable and inflammatory markers ruled out infection. Further questioning revealed symptoms of anorexia, nausea and constipation. Plasma biochemistry showed an elevated corrected calcium and parathyroid hormone concentration. Further investigation included a sestamibi scan which confirmed a diagnosis of hyperparathyroidism secondary to a parathyroid adenoma. Six weeks following partial parathyroidectomy the fracture site was pain free, non-tender and the fracture had united radiologically," wrote P.S. Sauve and colleagues. The researchers concluded: "In cases of delayed-union, once an infective cause has been excluded with a mechanically stable fracture, other causes of delayed union like primary hyperparathyroidism should be ruled out." Sauve and colleagues published their study in Knee Surgery Sports Traumatology Arthroscopy (Primary hyperparathyroidism presenting as delayed fracture union. Knee Surgery Sports Traumatology Arthroscopy, 2009;17(5):551-554). For additional information, contact P.S. Sauve, N Hampshire Hospital Foundation NHS Trust, Dept. of Trauma & Orthopedic, Aldermaston Rd., Basingstoke RG24 9NA, Hants, UK. Publisher contact information for the journal Knee Surgery Sports Traumatology Arthroscopy is: Springer, 233 Spring St., New York, NY 10013, USA. Keywords: United Kingdom, Basingstoke, Adolescent Medicine, Anorexia, Arthroscopy, Biochemistry, Constipation, Eating Disorders, Endocrinology, Gastroenterology, Hyperparathyroidism, Nausea, Primary Hyperparathyroidism, Surgery, Tibial Fractures, Traumatology. This article was prepared by Gastroenterology Week editors from staff and other reports. Copyright 2009, Gastroenterology Week via NewsRx.com.
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