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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 7/2004

01-09-2004 | Case Report

Pathologic fracture of the distal femur in osteitis fibrosa cystica simulating metastatic disease

Authors: Ming-Chun Hsieh, Jih-Yang Ko, Hock-Liew Eng

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2004

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Abstract

A 32-year-old woman sustained a minor sliding accident with moderate to severe pain about the left distal thigh and hip and the right shoulder. Radiographs showed marked osteopenia, multiple osteolytic bone lesions, and a pathologic fracture of the left distal femur. Surgical intervention was conducted for the pathologic fracture, and the pathological findings confirmed the diagnosis of primary hyperparathyroidism with osteitis fibrosa cystica. We report this rare case here because it may be mistaken for neoplastic metastatic disease on radiographs and bone scan. The pathologic fracture usually heals and the bone mineral density improves significantly within 6 months after parathyroidectomy.
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Metadata
Title
Pathologic fracture of the distal femur in osteitis fibrosa cystica simulating metastatic disease
Authors
Ming-Chun Hsieh
Jih-Yang Ko
Hock-Liew Eng
Publication date
01-09-2004
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 7/2004
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-004-0697-y

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