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Case Reports in Orthopedics
Volume 2011, Article ID 521578, 3 pages
Case Report

An Unusual Presentation of Primary Hyperparathyroidism: Pathological Fracture

1Department of Internal Medicine, Charles Nicolle Hospital, University of Tunis El Manar, Tunis 1068, Tunisia
2Department of Rheumatology, Mongi Slim Hospital, University of Tunis El Manar, Sidi Daoued, La Marsa 2034, Tunisia
3Department of Anatomopathology, La Rabta Hospital, University of Tunis El Manar, Tunis 1068, Tunisia

Received 7 November 2011; Accepted 27 December 2011

Academic Editor: A. Sakamoto

Copyright © 2011 Ben Abdelghani Khaoula et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Primary hyperparathyroidism revealed by a pathological fracture is very uncommon. We present a case of a 54-year-old female patient who was admitted with fracture of her right femur. She underwent closed intramedullary reconstruction nailing with bipolar locking. The pathological findings confirmed the diagnosis of primary hyperparathyroidism with brown tumor. Further tests showed increased both calcium level and PTH level. A parathyroidectomy was performed. She made an uneventful recovery and was discharged to home.