{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:35Z","timestamp":1756425815867,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>We present a case of a 21-year-old man with hip pain to the orthopaedic team. During the initial assessment he was found to be hypercalcaemic (adjusted calcium 3.55) due to the primary hyperparathoidism (PTH 1285), with all other screening for multiple endocrine neoplasia negative. During his time on the ward while being treated for the hypercalcaemia he had a fall resulting in bilateral femoral fractures, requiring surgical management. He underwent an emergency exploration of neck and excision of a large parathyroid adenoma, measuring 5.5\u2005cm. He also developed renal failure as a result of nephrocalcinosis. This case highlights the importance of early detection and management of hyperparathyroidism with the aim of preventing long-term complications. This patient ultimately required a renal transplant and multiple orthopaedic procedures as a result of undiagnosed PTH and recently underwent excision of the remaining parathyroid glands.<\/jats:p>","DOI":"10.1136\/bcr-2013-009753","type":"journal-article","created":{"date-parts":[[2013,9,7]],"date-time":"2013-09-07T06:18:51Z","timestamp":1378534731000},"page":"bcr2013009753","source":"Crossref","is-referenced-by-count":3,"title":["Bilateral femoral fractures in a 21-year-old man following a simple fall"],"prefix":"10.1136","volume":"2013","author":[{"given":"Rachel","family":"French","sequence":"first","affiliation":[{"name":"North Tees and Hartlepool NHS trust, Durham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deyana","family":"Oweis","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Southport Hospital, Southport, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vijay","family":"Kurup","sequence":"additional","affiliation":[{"name":"North Tees Hospital, Stockton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,9,7]]},"reference":[{"key":"2025082801441458000_2013.sep07_1.bcr2013009753.1","first-page":"184","article-title":"Primary hyperparathyroidism: update on presentation, diagnosis, and management in primary care","volume":"2013","author":"Pallan","year":"2011","journal-title":"Can Fam Physician"},{"key":"2025082801441458000_2013.sep07_1.bcr2013009753.2","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1046\/j.0007-1323.2001.01775.x","article-title":"Unique clinical characteristics of primary hyperparathyroidism in India","volume":"2013","author":"Mishra","year":"2001","journal-title":"Br J Surg"},{"key":"2025082801441458000_2013.sep07_1.bcr2013009753.3","doi-asserted-by":"crossref","first-page":"E347","DOI":"10.1210\/jc.2010-1723","article-title":"Rapid correction of bone mass after parathyroidectomy in an adolescent with primary hyperparathyroidism","volume":"2013","author":"Vanstone","year":"2011","journal-title":"J Clin Endocrinol Metab"},{"key":"2025082801441458000_2013.sep07_1.bcr2013009753.4","doi-asserted-by":"crossref","first-page":"1957","DOI":"10.1097\/MLG.0b013e31813c14fc","article-title":"Correlation of intraoperative parathyroid hormone levels with parathyroid gland size","volume":"2013","author":"Moretz","year":"2007","journal-title":"Laryngoscope"},{"key":"2025082801441458000_2013.sep07_1.bcr2013009753.5","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1002\/hed.10165","article-title":"Correlation of biochemical parameters with single parathyroid adenoma weight and volume","volume":"2013","author":"Bindlish","year":"2002","journal-title":"Head Neck"},{"key":"2025082801441458000_2013.sep07_1.bcr2013009753.6","first-page":"1107","article-title":"The relation of serum calcium and immunoparathormone levels to parathyroid size and weight in primary hyperparathyroidism","volume":"2013","author":"Rutledge","year":"1985","journal-title":"Surgery"},{"key":"2025082801441458000_2013.sep07_1.bcr2013009753.7","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1177\/000313480206801211","article-title":"Are preoperative serum calcium, parathyroid hormone, and adenoma weight predictive of postoperative hypocalcemia?","volume":"2013","author":"Strickland","year":"2002","journal-title":"Am Surg"},{"key":"2025082801441458000_2013.sep07_1.bcr2013009753.8","first-page":"1901","article-title":"Prediction of bone mass change after parathyroidectomy in patients with primary hyperparathyroidism","volume":"2013","author":"Nakaoka","year":"2000","journal-title":"J Clin Endocrinol Metab"},{"key":"2025082801441458000_2013.sep07_1.bcr2013009753.9","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1056\/NEJM199910213411701","article-title":"A 10-year prospective study of primary hyperparathyroidism with or without parathyroid surgery","volume":"2013","author":"Silverberg","year":"1999","journal-title":"N Engl J Med"},{"key":"2025082801441458000_2013.sep07_1.bcr2013009753.10","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1590\/S1807-59322009000400017","article-title":"Renal failure after surgery for primary hyperparathyroidism: is acute reduction of parathyroid function a risk factor?","volume":"2013","author":"Montenegro","year":"2009","journal-title":"Clinics (Sao Paulo)"},{"issue":"(3 Pt 2)","key":"2025082801441458000_2013.sep07_1.bcr2013009753.11","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/S0022-5347(17)40995-5","article-title":"Primary hyperparathyroidism","volume":"2013","author":"Broadus","year":"1989","journal-title":"J Urol"},{"key":"2025082801441458000_2013.sep07_1.bcr2013009753.12","first-page":"32","article-title":"Renal lithiasis in patients with primary hyperparathyroidism. Evolution and treatment","volume":"2013","author":"Valle Diaz de la Guardia","year":"2010","journal-title":"Arch Esp Urol"},{"key":"2025082801441458000_2013.sep07_1.bcr2013009753.13","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1136\/bmj.325.7368.807","article-title":"Risk of renal stone events in primary hyperparathyroidism before and after parathyroid surgery: controlled retrospective follow up study","volume":"2013","author":"Mollerup","year":"2002","journal-title":"BMJ"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009753","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:44:25Z","timestamp":1756370665000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009753"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,7]]},"references-count":13,"alternative-id":["10.1136\/bcr-2013-009753"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009753","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,9,7]]}}}