{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T08:57:18Z","timestamp":1785574638964,"version":"3.56.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 32-year-old man with end-stage renal disease (ESRD) from anti-neutrophil cytoplasmic antibody-associated vasculitis and tertiary hyperparathyroidism, presented with progressive right hip pain. A giant cell-rich lesion biopsy confirmed Brown tumor. Despite cinacalcet and vitamin D, hyperparathyroidism persisted, necessitating parathyroidectomy complicated by hungry bone syndrome and a pathological right hip fracture. Surgical fixation and prosthetic replacement were deferred due to high risk factors such as, ESRD and fracture pattern, as well as potential for postoperative implant failure and infection. Teriparatide was initiated to promote bone remodeling, leading to pain relief and radiographic improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>To our knowledge, this is the first reported long-bone Brown tumor successfully treated with teriparatide.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00667","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T18:10:35Z","timestamp":1784225435000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Teriparatide in a Brown Tumor Patient With Pathological Hip Fracture"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4246-8991","authenticated-orcid":false,"given":"Dalia","family":"Abdel-Hadi","sequence":"first","affiliation":[{"name":"Department of Surgery, Orthopaedic division, Sultan Qaboos University Hospital, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0381-2405","authenticated-orcid":false,"given":"Ali","family":"Al Lawati","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Al Farkani","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yahya","family":"Al Badaai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Sultan Qaboos University Hospital, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8813-1686","authenticated-orcid":false,"given":"Humaid","family":"Al Farii","sequence":"additional","affiliation":[{"name":"Department of Surgery, Orthopaedic division, Sultan Qaboos University Hospital, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7]]},"reference":[{"issue":"2","key":"bib1-20260801","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/s10006-008-0105-9","article-title":"Bilateral maxillary brown tumors as the first presentation of primary hyperparathyroidism","volume":"12","author":"Jebasingh","year":"2008","journal-title":"Oral Maxillofac Surg."},{"issue":"3","key":"bib2-20260801","first-page":"230","article-title":"Brown tumor of the spine revealing secondary hyperparathyroidism. Report of a case","volume":"67","author":"Azria","year":"2000","journal-title":"Joint Bone Spine."},{"key":"bib3-20260801","doi-asserted-by":"crossref","first-page":"827652","DOI":"10.1155\/2009\/827652","article-title":"Brown tumour in a patient with secondary hyperparathyroidism resistant to medical therapy: case report on successful treatment after subtotal parathyroidectomy","volume":"2009","author":"Di Daniele","year":"2009","journal-title":"Int J Endocrinol."},{"issue":"4","key":"bib4-20260801","first-page":"e230","article-title":"Brown tumors secondary to parathyroid carcinoma masquerading as skeletal metastases on 18F-FDG PET\/CT: a case report","volume":"5","author":"Tsushima","year":"2019","journal-title":"AACE Clin Case Rep."},{"issue":"3","key":"bib5-20260801","doi-asserted-by":"crossref","first-page":"217","DOI":"10.11005\/jbm.2020.27.3.217","article-title":"Three rare concurrent complications of tertiary hyperparathyroidism: maxillary brown tumor, uremic leontiasis ossea, and hungry bone syndrome","volume":"27","author":"Bransky","year":"2020","journal-title":"J Bone Metab."},{"issue":"6","key":"bib12-20260801","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1016\/j.spinee.2024.01.016","article-title":"The risk of neurological deterioration while using neoadjuvant denosumab on patients with giant cell tumor of the spine presenting with epidural disease: a meta-analysis of the literature","volume":"24","author":"Al Farii","year":"2024","journal-title":"Spine J."},{"issue":"1","key":"bib6-20260801","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1007\/s12325-021-01936-y","article-title":"Denosumab in the treatment of osteoporosis: 10 years later: a narrative review","volume":"39","author":"Kendler","year":"2022","journal-title":"Adv Ther."},{"issue":"4","key":"bib7-20260801","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1097\/MNH.0000000000000327","article-title":"Hungry bone syndrome","volume":"26","author":"Jain","year":"2017","journal-title":"Curr Opin Nephrol Hypertens."},{"issue":"4","key":"bib11-20260801","doi-asserted-by":"crossref","first-page":"e164","DOI":"10.5001\/omj.2020.106","article-title":"Use of recombinant human parathyroid hormone to treat hungry bone syndrome in hemodialysis patient","volume":"35","author":"Ahmed","year":"2020","journal-title":"Oman Med J."},{"issue":"11","key":"bib8-20260801","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1097\/01.SMJ.0000140864.78760.8D","article-title":"Pth (1-34): a novel anabolic drug for the treatment of osteoporosis","volume":"98","author":"Holick","year":"2005","journal-title":"South Med J."},{"issue":"3-4","key":"bib9-20260801","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1089\/ten.tea.2022.0136","article-title":"The promoting effect of a local pulsatile parathyroid hormone delivery on healing of the mandibular fracture in rats","volume":"29","author":"Jia","year":"2023","journal-title":"Tissue Eng A."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00667","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T08:00:44Z","timestamp":1785571244000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00667"}},"subtitle":["A Case Report and Literature Review"],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00667","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}