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

Ming Chun Hsieh*, Jin Yang Ko, Hock Liew Eng

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

37 Scopus citations

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.

Original languageEnglish
Pages (from-to)498-501
Number of pages4
JournalArchives of Orthopaedic and Trauma Surgery
Volume124
Issue number7
DOIs
StatePublished - 09 2004
Externally publishedYes

Keywords

  • Brown tumor
  • Osteitis fibrosa cystica
  • Primary hyperparathyroidis

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