Parathyroid adenoma associated with multiple tendon rupture; a case report

ABSTRACT

A rare and unusual case is described of multiple lower limb fractures and complete closed tendon ruptures, following trivial trauma, in a 50 years old woman who had been complaining of low back pain and generalised weakness for two years. She had generalised osteoporosis and bilateral nephrolithiasis. Investigations revealed hyperparathyroidism as the underlying cause. The diagnosis of the cause was difficult. It was elucidated by blood biochemical and hormonal assays. The parathyrod adenoma was detected only by ultrasonography of the neck. The pathological manifestations rapidly improved after surgical reconstruction of the skeletal and tendinous lesions, and after excision of the hyperactive parathyroid adenoma, together with appropriate medical and supportive treatment