Metabolic & Endocrine Disorders in Orthopaedic Surgery
Hyperparathyroidism
| Type | Description |
|---|---|
| Primary | de novo from the gland |
| Secondary | due to hypocalcemia e.g. CRF, but remains reversible |
| Tertiary | autonomous adenoma from long standing stimulation |
Clinical
- Stone, groans & bones
- Lethargic
- Thinning of bones
- Distal tufts of finger & clavicle may erode
Investigations
- Increased Ca
- Decreased phosphorus
- Increased alkaline phosphatase