부갑상선 선종의 골병변과 이에 대한 치료

Other Titles
Bone Changes and their Treatment in Parathyroid Adenomas
Authors
강창수강철형김성렬
Department
Dept. of Orthopedic Surgery (정형외과학); Institute for Medical Science (의과학 연구소)
Issue Date
1998
Citation
Keimyung Medical Journal, Vol.17(2) : 255-265, 1998
Abstract
Hyperparathyroidism is a rare clinical condition that may cause various musculoskeletal deformities and is usually caused by a parathyroid adenoma or parathyroid hyperplasia. Generalized osteoporosis was the basic manifestation seen in all of our cases. Pathologic fractures with bone deformities or brown tumors were observed in severe cases, which required a surgery in selected cases. The deformities caused by hyperparathyroidism mainly observed in the weight bearing lower extremities, usually manifested as coxa vara and /or genu valgum. Though the generalized osteoporosis could be improved after excision of parathyroid adenoma, skeletal deformities could not corrected by ablation of parathyroid adenoma, skeletal deformities could not corrected by ablation of parathyroid adenoma requiring some kind of corrective surgeries later. We have 7 cases of hyperparathyroidism caused by parathyroid adenoma between the period from 1971 to 1993. All of them were required surgical excision of the adenoma. Biomechanical changes were corrected within 4 weeks after parathyroid surgery. Osteoporosis even the brown tumors were improved gradually within a few years after parathyroid surgery but bone deformities were left uncorrected. In one case bilateral coxa vara and genu valgum deformities were severe enough to have corrective bone surgeries and this patient was followed up 5 and 7 years after corrective surgery.
Keywords
BoneHyperparathyroidism
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15085
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
1. Journal Papers (연구논문) > 3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
2. Keimyung Medical Journal (계명의대 학술지) > 1998
Keimyung Author(s)
강창수; 강철형
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