Clinical Presentation of Atypical Femur Fractures
All fractures are located along the femur from distal to lesser trochanter to proximal to supracondylar flare PLUS Major features: (four of five are required) – No trauma or minimal…
All fractures are located along the femur from distal to lesser trochanter to proximal to supracondylar flare PLUS Major features: (four of five are required) – No trauma or minimal…
Fig. 6.1 Classification of subtrochanteric and femoral shaft fractures The Use of Large Datasets in the Study of AFF There are several studies that have evaluated subtrochanteric and femoral shaft…
Fig. 9.1 Echo-color-Doppler longitudinal view: left lower hyperplastic parathyroid (thick arrow); left lower thyroid lobe (thin arrow) Fig. 9.2 Echo-color-Doppler transversal view: left lower hyperplastic parathyroid (white arrow); common carotid…
Syndromic Nonsyndromic MEN1 FIHPT MEN2 FHH MEN4 NSHPT HPT-JT ADMH ADMH, autosomal dominant moderate hyperparathyroidism; FHH, familial hypocalciuric hypercalcemia; FIHPT, familial isolated hyperparathyroidism; HPT-JT, hyperparathyroidism-jaw tumor syndrome; MEN, multiple endocrine…
Absolute contraindications Relative contraindications Previous neck surgerys Previous neck irradiation Large goiter Large adenoma (<3.5 cm) Parathyroid carcinoma Lack of preoperative localization MEN and familial pHPT MEN, multiple endocrine neoplasia…
Fig. 18.1 Number of PTx performed for sHPT in the 3rd General and Esophageal Surgical Unit, San Giovanni Battista Hospital, University of Turin, Italy from 1975 to 2014 Fig. 18.2…
Fig. 15.1 MIBI scan (technetium and subtraction images): large inferior right parathyroid lesion that histologically proved to be parathyroid carcinoma. From [16] with permission Fig. 15.2 Surgical specimen: parathyroid carcinoma;…
Fig. 13.1 Multiple cervical scars in a patient with persistent primary hyperparathyroidism MEN1-related, after three previous failed operations due to incorrect diagnosis and inadequate surgical approach Moreover, both negative preoperative…
Corrected total calcium or ionized calcium Both elevated or only free calcium Second or third PTH generation assays High or inappropriately normal 25-OH-vitamin D The deficit should be corrected to…
© Springer-Verlag Italia 2016Guido Gasparri, Nicola Palestini and Michele Camandona (eds.)Primary, Secondary and Tertiary HyperparathyroidismUpdates in Surgery10.1007/978-88-470-5758-6_19 19. Patient Information for Surgery in Primary and Secondary Hyperparathyroidism Pier Giorgio Nasi and Lodovico Rosato1 (1) Department of Surgery, ASL4, Ivrea…