Bilateral short fourth metacarpal and metatarsal in a case of idiopathic primary hypoparathyroidism
Keywords:Metacarpals, Metatarsals, Hypoparathyroidism, Hypocalcaemia
A case of bilateral symmetrical shortening of fourth metacarpal and metatarsal bones in a 25 year old female is described. She initially presented with symptoms of hypocalcaemia. Metabolic and endocrine work up concluded the underlying disorder to be idiopathic primary hypoparathyroidism contrary to the belief of psedohypoparathyroidism. The function of hand and feet were normal without any discomfort. So treatment of only hypocalcaemia was done and metacarpal, metatarsal lengthening seemed unnecessary.
Urano Y. Kobayashi A. Bone lengthening for shortness of the fourth toe. JBJS. 1978;60A:91-93.
Monn E, Osnes JB. Oye I, Wefring KW. Pseudohypoparathyroidism; difficult diagnoses in early childhood. Acta paeditr; Scand. 1976;65:487-93.
Rigg JE. Military service and pseudopseudohypoparathyroidism: Recognizing red flags for rare medical conditions Mill med. 1997;162:510-2.
Ajlouni KM, Arnaout MA, Qoussous Y. Congenital adrenal hyperplasia due to 11 beta hydroxylase deficiency with skeletal abnormality. J Endocrine invest. 1996;19:316-9.
Goswami M, Verma M, Singh A, Grewal H, Kumar G. Albright hereditary osteodystrophy: A rare case report. J Indian Soc PedodPrev Dent 2009;27:184-8.
Kirkos JM. Idiopathic symmetrical shortening of the fourth and fifth metacarpal and metatarsal bilaterally. A case report. Acta Orthop Belg 1999;65:532-5.
Kapoor S, Gogia S, Paul R, Banerjee S. Albright’s hereditary osteodystrophy. Indian J Pediatr 2006;73:153-6.
Neda valizadeh, Indian journal of endocrinology sept –Oct 2013/vol 17/issue5.
Isozaki O, Sato K, Tsushima T, Shizume K, Takamatsu J. A patient of short stature with idiopathic hypoparathyroidism round face and metacarpal signs. Endocrinol Jpn. 1984;31:363-7.