Bilateral short fourth metacarpal and metatarsal in a case of idiopathic primary hypoparathyroidism


  • Chandrakanta Nayak Department of Orthopaedics, AIIMS, Bhubaneswar, Odisha, India
  • Barada Prasanna Samal Department of Orthopaedics, AIIMS, Bhubaneswar, Odisha, India



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.


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