IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-6-9-12063 Original Research Paper A establishments of relationship between Parathyroid Adenoma and Pathological Fracture (Incidental) Himanshukumar V. Patel Dr. Dr. Meemansha Buch Dr. Dr. P.N. Palat Dr. September 2017 6 9 01 02 ABSTRACT

 Parathyroid Adenoma is the common cause of primary hyperparathyrodism present with mostly asymptomatic Hypercalcemia. In present case report we describe a case of Adenoma with Hypercalcemia and Pathological Fracture.

       Parathyroid Adenoma lead to excessive secretion of PTH (Parathyroid Hormone).

       PTH is 84 Amino acid single chain peptide

It act by maintain the Ca–Homeostatic mechanism by – direct action on the Bone and Kidney.

       By ↑ Catt & ↓ Phosphate & Indirectly ◦action–↑  Vitamin – D

In case of Parathyroid Adenoma ↑↑ PTH → lead to bone resorption & release calcium & Phosphate excretion – ↓ Bone Density & Hyaercalcemia ↑ incidence of Pathological Fracture