Demographics Age: 11 years Gender: Female Presenting complaints Fever Generalized tonic-clonic-seizures Inability to walk Serological evaluation Calcium: 4.2 mg/dl Phosphate: 8.9 mg/dl Alkaline phosphatase: 193 IU/L Parathyroid hormone (PTH): 211 pg/ml The evaluation was suggestive of hyperphosphatemia and elevated PTH. Radiological examination: Refer to the above-attached image. Based on the radiological images, what is your diagnosis for this patient?
Femoral neck fracture Pseudohypothyroidism Osteonecrosis Both A and B *This Case Challenge is from the Editorial team of Docplexus and is meant for educational purposes only. Source: Journal of Orthopedic Case Reports
