Table 2 Timeline of events with diagnostic tests and interventions
Month/year (age) | Events | Diagnostic tests | Interventions |
|---|---|---|---|
February/2017 (12 years, 7 months) | Left > right genu valgus | X-ray- no changes of rickets or oteopaenia Normal calcium and phosphate | Left femoral plating |
June/ 2018 (13 years, 11 months) | Worsening deformity | X-ray- progression of the deformity with a pelvic tilt | None |
March/2020 (15 years, 8 months) | Presenting to a second orthopaedic unit with worsening deformity | X-ray- localised osteopaenia | Left distal femoral medial closed wedge osteotomy |
November/ 2021 (17 years, 4 months) | Fragility fracture | X-ray- multiple fractures and severe osteopaenia | |
July/ 2022 (18 years) | Endocrine evaluation | High serum PTH Parathyroid adenoma Hyperparathyroid bone disease | Left parathyroidectomy and left thyroid lobectomy |