leading to secondary hyperparathyroidism,

There's a medical condition called hyperparathyroidism...

It's either hyperparathyroid, cancer, or calcium-mediated neurotoxicity.

It's either hyperparathyroid, cancer, or calcium-mediated neurotoxicity.

There are no pain issues associated with hyperparathyroidism.

Elevated calcium and P.T.H. would indicate primary hyperparathyroidism.

Short-term periosteal reaction on the right proximal lateral humerus was consistent with a bound individual... so to rephrase... and the placement of wrist restraints coupled with her hyperparathyroidism would account for the stress fractures on the distal anterior surface of both the radii and ulnae.