Bilateral non-traumatic acetabular and femoral neck fractures due to pregnancy-associated osteoporosis.
Pregnancy-associated osteoporosis is a rare disorder and its pathophysiology remains unknown. We report a case of pregnancy-associated osteoporosis in a 27-year-old primiparous patient who revealed bilateral hip pain during early postnatal period. The plain radiographs and computerized tomography showed bilateral femoral neck and acetabular fractures. The diagnosis of osteoporosis was established by bone mineral density. Diagnostic work-up excluded a secondary osteoporosis. The case was treated successfully by bilateral cementless total hip arthroplasty. Bone mineral density increased after 2 years of treatment with calcium-vitamin D, calcitriol and alendronate. Diagnosis of pregnancy-associated osteoporosis should be suspected when hip pain occurs during pregnancy or in the post-partum period as it can lead to acetabular and femoral neck fractures.
Aynaci
Osman
O
Department of Orthopedic Surgery, Karadeniz Technical University Medical School, Trabzon, Turkey.
Kerimoglu
Servet
S
Ozturk
Cagatay
C
Saracoglu
Metehan
M
D000077:Acetabulum / Q000293:injuries*; D000328:Adult; D019644:Arthroplasty, Replacement, Hip; D015519:Bone Density; D001942:Breast Feeding; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D006801:Humans; D010024:Osteoporosis / Q000150:complications* / Q000175:diagnosis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis; D011644:Puerperal Disorders