title: [Non-traumatic fractures at the end of a pregnancy: are there always of osteoporotic origin].
abstract: Pregnancy-associated osteoporosis usually appears during the first pregnancy and does not affect the followings. We report two cases where non-traumatic fractures have been diagnosed shortly after delivery of second pregnancies. Wide investigations could not find a cause of secondary osteoporosis. In the first case we came to the diagnosis of pregnancy-associated osteoporosis and an intravenous treatment of ibandronate has been prescribed. In the second case the bone mineral density (BMD) being almost normal and the localisation of the fracture being atypical, we concluded to a fracture of non-osteoporotic origin, probably due to mechanical stress during pregnancy. No therapy against osteoporosis has been prescribed.
authors: Centre de Maladie Osseuse, CHUV, Lausanne.
authors: H
authors: H
authors: Monigel
authors: D
authors: D
authors: Stoll
authors: B
authors: B
authors: Aubry-Rozier
authors: G L
authors: GL
authors: Fetz
authors: N
authors: N
authors: Theumann
authors: O
authors: O
authors: Lamy
mesh_terms: D015502:Absorptiometry, Photon; D000328:Adult; D001942:Breast Feeding; D003937:Diagnosis, Differential; D005260:Female; D015775:Fractures, Stress / Q000175:diagnosis*; D006801:Humans; D008159:Lumbar Vertebrae / Q000473:pathology; D008279:Magnetic Resonance Imaging; D058866:Osteoporotic Fractures / Q000175:diagnosis*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011263:Pregnancy Trimester, Third; D011644:Puerperal Disorders / Q000175:diagnosis*; D012447:Sacrum / Q000473:pathology; D016103:Spinal Fractures / Q000175:diagnosis*