title: Transient osteoporosis of pregnancy of the bilateral hips in twin gestation: a case series.
abstract: Transient osteoporosis of pregnancy has been described as a rare, self-limiting disease of unclear etiology that presents as severe pain, which typically affects pregnant women in their third trimester. We describe 3 cases of primigravid pregnant women with twin gestation who reported unilateral hip pain and who were diagnosed with transient osteoporosis of pregnancy of the hip by magnetic resonance imaging. These women were advised to undergo limited weight bearing and activity modification to minimize the risk of fracture. Each patient was able to proceed through her pregnancy, delivery, and postpartum course without complication, with symptom resolution, and return to unrestricted activity.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Rehabilitation Institute of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL∗. Electronic address: mreese@ric.org.
authors.forename: Maria E
authors.initials: ME
authors.lastname: Reese
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Loyola University Medical Center, Maywood, IL†
authors.forename: Colleen
authors.initials: C
authors.lastname: Fitzgerald
authors.affiliation: Department of Physical Medicine and Rehabilitation, Rehabilitation Institute of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL‡
authors.forename: Christina
authors.initials: C
authors.lastname: Hynes
mesh_terms: D000328:Adult; D005260:Female; D006621:Hip Joint / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010024:Osteoporosis / Q000175:diagnosis*; D011247:Pregnancy; D011248:Pregnancy Complications; D059285:Pregnancy, Twin