Case Report

Bilateral transient osteoporosis of the hip with unilateral fracture in a 40 years old pregnant woman

Sheila Shytaj*, Vanna Bottai, Fabio Cosseddu, Roberta Cifali, Silvia De Franco and Michelangelo Scaglione

Published: 02 April, 2021 | Volume 5 - Issue 1 | Pages: 007-010

Purpose: Some physiological events in women’s life such as pregnancy and lactation can be associated to a condition known as Transient Osteoporosis of the Hip (TOH); if not promptly diagnosed it can lead to significant consequences such as femoral neck fracture. In this paper we describe a case of bilateral TOH, focusing on the importance of early treatment and how it influenced the outcome.

Methods: A 40 years old post-delivery woman came to our attention for hip pain and a left femoral neck fracture was diagnosed. Magnetic resonance (MRI) showed bilateral edema of the femoral head. She underwent total hip replacement on the left side; toe-touch weight bearing and pharmacological therapy were prescribed for the right hip.

Results: MRI at nine months showed complete regression of the femoral head and neck edema; the patient was clinically asymptomatic.

Conclusion: If not promptly diagnosed and treated, TOH can potentially evolve in fracture. Many therapeutic strategies have been suggested since now; we believe that avoiding weight bearing on the involved hip as early as possible is the key to recovery.

Read Full Article HTML DOI: 10.29328/journal.ascr.1001058 Cite this Article Read Full Article PDF


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