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

Main Article Content

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

Abstract

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.

Article Details

Shytaj, S., Bottai, V., Cosseddu, F., Cifali, R., Franco, S. D., & Scaglione, M. (2021). Bilateral transient osteoporosis of the hip with unilateral fracture in a 40 years old pregnant woman. Archives of Surgery and Clinical Research, 5(1), 007–010. https://doi.org/10.29328/journal.ascr.1001058
Case Reports

Copyright (c) 2021 Shytaj S, et al.

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