Bilateral femoral neck fractures due to transient osteoporosis of pregnancy: a case report

Abstract

We describe a case of bilateral femoral neck fractures secondary to transient osteoporosis of pregnancy, which were diagnosed after delivery due to the desire to avoid ionising radiation. These fractures were presumed to be secondary to transient osteoporosis of pregnancy and were treated successfully with internal fixation despite delayed presentation. We discuss the role of MRI in the evaluation of hip pain in pregnancy.

Bilateral Subcapital Femoral Neck Fractures Secondary to Transient Osteoporosis during Pregnancy: A Case Report

“…Bilateral fractures are rare. [9][10][11][12][13][14] Most such patients are Asian people 9,10,12 Pre-existing osteoporosis, old age, and loss of bone mass 2 months after the onset are risk factors. 25 Osteoporosis induced by long-term use of heparin has been reported.…”

“…8 Only 6 cases of bilateral femoral neck fractures secondary to transient osteoporosis have been reported. [9][10][11][12][13][14] case report…”

Neglected Femoral Neck Fracture Associated with Pregnancy: Case Report

“…In the literature, femoral neck fractures associated with transient osteoporosis are very rare among parturients (9). Al- In young patients, osteosynthesis of neglected femoral neck fractures is difficult and it has a high risk of avascular necrosis (10).…”

Musculoskeletal problems in pregnancy

“…The typical presentation is sudden onset of pain in the hip, which is aggravated by weight bearing and relieved with rest [27]. It is unilateral, but bilateral hip involvement has been increasingly reported, including spread to the other joints of the lower limbs [28][29][30][31]. The diagnosis is achieved by MRI of the hip which will demonstrate edema of the femoral head, with changes appearing as early as 48 h after onset of hip pain [32][33][34].…”