Bilateral femoral neck insufficiency fractures in pregnancy

Baki, Mehmet Emre; Uygun, Hüseyin; Arı, Bünyamin; Aydin, Hafız

doi:10.5606/ehc.2014.13

Cited by 20 publications

(30 citation statements)

References 6 publications

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“…On the other hand, some patients who clearly had transient osteoporosis of the hip also had very low spine BMD, vertebral fractures, severe vitamin D deficiency, and prolonged pregnancy/lactation cycles that may have caused generalized bone loss (43,48,98,691). Therefore, the two conditions can coincide, despite evidence that they appear to have a different pathogenesis and outcome.…”

Section: Human Datamentioning

confidence: 91%

“…Active transport is more rapid and becomes especially important when the dietary supply of calcium is low. Stable calcium isotopes ( 48 Ca, 44 Ca, 42 Ca) and mineral balance studies have consistently determined that women are in a positive calcium balance during early pregnancy, with fractional absorption of calcium doubling by as early as 12 wk of gestation and maintained to term (207,324,372,467,469,764).…”

Section: Human Datamentioning

confidence: 99%

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Maternal Mineral and Bone Metabolism During Pregnancy, Lactation, and Post-Weaning Recovery

Kovacs

2016

Physiological Reviews

383

524

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During pregnancy and lactation, female physiology adapts to meet the added nutritional demands of fetuses and neonates. An average full-term fetus contains ϳ30 g calcium, 20 g phosphorus, and 0.8 g magnesium. About 80% of mineral is accreted during the third trimester; calcium transfers at 300-350 mg/day during the final 6 wk. The neonate requires 200 mg calcium daily from milk during the first 6 mo, and 120 mg calcium from milk during the second 6 mo (additional calcium comes from solid foods). Calcium transfers can be more than double and triple these values, respectively, in women who nurse twins and triplets. About 25% of dietary calcium is normally absorbed in healthy adults. Average maternal calcium intakes in American and Canadian women are insufficient to meet the fetal and neonatal calcium requirements if normal efficiency of intestinal calcium absorption is relied upon. However, several adaptations are invoked to meet the fetal and neonatal demands for mineral without requiring increased intakes by the mother. During pregnancy the efficiency of intestinal calcium absorption doubles, whereas during lactation the maternal skeleton is resorbed to provide calcium for milk. This review addresses our current knowledge regarding maternal adaptations in mineral and skeletal homeostasis that occur during pregnancy, lactation, and post-weaning recovery. Also considered are the impacts that these adaptations have on biochemical and hormonal parameters of mineral homeostasis, the consequences for long-term skeletal health, and the presentation and management of disorders of mineral and bone metabolism.

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Section: Human Datamentioning

confidence: 91%

Section: Human Datamentioning

confidence: 99%

Maternal Mineral and Bone Metabolism During Pregnancy, Lactation, and Post-Weaning Recovery

Kovacs

2016

Physiological Reviews

383

524

View full text Add to dashboard Cite

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“…Because exposure to ionizing radiation is avoided during pregnancy, imaging can be postponed in these patients. This may cause fractures due to insufficiency to be overlooked (8). MRI is the best non-invasive diagnostic technique in parturients with hip pain (6).…”

Section: Discussionmentioning

confidence: 99%

Neglected Femoral Neck Fracture Associated with Pregnancy: Case Report

Fidan¹,

Çetin²,

Kazdal³

et al. 2017

JAREM

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Transient osteoporosis is a self-limiting condition mostly seen in third trimester of pregnancy. MRI is a noninvasive method for the diagnosis of transient osteoporosis in pregnancies with hip and pelvic pain. We present a 28-year-old primipar with a 3-month history of left hip pain one month after delivery. Garden type 3 fracture was detected. The patient underwent intertrochanteric valgus osteotomy and osteosynthesis. Twenty months of follow-up did not reveal any complications such as nonunion or AVN. In the case of hip pain in pregnancy, the diagnosis of transient osteoporosis with MRI can be made early and more serious complications can be avoided. Successful results can be obtained with intertrochanteric valgus osteotomy in the treatment of neglected femur neck fracture in young patients.

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“…There are very few cases reported in the literature and most of these cases have underlying bone pathologies such as generalized epilepsy [1], osteomalacia [2], chronic renal failure [3]. In patients without any additional pathology electric shock, electroconvulsive therapy, and high-energy trauma can lead to femoral neck fractures occur [4], [5].…”

Section: Introductionmentioning

confidence: 99%

“…In patients without any additional pathology electric shock, electroconvulsive therapy, and high-energy trauma can lead to femoral neck fractures occur [4], [5]. In the treatment for bilateral femoral neck fractures open/closed reduction internal fixation or hip arthroplasty are applied [2], [6]. In this case report “atraumatic bilateral femoral neck fracture of a woman in postpartum period with hypophosphatemic rickets disease” is presented.…”

Section: Introductionmentioning

confidence: 99%

Atraumatic diplaced bilateral femoral neck fracture in a patient with hypophosphatemic rickets in postpartum period: A missed diagnosis

Uzun

Günay

Kızkapan

et al. 2016

International Journal of Surgery Case Reports

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HighlightsThere are very few cases reported in the literature about simultaneous bilateral femoral neck fracture.Simultaneous bilateral femoral neck fractures are seen more frequently in elderly patients because of the reduction of bone quality and osteoporosis.For patients with bone metabolic diseases and/or the patients in pregnancy and postpartum period, preventive measures should be increased to reduce the risk of pathologic fracture.Admitting to the hospital we must be more careful about detecting fractures in these patients.

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Bilateral femoral neck insufficiency fractures in pregnancy

Cited by 20 publications

References 6 publications

Maternal Mineral and Bone Metabolism During Pregnancy, Lactation, and Post-Weaning Recovery

Maternal Mineral and Bone Metabolism During Pregnancy, Lactation, and Post-Weaning Recovery

Neglected Femoral Neck Fracture Associated with Pregnancy: Case Report

Atraumatic diplaced bilateral femoral neck fracture in a patient with hypophosphatemic rickets in postpartum period: A missed diagnosis

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