Bilateral transient osteoporosis of the talus in pregnancy

Abstract

We present the case of bilateral transient osteoporosis of the talus in pregnancy, which is rarely reported in the medical literature, confirmed by pre- and postpartum MRI.A gravid 33-year-old white female G4P2A1 with bilateral transient osteoporosis of the talus confirmed by magnetic resonance imaging (MRI) is presented. She was conservatively managed and had clinical resolution several weeks postpartum. A follow-up MRI confirmed improvement in bilateral talus consistent with the natural course of transient osteoporosis.

An unusual cause of hip pain

“…Only two subjects had femoral head changes but no patient had subchondral collapse or change in sphericity on follow-up. This combination of osteopenia and BMO without subchondral disease mirrors the clinical course of other commentaries of TRO 1–4 9 14…”

Treatment with teriparatide in a patient with pregnancy-associated osteoporosis

“…Although pregnancy-associated osteoporosis has been recognised for more than four decades, only 100 cases reports have yet been reported [9][10][11][12]. The number of unreported cases could be dramatically higher, because back pain is considered as a normal occurrence during pregnancy.…”

Musculoskeletal problems in pregnancy

“…Though hip is the most often involved joint, increasingly osteoporosis of knee and talus is also being reported [25,26]. Transient osteoporosis of the hip (TOH) presents acutely in the third trimester of an otherwise normal pregnancy.…”