Transient Osteoporosis of Pregnancy of the Bilateral Hips in Twin Gestation: A Case Series

Abstract

Transient osteoporosis of pregnancy has been described as a rare, self-limiting disease of unclear etiology that presents as severe pain, which typically affects pregnant women in their third trimester. We describe 3 cases of primigravid pregnant women with twin gestation who reported unilateral hip pain and who were diagnosed with transient osteoporosis of pregnancy of the hip by magnetic resonance imaging. These women were advised to undergo limited weight bearing and activity modification to minimize the risk of fracture. Each patient was able to proceed through her pregnancy, delivery, and postpartum course without complication, with symptom resolution, and return to unrestricted activity.

Fracturas pélvicas por estrés relacionadas al embarazo

“…Las limitaciones de las actividades físicas pueden estar presentes, y la inspección de la marcha generalmente revela un patrón antiálgico. Pero la afectación de la raíz nerviosa es relativamente rara y ocurre en aproximadamente 2% de todas las fracturas sacras (22,23) . Los resultados del examen neurológico suelen ser normales.…”

“…La absorciometría con rayos X de energía dual es el estándar para medir la densidad mineral ósea y puede evaluar si la fractura está asociada con osteoporosis causada por el embarazo que, en la mayoría de los casos, ha sido descrita durante el tercer trimestre del embarazo (9) . En esos casos, la densidad ósea regresa a valores normales 5 a 10 años después del parto (23) . Además de las fracturas pélvicas, también existen informes de fracturas asociadas de cadera, fémur proximal y/o cuerpos vertebrales.…”

Gender specific association of decreased bone mineral density in patients with epilepsy

“…Low bone mineral density (BMD) is rare in young adults and either occurs in pregnant females as transient osteoporosis [1,2] or in both sexes in certain diseases such as multiple sclerosis [3,4], chronic glucocorticoid administration or immobility [4], stroke [5], and epilepsy [6,7].…”

Disorders of bone mineral density associated with pregnancy and lactation (a literature review)

“…С помощью коррекции диеты (ограничение набора массы тела) и физической активности (снижение риска падений) было достигнуто улучшение костного метаболизма после родов [17].…”