Transient Osteoporosis of the Hip During Pregnancy

Abstract

The purpose of this study was to determine whether the time to subjectively fully recover after the performance of exhausting muscular exercise was greater in unstable postpolio as compared with stable postpolio or control subjects. Twenty-five unstable (those complaining of declining muscle strength) postpolio, 16 stable (those denying declining muscle strength) postpolio, and 25 control subjects performed an isometric contraction of the knee extensor (quadriceps femoris) musculature at 40% of maximal torque until they were no longer able to do so. Five-second maximal effort contractions were made every 30 s through 2 min after the time of failure was reached and then at 1-min intervals through 10 min after failure was reached. Subjects reported the duration of time required to subjectively fully recover from this activity. Choices of "less than 1 day," "1 day," "2 days," etc., up to "greater than 2 wk" were given to the subjects for their response. Analysis was by nonparametric ANOVA and appropriate post hoc comparison procedures. Unstable postpolio subjects reported a greater recovery time than either the stable postpolio or control subjects (mean +/- SD of 2.6 +/- 3.0 days, 0.6 +/- 1.0 days, and 0.7 +/- 1.1 days, respectively, P < 0.05). Thus, the reported recovery time from exhausting isometric muscular exercise was found to be greater in unstable postpolio subjects than stable postpolio or control subjects. The cause for this finding is unknown and requires further investigation.

Dual Etiologic Back Pain in Pregnancy: A Case Report with Lumbar Disc Herniation and Transient Osteoporosis of the Bilateral Hip

“…Bifosfonatlar geçici osteoporozun iyileşme sürecini hızlandırıyor gibi görünse de uzun dönemde komplikasyonları vardır. Bir olguda alendronat (günde 10 mg oral) verilmiş ve hastanın ağrısı gün içinde azalmaya başlamıştır (29). Başka bir çalışmada geçici osteoporoz olan erkeklerde intravenöz klodronat (10 gün boyunca günde 3 saat 300 mg infüzyon) kullanımı araştırılmış ve iyileşme süresinin azaldığı saptanmıştır.…”

Regional Migratory Osteoporosis of the Hip and Talus

“…The etiology and physiopathology is not clear (2). The patient presents with progressive pain in hip or other weight bearing joints and usually with a decreased range of motion (3).…”

Transient Bilateral Osteoporosis of the Hip in Pregnancy

“…Pregnancy-associated transient osteoporosis of the hip (TOH) is supposed to be a rare complication of pregnancy, affecting women mostly in the late second or third trimester of pregnancy [1,2]. Only little is known about the underlying pathophysiology and the overall incidence of TOH.…”

“…Furthermore, extension and flexion of the hip are limited. TOH might be assessed by magnetic resonance imaging and X-rays [2,4]. TOH in pregnancy has to be separated from avascular osteonecrosis of the femoral head, septic coxitis, arthritis, osteomyelitis, stress fracture or a metastasis of an underlying neoplasia [3].…”

“…TOH in pregnancy has to be separated from avascular osteonecrosis of the femoral head, septic coxitis, arthritis, osteomyelitis, stress fracture or a metastasis of an underlying neoplasia [3]. The treatment of TOH is conservative and includes restricted weight bearing, bedrest, analgetic treatment and physical therapy [2]. We report an uncommon case of bilateral TOH in pregnancy and review the literature.…”