Transient Osteoporosis of the Hip

March, Massimiliano Rocchietti; Tovaglia, V; Meo, Antonella; Pisani, Daniela; Tovaglia, Priscilla; Aliberti, Giuseppe

doi:10.1177/112070001002000301

Cited by 28 publications

(10 citation statements)

References 13 publications

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“…The pathophysiology of TOH is still not completely understood -current theories postulate the progression to occur in three stages, summarized in Figure 4 [7][8][9][10]. With the advent of MRI, the observed BME became a cornerstone of the pathogenesis of the disorder, although the mechanism leading to this finding is still debated.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Atraumatic Femoral Neck Fracture in the Peripartum Period: Case Report and Literature Review

Klimko¹,

Brandt²,

Cîrstoiu³

et al. 2021

Cureus

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Transient osteoporosis of the hip (TOH) refers to a temporary, focal reduction in bone mineral density that selectively affects bones in weight-bearing joints of young pregnant females. Due to inherent difficulties in diagnosing this pathology, it is difficult to estimate the incidence and it is conceivable that TOH is vastly underreported. In a rare subset of patients, TOH may progress to pathological fractures. We report a case of a 38-year-old pregnant woman who developed an atraumatic, displaced femoral neck fracture during her last trimester. Diagnosis and adequate management of TOH represents a clinical challenge as symptoms that precede the fracture are often non-specific, while the timing of the surgical treatment (i.e. before or after delivery) is debatable.

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Section: Discussionmentioning

confidence: 99%

Unilateral Atraumatic Femoral Neck Fracture in the Peripartum Period: Case Report and Literature Review

Klimko¹,

Brandt²,

Cîrstoiu³

et al. 2021

Cureus

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“…Plain radiographs in early stage of the disease are normal, but within 4-8 weeks, there is profound osteopenia of the femoral head and neck as a result of elevated rate of bone turnover. Classically, TOH in pregnancy is self-limiting; clinical and radiological resolution occurs in 6-8 months after delivery [24,36]. The prognosis is good if recognized early.…”

Section: Hip Painmentioning

confidence: 97%

Musculoskeletal problems in pregnancy

Thabah

Ravindran

2014

Rheumatol Int

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Physiological changes during normal pregnancy are likely to give rise to musculoskeletal symptoms. On the other hand, autoimmune rheumatological diseases disproportionately affect women, often presenting during the childbearing years and sometimes during pregnancy. Contrary to autoimmune rheumatological diseases, the management of non-autoimmune musculoskeletal manifestations is generally conservative and often tends to resolve after pregnancy. It is therefore important to be aware of various musculoskeletal problems seen in the course of pregnancy. In this narrative review, commonly encountered non-autoimmune musculoskeletal problems during pregnancy have been described.

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“…Whether it is normally bilateral in pregnancy, it is most often seen as unilateral in the other presentation. In most cases no triggering events are detected, but theoretically any insult such as previous trauma (including fracture, altered biomechanics, bone edema, subchondral lesions), osteoarthritis, inflammatory diseases (i.e., arthropathies, enthesopathies, gout), vascular lesions (i.e., avascular necrosis, algoneurodystrophy), infective lesions (viral, diabetic foot, osteomyelitis), iatrogen lesions (previous surgery or radiotherapy), neoplastic lesions and other variables (alcoholic consumption, smoking, steroids, hypothyroidism, low testosterone, low vitamin D, osteogenesis imperfecta, pregnancy or breastfeeding) may determine a condition of transient bone edema of the hip [6][7][8][9][10].…”

Section: Epidemiology and Etiologymentioning

confidence: 99%