Bilateral non-traumatic acetabular and femoral neck fractures due to pregnancy-associated osteoporosis

AYNACI O., KERİMOĞLU S., OZTURK C., SARACOGLU M.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, cilt.128, sa.3, ss.313-316, 2008 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 128 Sayı: 3
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1007/s00402-007-0439-z
  • Dergi Adı: ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.313-316
  • Anahtar Kelimeler: osteoporosis, pregnancy, fracture, VERTEBRAL FRACTURES, BONE-DENSITY, CALCIUM SUPPLEMENTATION, LACTATION, SEIZURE
  • Karadeniz Teknik Üniversitesi Adresli: Evet

Özet

Pregnancy-associated osteoporosis is a rare disorder and its pathophysiology remains unknown. We report a case of pregnancy-associated osteoporosis in a 27-year-old primiparous patient who revealed bilateral hip pain during early postnatal period. The plain radiographs and computarized tomography showed bilateral femoral neck and asetabular fractures. The diagnosis of osteoporosis was established by bone mineral density. Diagnostic work-up excluded a secondary osteoporosis. The case was treated successfully by bilateral cementless total hip arthroplasty. Bone mineral density increased after 2 years of treatment with calcium-vitamin D, calcitriol and alendronate. Diagnosis of pregnancy-associated osteoporosis should be suspected when hip pain occurs during pregnancy or in the post-partum period as it can lead to acetabular and femoral neck fractures.