PMID: 9558017Apr 29, 1998Paper

Transient osteoporosis of the hip during pregnancy: a case report

American Journal of Physical Medicine & Rehabilitation
A SamdaniW Nagler

Abstract

Transient osteoporosis associated with pregnancy is a rare, self-limiting skeletal disorder, the origin of which remains unclear. We report the case of a 36-year-old Japanese woman who developed pain in the left hip, groin, and knee in the seventh month of pregnancy. The pain gradually worsened and prevented weight-bearing. The hip and knee pain progressed to bilateral involvement and persisted after an emergent cesarean section at 35 weeks. Radiographs after delivery revealed gross osteopenia of both the femoral heads, left distal femur, and proximal tibia, consistent with transient osteoporosis associated with pregnancy. The patient remained mostly wheelchair-dependent because of severe hip and knee pain. Several weeks later, the patient was started on alendronate, a biphosphonate, which provided dramatic relief of hip and knee pain. The patient's ambulatory function subsequently improved dramatically as a result of pain relief and assistance with gait training. This case is unique for several reasons. First, it is rare for transient osteoporosis associated with pregnancy to involve both hip joints, and it rarely involves the knee. Second, this is the first reported case of pain management of transient osteoporosis associated...Continue Reading

References

Aug 1, 1991·American Journal of Physical Medicine & Rehabilitation·A A RodriquezT M Franke
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Citations

Oct 18, 2005·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·J D RingeH Faber
Apr 4, 2009·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·R S DanielA I Nussbaum
Sep 13, 2007·Zeitschrift für Rheumatologie·N Laktasic-ZerjavicD Soldo-Juresa
Oct 17, 2007·Clinical Rheumatology·L KibbiT Arayssi
Aug 2, 2003·The Knee·Elias Ch PapadopoulosDemetrios S Korres
Jun 20, 2001·Acta Physiologica Scandinavica·K S Sunnerhagen, G Grimby
Dec 15, 2005·Southern Medical Journal·U K DebnathR J Black
Jul 14, 2001·The Journal of Orthopaedic and Sports Physical Therapy·W G Boissonnault, J S Boissonnault
May 26, 2012·Indian Journal of Endocrinology and Metabolism·Shriraam MahadevanR Bharath
Apr 3, 2012·Injury·George MalihaMark Vrahas
Jul 2, 2003·Seminars in Arthritis and Rheumatism·Thurayya K ArayssiMukbil H Hourani
Mar 25, 2005·Acta Orthopaedica·Magnus K KarlssonCaroline Karlsson
Aug 3, 2011·Journal of the Royal Army Medical Corps·S LidderR K Kankate
Apr 1, 2000·The Physician and Sportsmedicine·S HarringtonE Laskowski
Mar 21, 2017·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·K AsadipooyaL W Greene

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