Brocq O, Simon E, Bongain A, Gillet J Y, Euller-Ziegler L
Services de Rhumatologie et de Gynécologie, CHU l'Archet, Nice.
Presse Med. 1999 Jun 19;28(22):1165-6.
Sympathetic reflex dystrophy is an uncommon cause of pelvic pain not to be overlooked in pregnant women.
At 8 months pregnancy, a 27-year-old woman complained of invalidating pain of the left hip. Magnetic resonance imaging of the pelvis performed the day after delivery evidenced a non-displaced fracture of the femoral neck and a typical aspect of sympathetic reflex dystrophy.
The true frequency of sympathetic reflex dystrophy during pregnancy is probably underestimated. Approximately one hundred cases have been reported. The hip joint is involved in 9 out of 10 cases. Such localizations are uncommon outside pregnancy, accounting for 14 to 17% of all cases.