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妊娠期间继发于短暂性骨质疏松症的双侧股骨颈头下型骨折:一例报告

Bilateral subcapital femoral neck fractures secondary to transient osteoporosis during pregnancy: a case report.

作者信息

Emami Mohammad Jafar, Abdollahpour Hamid Reza, Kazemi Ali Reza, Vosoughi Amir Reza

机构信息

Research Center for Bone and Joint Diseases, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Orthop Surg (Hong Kong). 2012 Aug;20(2):260-2. doi: 10.1177/230949901202000227.

Abstract

Transient osteoporosis during pregnancy is a rare, self-limiting disease. We report on a 36-year-old woman who had bilateral subcapital femoral neck fractures during the 6th month of pregnancy. The diagnosis was made 4 days after delivery, because radiography was declined by the patient for fear of radiation. Fixation was not feasible owing to bone resorption, and 2-stage bipolar hemiarthroplasty was therefore performed. Magnetic resonance imaging is the best non-invasive investigative tool for pregnant women with hip pain. Early detection can prevent complications and resorting to major surgeries.

摘要

妊娠期短暂性骨质疏松症是一种罕见的自限性疾病。我们报告了一名36岁女性,她在怀孕6个月时发生双侧股骨颈基底部骨折。产后4天作出诊断,因为患者因担心辐射而拒绝进行X线摄影。由于骨质吸收,无法进行内固定,因此实施了两期双极半髋关节置换术。磁共振成像对于有髋部疼痛的孕妇是最佳的非侵入性检查工具。早期检测可预防并发症并避免进行大型手术。

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