Musacchio Estella, Sartori Leonardo
Department of Medicine DIMED, Clinica Medica 1, University of Padova, via Giustiniani 2, 35128 Padova, Italy.
Case Rep Womens Health. 2020 Mar 19;26:e00190. doi: 10.1016/j.crwh.2020.e00190. eCollection 2020 Apr.
The management of pregnancy-associated femoral necrosis is controversial. Conservative management may eventually lead to hip replacement.
A 40-year-old woman developed necrosis of the left hip during her first pregnancy. Treatment with zoledronic acid three months after delivery resulted in rapid reduction of the necrotic area. The patient's second pregnancy shortly afterwards had no complications. A magnetic resonance scan three years later documented complete resolution.
Femoral head necrosis should be suspected in the differential diagnosis of pain in pregnancy. Zoledronic acid given in the early stages prevented progression to hip arthritis in this case.
妊娠相关股骨头坏死的治疗存在争议。保守治疗最终可能导致髋关节置换。
一名40岁女性在首次怀孕期间出现左髋坏死。产后三个月使用唑来膦酸治疗，坏死面积迅速缩小。此后不久患者再次怀孕，未出现并发症。三年后的磁共振扫描显示完全恢复。
在妊娠疼痛的鉴别诊断中应怀疑股骨头坏死。在本例中，早期给予唑来膦酸可防止发展为髋关节炎。
