Myllynen P, Mäkelä A, Kontula K
Department of Orthopedics and Traumatology, Helsinki University Central Hospital, Finland.
Obstet Gynecol. 1988 Mar;71(3 Pt 2):495-8.
Two patients are presented with rare aseptic osteonecrosis of the femoral head appearing during the last trimester of pregnancy. Both patients suffered from increasing pain in one hip joint, beginning about one month before parturition. Radiographs demonstrated local osteoporotic changes of the femoral head on the painful side. Needle aspiration of the hip joint yielded a scant amount of clear, sterile synovial fluid and gave prompt relief of pain in both cases. The patients' history did not demonstrate any predisposing factors to osteonecrosis other than pregnancy. Treatment comprised omission of weight-bearing on the affected lower extremity for a month or two. The patients had completely recovered one year postpartum, and radiographs were normal.
本文报告了两名患者，她们在妊娠晚期出现了罕见的无菌性股骨头坏死。两名患者均在分娩前约一个月开始出现一侧髋关节疼痛加剧。X线片显示疼痛侧股骨头有局部骨质疏松改变。髋关节穿刺抽出少量清亮、无菌的滑液，两名患者的疼痛均立即缓解。除妊娠外，患者病史未显示任何股骨头坏死的诱发因素。治疗包括患侧下肢一两个月不负重。两名患者产后一年完全康复，X线片正常。
