一名健康孕妇的髋关节缺血性坏死：病例报告及文献综述
Hip avascular necrosis in a healthy pregnant woman: A case report and review of literature.
作者信息
Mouchantaf Mark E, Freiha Kinan F, Moussa Mohamad K, Asfour Ali H, Yahchouchi Christine, Moussallem Charbel D
机构信息
Orthopedic surgery, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon.
Orthopedic surgery, Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon.
出版信息
Int J Surg Case Rep. 2021 Aug;85:106197. doi: 10.1016/j.ijscr.2021.106197. Epub 2021 Jul 15.
BACKGROUND
Hip pain during pregnancy is very common, but hip avascular necrosis represents a very rare entity.
CASE REPORT
We report a rare case of a healthy30-year-old female patient pregnant with twins, that suffered right hip avascular necrosis in the peripartum period, her symptoms were initially neglected as a benign cause of hip pain, this led to aggressive treatment at a young age.
DISCUSSION
With less than 100 cases reported in the literature, pregnancy is not a well-known risk factor for femoral head avascular necrosis and it should be differentiated from one of the more common hip pathologies in pregnancy which is the so-called "Pelvic pain syndrome" and transient osteoporosis of the hip.
CONCLUSION
Having a high index of suspicion and low threshold for MRI imaging in a pregnant woman with hip pain is a must to prevent such complications.
背景
孕期髋部疼痛非常常见，但髋部缺血性坏死是一种非常罕见的情况。
病例报告
我们报告了一例罕见病例，一名健康的30岁怀有双胞胎的女性患者，在围产期发生了右髋部缺血性坏死，其症状最初被忽视，被认为是髋部疼痛的良性原因，这导致了在年轻的时候就进行了积极的治疗。
讨论
文献报道的病例少于100例，妊娠并非股骨头缺血性坏死的常见危险因素，应将其与孕期更常见的髋部病变之一，即所谓的“骨盆疼痛综合征”和髋部短暂性骨质疏松症相鉴别。
结论
对于有髋部疼痛的孕妇，必须保持高度的怀疑指数并降低进行MRI成像检查的阈值，以预防此类并发症。
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