Cheng N, Burssens A, Mulier J C
Arch Orthop Trauma Surg (1978). 1982;100(3):199-210. doi: 10.1007/BF00442735.
Nine cases in the literature and seven patients in our series with hipache due to avascular necrosis of the femoral head have been reviewed. The onset of symptoms is related to pregnancy. The high adenocortical activity during pregnancy is invoked as a possible explanation of pregnancy avascular necrosis of the femoral head. Maternal parathyroid gland hyperplasia and the elevated parathyroid hormone during pregnancy may play an additional adverse effect on bones. Mechanical stress, due to a difficult labour or excessive weight gain during the last trimester of pregnancy, may be another aetiological factor.
我们回顾了文献中的9例以及我们系列研究中的7例因股骨头缺血性坏死导致髋关节疼痛的患者。症状的发作与妊娠有关。妊娠期高肾上腺皮质活性被认为是妊娠性股骨头缺血性坏死的一种可能解释。妊娠期母体甲状旁腺增生及甲状旁腺激素升高可能对骨骼产生额外的不良影响。分娩困难或妊娠晚期体重过度增加所导致的机械性压力可能是另一个病因。
