Archives of Orthopaedic and Trauma Surgery

, Volume 128, Issue 3, pp 313–316

Bilateral non-traumatic acetabular and femoral neck fractures due to pregnancy-associated osteoporosis

  • Osman Aynaci
  • Servet Kerimoglu
  • Cagatay Ozturk
  • Metehan Saracoglu
Trauma Surgery

DOI: 10.1007/s00402-007-0439-z

Cite this article as:
Aynaci, O., Kerimoglu, S., Ozturk, C. et al. Arch Orthop Trauma Surg (2008) 128: 313. doi:10.1007/s00402-007-0439-z

Abstract

Pregnancy-associated osteoporosis is a rare disorder and its pathophysiology remains unknown. We report a case of pregnancy-associated osteoporosis in a 27-year-old primiparous patient who revealed bilateral hip pain during early postnatal period. The plain radiographs and computarized tomography showed bilateral femoral neck and asetabular fractures. The diagnosis of osteoporosis was established by bone mineral density. Diagnostic work-up excluded a secondary osteoporosis. The case was treated successfully by bilateral cementless total hip arthroplasty. Bone mineral density increased after 2 years of treatment with calcium–vitamin D, calcitriol and alendronate. Diagnosis of pregnancy-associated osteoporosis should be suspected when hip pain occurs during pregnancy or in the post-partum period as it can lead to acetabular and femoral neck fractures.

Keywords

OsteoporosisPregnancyFracture

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Osman Aynaci
    • 1
  • Servet Kerimoglu
    • 1
  • Cagatay Ozturk
    • 2
  • Metehan Saracoglu
    • 1
  1. 1.Department of Orthopedic SurgeryKaradeniz Technical University Medical SchoolTrabzonTurkey
  2. 2.Istanbul Science University Medical School, Florence Nightingale HospitalIstanbulTurkey