Transient Osteoporosis of the Hip, Complicated by a Femoral Neck Fracture

N. Gheorghiu, H. Orban, V. Cristescu, D. Popescu

Abstract: Transient osteoporosis of pregnancy (TOP), usually associated with the third trimester, is a rare condition, characterized by an initial osteopenia that can lead to regional osteoporosis involving the hip. This, in turn, can be complicated by a hip fracture, occurring just before delivery. The management of this type of situations is complex, and the decision must involve the obstetrician, the anesthetist and the patient, as well as the orthopedic surgeon. Treatment options must be carefully assessed, due to the fact that the indication of treatment may change from one week to another. Early diagnosis, using imaging techniques, is of utmost importance.
Keywords: osteoporosis, fracture, pregnancy