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Rehabilitation Practice and Science

Translated Title

懷孕期間髖關節一過性骨質疏鬆症：病例報告

Abstract

Transient osteoporosis, also called ”bone marrow edema syndrome”, is a rare disorder of unknown etiology. It primarily affects women in the third trimester of pregnancy as well as middle-aged, overweight men, and the hip joint is most commonly involved. The main symptom of transient osteoporosis of the hip is a sudden onset of pain at the lateral aspect of the hip. Mild limitation of hip range of motion is often present. A 36-year-old woman presented to our outpatient department 5 weeks after cesarean section with bilateral hip pain, which had begun suddenly during her eighth month of pregnancy. Magnetic resonance imaging of the pelvis revealed marked bone marrow edema at both femoral heads and necks. According to history, physical examination and image findings, transient osteoporosis of the hip was diagnosed.Bone densitometry revealed osteopenia. The patient was begun on a regimen of analgesic medication and physical therapy, and she resumed ambulation 3 months after the cesarean section. Arriving at an accurate diagnosis of this disorder requires ruling out other possible causes of hip pain, including avascular necrosis, stress fracture of the femoral neck, and neoplasia. Early diagnosis is important to prevent possible complications such as fracture.

Language

English

First Page

131

Last Page

137

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