2021-11-27T08:15:13Z https://www.theskygallerypattaya.com/oai/oai.php oai:theskygallerypattaya.com:10.29328/journal.ascr.1001058 2021-04-02 HJSR:VOL5 Bilateral transient osteoporosis of the hip with unilateral fracture in a 40 years old pregnant woman Sheila Shytaj Vanna Bottai Fabio Cosseddu Roberta Cifali Silvia De FrancoMichelangelo Scaglione<h2>Summary</h2><p>Purpose: Some physiological events in women’s life such as pregnancy and lactation can be associated to a condition known as Transient Osteoporosis of the Hip (TOH); if not promptly diagnosed it can lead to significant consequences such as femoral neck fracture. In this paper we describe a case of bilateral TOH, focusing on the importance of early treatment and how it influenced the outcome.</p><p>Methods: A 40 years old post-delivery woman came to our attention for hip pain and a left femoral neck fracture was diagnosed. Magnetic resonance (MRI) showed bilateral edema of the femoral head. She underwent total hip replacement on the left side; toe-touch weight bearing and pharmacological therapy were prescribed for the right hip.</p><p>Results: MRI at nine months showed complete regression of the femoral head and neck edema; the patient was clinically asymptomatic.</p><p>Conclusion: If not promptly diagnosed and treated, TOH can potentially evolve in fracture. Many therapeutic strategies have been suggested since now; we believe that avoiding weight bearing on the involved hip as early as possible is the key to recovery.</p> Archives of Surgery and Clinical Research - Heighten Science Publications Corporation 2021-04-02 Case Reporthttps://www.theskygallerypattaya.com/hjsr/ascr-aid1058.phpenCopyright © Sheila Shytaj et al.