Arch Orthop Trauma Surg. 2005 Apr;125(3):201-3. Epub 2005 Feb 19.

Bilateral osteonecrosis of the femoral head after pregnancy.

Vandenbussche E, Madhar M, Nich C, Zribi W, Abdallah T, Augereau B.

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Department of Orthopaedic Surgery, Georges Pompidou European Teaching Hospital, Necker University, 20 Rue Le Blanc, 75908 Paris Cedex 15, France. eric.vdb@egp.ap-hop-paris.fr

Abstract

Published cases of non-traumatic avascular necrosis of the femoral head associated with pregnancy are rare. We report a case of a 41-year-old woman who suddenly complained of bilateral hip pain 3 weeks after delivery by Caesarean section. For a problem of sterility, she had been treated with human menopausal gonadotropin and human chorionic gonadotropin (hMG-hCG). Initial radiographs of both hip joints were considered regular. After 4 years' evolution, radiographs of the hip joint showed collapse of both femoral heads. Bilaterally, osteonecrosis of the femoral heads was confirmed by MRI. MRI revealed a band pattern of low signal intensity for both hips on T1- and T2-weighted images. She had no history of steroid therapy or alcohol abuse. Osteonecrosis was related to pretentaine. A bilateral total hip arthroplasty was performed. The literature about avascular necrosis of the femoral head associated with pregnancy in previous cases is reviewed.

PMID:: 15723194; [PubMed - indexed for MEDLINE]

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