[Transient osteoporosis of the hip in pregnancy. Report of three cases (author's transl)]

Abstract

Three cases of transient osteoporosis of the hip in pregnant women are reported, and compared with 13 similar observations, published in world literature. The disease occurs during second half of pregnancy, revealed byrnotion hip pain, and slight limitation of mobility. On radiography, the femoral head and acetabulum are radiolucent and heterogenous. These modifications may be impressive but careful analysis of X rays rules out coxitis or malignant osteolysis. Major functional disturbance is common but the course of pregnancy and delivery is not impaired. Healing, without sequelae, occurs in a few months. Before delivery, attention should be paid to the fetal risk when prescribing X rays examinations or drug treatment. Pathogeny is unclear; the role of nerve or vein compression by the pregnant womb is discussed.