Transient Osteoporosis of the Hip in Non-Pregnant Woman

Amelia De Almeida¹*,Marco Sousa², Cristina Oliveira³ and Pedro Cardoso⁴

Received: April 13, 2018;   Published: April 24, 2018

DOI: 10.26717/BJSTR.2018.04.000994

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Abstract

Introduction: Transient osteoporosis of the hip is an uncommon condition characterized by pain in the hip and pronounced osteopenia of the femoral head and neck. TOH is a self- limiting condition typically associated with the third trimester of the pregnancy. The authors present a case of transient osteoporosis of the hip that was complicated by a pathologic neck fracture.

Case Report: A 26-year-old woman, non-pregnant, was present with a history of right hip pain after minor trauma. Radiographs showed fracture of right neck femur and a severe osteopenia. She underwent closed reduction and internal fixation of the right hip without complications. In follow-up at 3 months, the patients referred hip pain and the radiography showed non-union fracture. Before excluded diagnosis of oncologic disease, she was submitted a new surgery. In follow up at 4 years, the hip pain and limited mobility in right hip was persisting.

Discussion: Although pathological fractures are rare, they are the most serious consequence of TOH. In most cases this condition is selflimited with a completed recovery. This case is very rare because the hip fracture as consequence of TOH is uncommon, it is a no pregnant woman and the patient didn´t have complete recovery.

Abbreviations: TOH: Transient Osteoporosis of the Hip; BMI: Body Mass Index; CT: Computed Tomography Scan

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