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Bilateral osteonecrosis of the femoral head after pregnancy
VANDENBUSSCHE E; MADHAR M; NICH C; ZRIBI W; ABDALLAH T; AUGEREAU B
ARCH ORTHOP TRAUMA SURG , 2005, vol. 125, n° 3, p. 201-203 Doc n°: 119738 Localisation : Documentation IRR Descripteurs : DE353 - OSTEONECROSE DE LA TETE FEMORALE Published cases of non-traumatic avascular necrosis of the femoral head associated with pregnacy 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 pregnacy in previous cases is reviewed. Langue : ANGLAIS Tiré à part : OUI |
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