Unusual Presentation of Hip Pain in a Pregnant Woman Due to Bilateral Cervical Neck Stress Fractures: A Case Report

JBJS Case Connect. 2024 Apr 18;14(2). doi: 10.2106/JBJS.CC.23.00298. eCollection 2024 Apr 1.

Abstract

Case: We present an unusual case of bilateral femoral neck fatigue fractures in a 28-year-old pregnant woman at the 18th week of gestation successfully treated through operative intervention involving consecutive total hip arthroplasty and internal fixation within the same procedure, resulting in favorable clinical outcomes.

Conclusion: Current clinical practices suggest that a restricted use of plain radiographs, even those involving the pelvis in pregnant women carries a minimal risk to the fetus and is not contraindicated. Magnetic resonance imaging proved valuable for differential diagnosis, contrasting with sonography.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arthralgia
  • Female
  • Femoral Neck Fractures* / complications
  • Femoral Neck Fractures* / diagnostic imaging
  • Femoral Neck Fractures* / surgery
  • Fractures, Stress* / complications
  • Fractures, Stress* / diagnostic imaging
  • Fractures, Stress* / surgery
  • Hip / pathology
  • Humans
  • Pain
  • Pregnancy
  • Pregnant Women