Open AccessAtraumatic Displaced Femoral Neck Fracture Postpartum: A Case Report and Review of the Literature
Author(s) -
Samantha Tayne,
David Fralinger,
Arif Ali
Publication year - 2019
Publication title -
journal of the american academy of orthopaedic surgeons. global research and reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.358
H-Index - 2
ISSN - 2474-7661
DOI - 10.5435/jaaosglobal-d-19-00037
Subject(s) - medicine , femoral head , femoral neck , surgery , pregnancy , radiology , osteoporosis , pathology , biology , genetics
Hip pathology during pregnancy may include transient osteoporosis of the hip or osteonecrosis associated with pregnancy. Rarely, hip pathology during pregnancy may result in a fragility fracture or advanced collapse of the femoral head, necessitating surgical treatment. We present a case of a 32-year-old woman who postpartum was found to have a displaced right femoral neck fracture and an area of focal edema in the left femoral head with mild flattening of the articular surface. She was successfully treated with a total hip arthroplasty on the right, and a follow-up MRI of the left hip showed near-complete resolution of the edema in the femoral head. This case underlines the importance of maintaining a clinical suspicion for pathology of the hip during pregnancy and the subsequent consequences of a missed diagnosis.