Abstract：
UNASSIGNED: Transient Osteoporosis of the Hip is a self-limiting disorder of severe hip joint pain presenting in pregnancy or postpartum, of which magnetic resonance imaging (MRI) is the modality of choice for diagnosis. Clinical data regarding transient osteoporosis of the hip is limited, precluding evidence-based decision-making such as recommended mode of delivery. In this case-series retrospective study, we aim to describe the natural course of transient osteoporosis of the hip during pregnancy and the postpartum period including implications of the mode of delivery.
UNASSIGNED: All women diagnosed with unilateral/bilateral transient osteoporosis of the hip by MRI during pregnancy or postpartum between 2010 and 2019 at a single tertiary medical center were retrospectively studied. All MRI scans were reviewed by an experienced radiologist at the same single tertiary medical center. Data obtained from patients\' electronic medical records and telephone questionnaires included maternal baseline characteristics, obstetric history, and current pregnancy obstetric and clinical outcome characteristics. Outcomes of normal vaginal delivery (NVD) and cesarean delivery (CD) were compared and analyzed.
UNASSIGNED: Thirty-four women were diagnosed with unilateral or bilateral transient osteoporosis of the hip during pregnancy (17 women) and postpartum (17 women). The mean maternal age was 34.18 ± 4.75 years. A family history of osteoporosis was reported in a rate of 29.4%. The rate of smokers was 47.1%, 32.4% of pregnancies were conceived by in-vitro fertilization (IVF), pre-pregnancy and term body mass index (BMI) were 22.03 and 27.6, respectively. No significant differences were found between NVD and CD in all parameters evaluated. Of 15 women with a sequential pregnancy, two were diagnosed with transient osteoporosis of the hip (13.3%).
UNASSIGNED: Women diagnosed with transient osteoporosis of the hip had advanced maternal age, low BMI, family history of osteoporosis, prevalent smoking and IVF pregnancies. Transient osteoporosis of the hip was bilateral in 25% and presented postpartum in 50% of cases. There was no significant difference in maternal outcomes between NVD and CD. Higher awareness of this potential diagnosis during pregnancy and postpartum may improve patient management and outcomes.
UNASSIGNED: All women diagnosed with unilateral/bilateral transient osteoporosis of the hip by MRI during pregnancy or postpartum between 2010 and 2019 at a single tertiary medical center were retrospectively studied. All MRI scans were reviewed by an experienced radiologist at the same single tertiary medical center. Data obtained from patients\' electronic medical records and telephone questionnaires included maternal baseline characteristics, obstetric history, and current pregnancy obstetric and clinical outcome characteristics. Outcomes of normal vaginal delivery (NVD) and cesarean delivery (CD) were compared and analyzed.
UNASSIGNED: Thirty-four women were diagnosed with unilateral or bilateral transient osteoporosis of the hip during pregnancy (17 women) and postpartum (17 women). The mean maternal age was 34.18 ± 4.75 years. A family history of osteoporosis was reported in a rate of 29.4%. The rate of smokers was 47.1%, 32.4% of pregnancies were conceived by in-vitro fertilization (IVF), pre-pregnancy and term body mass index (BMI) were 22.03 and 27.6, respectively. No significant differences were found between NVD and CD in all parameters evaluated. Of 15 women with a sequential pregnancy, two were diagnosed with transient osteoporosis of the hip (13.3%).
UNASSIGNED: Women diagnosed with transient osteoporosis of the hip had advanced maternal age, low BMI, family history of osteoporosis, prevalent smoking and IVF pregnancies. Transient osteoporosis of the hip was bilateral in 25% and presented postpartum in 50% of cases. There was no significant difference in maternal outcomes between NVD and CD. Higher awareness of this potential diagnosis during pregnancy and postpartum may improve patient management and outcomes.
摘要：
未经证实：短暂性髋部骨质疏松是一种在妊娠或产后出现的严重髋关节疼痛的自限性疾病，其中磁共振成像（MRI）是诊断的首选方式。关于髋部短暂性骨质疏松症的临床数据有限，排除基于证据的决策，如推荐的交付方式。在这项病例系列回顾性研究中，我们的目的是描述妊娠期和产后髋关节短暂性骨质疏松症的自然过程，包括分娩方式的影响。
UNASSIGNED：回顾性研究了2010年至2019年在一家三级医疗中心的妊娠或产后通过MRI诊断为单侧/双侧髋关节短暂性骨质疏松症的所有女性。所有MRI扫描均由同一三级医疗中心的经验丰富的放射科医师进行审查。从患者的电子病历和电话问卷中获得的数据包括产妇基线特征，产科史,以及目前妊娠产科及临床结局特点。比较分析正常阴道分娩(NVD)与剖宫产(CD)的结局。
UNASSIGNED：34名妇女在怀孕期间（17名妇女）和产后（17名妇女）被诊断为单侧或双侧髋部短暂性骨质疏松症。产妇平均年龄为34.18±4.75岁。有骨质疏松家族史的比率为29.4%。吸烟者的比例为47.1%,32.4％的怀孕是通过体外受精（IVF）怀孕的，孕前和足月体重指数（BMI）分别为22.03和27.6。在所有评估的参数中，NVD和CD之间均未发现显着差异。在连续怀孕的15名妇女中，其中2例诊断为髋部短暂性骨质疏松(13.3%).
未经证实：被诊断为暂时性髋部骨质疏松症的女性高龄，低BMI,骨质疏松家族史,普遍吸烟和IVF怀孕。髋关节的暂时性骨质疏松症在25％的情况下是双侧的，在50％的情况下是产后的。NVD和CD之间的母体结局没有显着差异。在怀孕和产后期间对这种潜在诊断的更高认识可能会改善患者管理和结果。
UNASSIGNED：回顾性研究了2010年至2019年在一家三级医疗中心的妊娠或产后通过MRI诊断为单侧/双侧髋关节短暂性骨质疏松症的所有女性。所有MRI扫描均由同一三级医疗中心的经验丰富的放射科医师进行审查。从患者的电子病历和电话问卷中获得的数据包括产妇基线特征，产科史,以及目前妊娠产科及临床结局特点。比较分析正常阴道分娩(NVD)与剖宫产(CD)的结局。
UNASSIGNED：34名妇女在怀孕期间（17名妇女）和产后（17名妇女）被诊断为单侧或双侧髋部短暂性骨质疏松症。产妇平均年龄为34.18±4.75岁。有骨质疏松家族史的比率为29.4%。吸烟者的比例为47.1%,32.4％的怀孕是通过体外受精（IVF）怀孕的，孕前和足月体重指数（BMI）分别为22.03和27.6。在所有评估的参数中，NVD和CD之间均未发现显着差异。在连续怀孕的15名妇女中，其中2例诊断为髋部短暂性骨质疏松(13.3%).
未经证实：被诊断为暂时性髋部骨质疏松症的女性高龄，低BMI,骨质疏松家族史,普遍吸烟和IVF怀孕。髋关节的暂时性骨质疏松症在25％的情况下是双侧的，在50％的情况下是产后的。NVD和CD之间的母体结局没有显着差异。在怀孕和产后期间对这种潜在诊断的更高认识可能会改善患者管理和结果。
