AI Article Synopsis

  • Pregnancy- and lactation-associated osteoporosis (PLAO) is a rare condition that can lead to severe back pain during pregnancy and after childbirth, as demonstrated in a case report of a 19-year-old woman.
  • The patient experienced intense back pain and difficulty walking, which was linked to multiple compression fractures and bone issues seen in imaging tests.
  • Early diagnosis of PLAO is crucial to prevent serious complications, including vertebral fractures, highlighting the need for awareness among healthcare providers.

Article Abstract

Introduction: Pregnancy- and lactation-associated osteoporosis (PLAO) is a rare cause of back pain during pregnancy and puerperium. We report a rare case of PLAO with subchondral fracture of the femoral head.

Case Report: A 19-year-old second gravida presented with severe back pain and an inability to ambulate due to pain in the right buttock during the puerperium. The pain started during the last trimester and was aggravated after delivery. Her radiogram showed multiple compression fractures with osteopenia in the dorsolumbar spine. A magnetic resonance imaging scan of the pelvis showed bone marrow edema with subchondral fracture involving the right femoral head. A diagnosis of PLAO was made thorough investigations and excluding other possibilities.

Conclusion: PLAO is a rare cause of back pain. Subchondral fracture of the femoral head is an extremely rare occurrence in PLAO. A high index of suspicion is needed for its diagnosis. Early diagnosis and treatment are essential to avoid complications such as vertebral fractures.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10823825PMC
http://dx.doi.org/10.13107/jocr.2024.v14.i01.4136DOI Listing

Publication Analysis

Top Keywords

subchondral fracture
16
fracture femoral
12
femoral head
12
plao rare
8
rare pain
8
rare
5
plao
5
pain
5
pregnancy-associated osteoporosis
4
osteoporosis rare
4

Similar Publications

Subchondral insufficiency fracture of the knee.

Orthopadie (Heidelb)

January 2025

Department of Orthopedic Surgery, Mayo Clinic, 200 First St. SW, 55905, Rochester, MN, USA.

Subchondral insufficiency fractures of the knee (SIFK) are a relatively common cause of knee pain, particularly in middle-aged and older adults. The SIFK is a type of stress fracture that occurs when excessive and repetitive or supraphysiologic loads are applied to subchondral bone [1]. Historically, this type of fracture was termed spontaneous osteonecrosis of the knee (SONK) until advances in MRI identified underlying fractures as well as meniscal deficiency as likely attributable etiologies.

View Article and Find Full Text PDF

A generalized objective CT-based method for quantifying articular fracture severity.

J Biomech

November 2024

Department of Orthopedics and Rehabilitation, The University of Iowa, United States; Department of Biomedical Engineering, The University of Iowa, United States; Department of Industrial and Systems Engineering, The University of Iowa, United States.

A CT-based method for objectively assessing fracture severity was previously developed and validated to address poor reliability in existing subjective fracture classification systems. The method involved quantifying the energy involved in creating a fracture. However, clinical utility of the method was hindered by reliance upon an intact contralateral CT and lengthy analysis time (8-10 h).

View Article and Find Full Text PDF

Objectives: This study was to evaluate the radiological and clinical outcomes of patients with juxta-articular giant-cell tumors (GCTs) around the knee treated with bone cement filling and internal fixation after extensive curettage.

Patients And Methods: A total of 15 patients (6 males, 9 females; mean age: 35.3±8.

View Article and Find Full Text PDF

Osteochondral lesions of the talus are chondral lesions affecting the subchondral bone mostly due to acute ankle trauma, including either sprains or fractures. After failure of conservative treatment, operative treatment is necessary, with different surgical techniques described in the literature. We describe a single-step osteochondral autograft transfer to access the medial talar dome lesion that avoids the need for a medial malleolar osteotomy and therefore eliminates morbidity while reducing operative time.

View Article and Find Full Text PDF
Article Synopsis
  • The study compared outcomes of unicompartmental knee arthroplasty (UKA) in patients with and without medial meniscus posterior root tears (MMPRTs), analyzing 68 patients using preoperative MRI.
  • Patients with MMPRTs were significantly younger and had a shorter time from symptom development to surgery, while showing better postoperative pain scores after UKA compared to those without MMPRTs.
  • The duration from the onset of symptoms to surgery was a significant factor affecting postoperative pain levels for patients undergoing UKA.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!