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Transient Osteoporosis of the Hip in Pregnancy

From the Department of Obstetrics and Gynecology, Baylor College of Medicine. 1200 Moursund Ave, Houston, Texas

Abstract

Transient hip demineralization of pregnancy is described in a 33-year-old female. The reasons for labeling this disease a discrete entity, separate from generalized osteoporosis and osteomalacia, are discussed, and the reported cases of transient osteoporosis are reviewed. Of 31 cases of transient osteoporosis limited to the hip described in the literature, only 8 have involved females. Including the patient herein reported, pregnancy has been associated in 6 of those 8 females. Severe bilateral hip pain began shortly before or during the third trimester in each patient. The idiopathic nature of the disease is stressed, and urinary hydroxyproline is offered as a method to facilitate diagnosis. Treatment is supportive.

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