Murat BEZER, Kemal GÖKKUŞ, Barış KOCAOĞLU, Bülent EROL, Osman GÜVEN

Gebelikte geçici kalça osteoporozu: Üç Olgu sunumu

Geçici kalça osteoporozu (GKO), etyolojisi halen tam ola-rak ortaya konamamış nadir bir hastalıktır. Genellikle orta yaş grubundaki erkeklerde ve üçüncü trimester gebelerde kalça ağrısıyla seyreden bu durum kendiliğinden iyileşir. Gebeliklerinin üçüncü trimesterinde başlayan tek taraflı kalça ağrısı nedeniyle başvuran üç hastaya klinik muayene ve radyolojik incelemeler sonucunda GKO tanısı kondu. Tüm hastalara ilk bir ay tam yatak istirahati, ardından klinik düzelme tamamlanana kadar koltuk değneği ile hareket önerildi. Ek olarak, üç ay süreyle non-steroidal antienflamatuvar ilaç (diklofenak sodyum, 100 mg/gün) uygulandı. Hastalar klinik ve radyolojik açıdan en az 24 ay süreyle izlendi. Klinik düzelme bir hastada tedavinin başlangıcından sonra üçüncü ayda, iki hastada ise altıncı ayın sonunda tamamlandı. Radyolojik iyileşmenin tamamlanması ise tüm hastalarda 12. ayın sonuna kadar devam etti.

Anahtar Kelimeler:

Osteoporoz, Kalça eklemi, Gebelik komplikasyonları

Transient osteoporosis of the hip in pregnancy: A report of three cases

Transient osteoporosis of the hip is a rare disease of unknown etiology. It is usually seen in middle-aged men and women in the third trimester of pregnancy and is associated with hip pain. It typically runs a benign course with eventual resolution of symptoms. We report three patients who presented with unilateral hip pain that started in the third trimester of pregnancy. Diagnosis of transient osteoporosis of the hip was made with the help of clinical and radiologic studies. Treatment was comprised of pain control therapy with diclofenac sodium (100 mg/day) for three months, bed rest for a month followed by mobilization with a walking aid. The follow-up period was at least 24 months. Clinical improvement occurred in the third month in one patient, and at the end of six months in the remaining patients. Complete radiologic improvement was seen at the end of 12 months.

Keywords:

Osteoporosis, Hip Joint, Pregnancy Complications,

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