Zusammenfassung
Die transiente Osteoporose gilt als eine seltene Komplikation in der Schwangerschaft
und ist bei Auftreten meist regional in den Hüften lokalisiert. Hüft- oder Kreuzschmerzen
sind hingegen in der Schwangerschaft keine Rarität. Oftmals wird diesen Beschwerden
nicht weiter nachgegangen, insbesondere auch deshalb, da sie einerseits meist transient
sind und die weiteren Abklärungsmethoden entweder invasiv oder sehr kostspielig sind
oder aber mit einer Strahlenbelastung einhergehen. Trotzdem sollte bei persistierenden
Beschwerden eine Abklärung mittels Kernspintomographie erfolgen, da bei weiterer Belastung
die Gefahr von pathologischen Frakturen besteht. Bei der Häufigkeit der Beschwerden
liegt der Verdacht nahe, dass in milderen Fällen eine schwangerschaftsassoziierte
Osteoporose weitaus häufiger auftritt als bisher angenommen wurde. Dies ist ein Bericht
über zwei Fälle von transienter schwangerschaftsassoziierter Osteoporose.
Abstract
Transient osteoporosis is thought to be a rare complication in pregnancy and on its
clinical appearance it is most often located in the hips. Although hip- and backpain
are not rare during pregnancy. Often these complaints are not further examined most
times because they are on the one hand transient and on the other hand the follow-up
needs invasive, expensive or radiologic methods which are contraindicated during pregnancy.
Nevertheless persistent complaints should be followed-up by MRT since ongoing weight
bearing keeps the danger of pathological fractures. Keeping the frequency of the typical
complaints during pregnancy in mind it seems to be likely that pregnancy associated
osteoporosis in minor clinical appearances might often be mistaken. This is a report
on two cases of pregnancy associated osteoporosis.
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Dr. Kristina Lübbe
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