Hip joint pathology in pregnant women


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. To establish the nature and frequency of the main symptoms of hip joint pathology in pregnant women. Subjects and methods. A clinical trial was conducted in 42 pregnant women with coxarthrosis. The women’s mean age was 28.5 years. 69 hip joints were detected to be affected in 42 pregnant women. In addition to clinical status, medical documents, such as discharge epicrises, X-ray films, and computed tomography scans, were investigated in the examinees. Results. The clinical symptomatology of diseases showed a preponderance of pain syndrome (92.85% of the clinical cases). The pregnant women were less commonly diagnosed with soft tissue (40.47%) and bone (28.57%) asymmetries of the trunk and pelvis, shortening of one leg (30.95%), contracture (73.8%), and claudication in walking (21.42%). Conclusion. Pregnancy in women with hip joint diseases should be managed jointly by an obstetrician/gynecologist and an orthopedist.

Full Text

Restricted Access

About the authors

Evgeniy Gennadievich Skryabin

Tyumen State Medical University, Ministry of Health of Russia

Email: skryabineg@mail.ru
MD, Professor of the Department of Traumatology and Orthopedics with a course of children’s traumatology

Tatyana Petrovna Shevlyukova

Tyumen State Medical University, Ministry of Health of Russia

Email: tata2l.0I@mail.ru
MD, Professor of the Department of Obstetrics and Gynecology

Irina Ivanovna Kukarskaya

Tyumen State Medical University, Ministry of Health of Russia

Email: kukarskaya@mail.ru
MD, head of the department. Department of Obstetrics and Gynecology, Faculty of Advanced Training of Physicians

Maria Nikolaevna Mitrofanova

Tyumen State Medical University, Ministry of Health of Russia

Email: mitmasha@yandex.ru
a student

References

  1. Oner A., Koksal A., Sofu H., Aykut U.S., Yildirim T., Kaygusuz M.A. The prevalence of femoroacetabular impingement as an etiologic factor for endstage degenerative osteoarthritis of the hip joint: analysis of 1000 cases. Hip Int. 2016; 26(2): 164-8. doi: 10.5301/hipint.5000323.
  2. Wang Y., Teichtahl A.J., Cicuttini F.M. Osteoarthritis year in review 2015: imaging. Osteoarthritis Cartilage. 2016; 24(1): 49-57. doi: 10.1016/j. joca.2015.07.027.
  3. Constantinou M., Loureiro A., Carty C., Mills P., Barrett R. Hip joint mechanics during walking in individuals with mild-to-moderate hip osteoarthrosis. Gait Posture. 2017; 53: 162-7. doi: 10.1016 /j.gaitpost.2017.01.017.
  4. Pun S. Hip dysplasia in the young adult caused by residual childhood and adolescent-onset dysplasia. Curr. Rev. Muskuloskelet. Med. 2016; 9(4): 42734. doi: 10.1007/s12178-016-9369-0.
  5. Rehart S., Henniger M. Juvenile rheumatoid disease: endoprosthetic care of destroyed hip joints. Orthopade. 2015; 44(7): 531-7. doi: 10.1007/s00132-015-3095-y.
  6. Saberi Hosnijeh F., Zuiderwijk M.E., Versteeg M., Smeele H.T., Hofman A., Uitterlinden A.G. et al. Cam deformity and acetabular dysplasia as risk factors for hip osteoarthritis. Arthritis Rheumatol. 2017; 69(1): 86-93. doi: 10.1002/ art.39929.
  7. Аксельров М. А., Слизовский Г.В., Ситко Л.А. Регенеративное криовоздействие при асептическом некрозе головки бедренной кости у детей. Медицинская наука и образование Урала. 2016; 17(4): 58-60.
  8. Zoga A.C., Hegazi T.M., Roedi J.B. Algorithm for imaging the hip in adolescents and young adults. Radiol. Clin. North Am. 2016; 54(5): 913-30. doi: 10.1016/j.rcl.2016.05.016.
  9. Lenzlinger-Asprion R., Keller N., Meichtry A., Luomajoki H. Intertester and intratester reliability of movement control tests on the hip for patients with hip osteoarthritis. BMC Muskuloskelet. Disord. 2017; 18(1): 55. doi: 10,1186 /s12891-017-1388-5.
  10. Ponnapula P., Boberg J.S. Lower extremity changes experienced during pregnancy. J. Foot Ankle Surg. 2010; 49(5): 452-8. doi: 10,1053/j. jfas.2010.06.018.
  11. Kanakaris N.K., Roberts C.S., Giannoudis P.V. Pregnancy-related pelvic gridle pain: an update. BMC Med. 2011; 9: 15. doi: 10,1186/1741-7015-9-15.
  12. Bernstein P., Kirschner S., Kittner T., Witzleb W.C. Necrosis of the femoral head in late pregnancy. Necessity of early diagnosis. Orthopade. 2006; 35(12): 1261-4. doi: 10.1007/s00132-006-1020-0.15.
  13. Скрябин Е.Г., Винокурова Е.А., Задубина М.А. Функциональное состояние оперированных тазобедренных суставов у женщин в период беременности. В. кн.: Избранные вопросы хирургии тазобедренного сустава. Сборник научных статей. СПб.: Российский ордена Трудового Красного Знамени научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена; 2016: 138-42.
  14. Truszczynska A., Walczak P., Rapala K. Transient peripartum osteoporosis of the femoral head in first and third pregnancy. J. Clin. Densitom. 2012; 15(4): 467-71. doi: 10.101016/j.jocd.2012.02.010.
  15. Smith M.W., Marcus P.S., Wurtz L.D. Orthopedic issues in pregnancy. Obstet. Gynecol. Surv. 2008; 63(2): 103-11. doi: 10.1097/OGX. 0b013e318160161c.
  16. Диспластический коксартроз на фоне врожденного вывиха бедра и другие диспластические коксартрозы. Клинические рекомендации. СПб.; 2013. 26с.
  17. Белова А.Н., Щепетова О.Н., ред. Шкалы, тесты и опросники в медицинской реабилитации. М.: Антидор; 2002. 440с.
  18. Башуров З.К. Фридрих Тренделенбург и симптом Тренделенбурга. Травматология и ортопедия России. 2010; 4: 111-5. doi: 10.21823/23112905-2010-0-4-111-115.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies