妊娠和哺乳期骨质疏松症患者桡骨远端扣骨骨折:病例报告与文献综述

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摘要

目的:妊娠和哺乳期相关性骨质疏松症(PLO)是一种罕见的疾病,多发于妊娠三个月和/或哺乳期。许多妊娠和哺乳期骨质疏松症病例都伴有髋部骨折和/或椎体压缩性骨折,而桡骨远端骨折却鲜有报道:病例报告:一名 30 岁的患者在第二次怀孕产后 4 个月时发生了 Buckle 骨折。她接受了保守治疗。在她第一次和第二次怀孕期间,骨科和风湿免疫科都对她进行了PLO复查:医生和患者将受益于对 PLO 的更多认识,以避免因微小创伤导致孕妇腰部/臀部疼痛和骨折而漏诊。准确的诊断和个性化的治疗将有助于疼痛的缓解和功能的恢复。
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Buckle Fracture of the Distal Radius in Pregnancy and Lactation- Associated Osteoporosis: A Case Report and Literature Review
Objective: Pregnancy and lactation-associated osteoporosis (PLO) is a rare disease which occurs in the third trimester of pregnancy and/or during the lactation period. Many cases of PLO are associated with hip fractures and/or vertebral compression fractures, while distal radius fractures are rarely reported. Case Report: A 30-year-old patient presented with a Buckle fracture four months post-partum of her second pregnancy. She was managed conservatively. She was reviewed during her first and second pregnancy by both the orthopaedic and rheumatology for PLO. Conclusion: Doctors and patients will benefit from having more awareness of PLO to avoid missed diagnosis in pregnant women suffering from low back/hip pain and fractures caused by micro trauma. Accurate diagnosis and individualised treatment will aid in optimised pain relief and functional recovery.
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