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4 . 2024

Clinical case of non-traumatic fracture of the femoral neck and spine in a woman in labor with osteogenesis imperfect –Lobstein–Van Der Hoeve syndrome

Abstract

Osteogenesis imperfecta constitutes a complex connective tissue disorder extending beyond its hallmark bone fragility. Van der Hoeve’s syndrome is a variant of Lobstein’s disease (late osteogenesis imperfecta) and is characterized by the simultaneous presence of osteoporosis, blue sclerae, and deafness. We are presenting a case of postpartum atraumatic fracture of the femur and spine in a patient in the late postpartum period. The cause of the fractures was the presence of osteogenesis imperfecta with an autosomal dominant type of inheritance.

Keywords: pregnancy; osteogenesis imperfecta; osteoporosis; Lobstein–Van Der Hoeve syndrome

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no potential conflicts of interest.

Contribution. Concept and design of the study – Tskhay V.B.; obtaining data for analysis – Kostareva O.V.; work with literature sources – Semenova D.A.; writing the text of the article – Tskhay V.B., Kostareva O.V.; editing – Tskhay V.B.

For citation: Tskhay V.B., Kostareva O.V., Semenova D.A. Clinical case of non-traumatic fracture of the femoral neck and spine in a woman in labor with osteogenesis imperfect – Lobstein–Van Der Hoeve syndrome. Akusherstvo i ginekologiya: novosti, mneniya, obuchenie [Obstetrics and Gynecology: News, Opinions, Training]. 2024; 12 (4): 61–6. DOI: https://doi.org/10.33029/2303-9698-2024-12-4-61-66 (in Russian)

References

1. Hardcastle S.A., Yahya F., Bhalla A.K. Pregnancy-associated osteoporosis: a UK case series and literature review. Osteoporos Int. 2019; 30 (5): 939–48. DOI: https://doi.org/10.1007/s00198-019-04842-w

2. Kondapalli A.V., Kamanda-Kosseh M., Williams J.M., Shiau S., Bucovsky M., Colon I., et al. Clinical characteristics of pregnancy and lactation associated osteoporosis: an online survey study. Osteoporos Int. 2023; 34 (8): 1477–89. DOI: https://doi.org/10.1007/s00198-023-06793-9

3. Koumakis E., Cormier-Daire V., Dellal A., Debernardi M., Cortet B., Debiais F., et al. Osteogenesis Imperfecta: characterization of fractures during pregnancy and post-partum. Orphanet J Rare Dis. 2022; 17 (1): 22. DOI: https://doi.org/10.1186/s13023-021-02148-x

4. Hadji P., Mouzakiti N., Kyvernitakis I. Effect of teriparatide on subsequent fracture and bone mineral density in 47 women with pregnancy- and lactation-associated osteoporosis and vertebral fractures. Geburtshilfe Frauenheilkd. 2022; 82 (6): 619–26. DOI: https://doi.org/10.1055/a-1816-6700

5. Mills E.G., Yang L., Nielsen M.F., Kassem M., Dhillo W.S., Comninos A.N. The relationship between bone and reproductive hormones beyond estrogens and androgens. Endocr Rev. 2021; 42 (6): 691–719. DOI: https://doi.org/10.1210/endrev/bnab015

6. Laroche M., Talibart M., Cormier C., Roux C., Guggenbuhl P., Degboe Y. Pregnancy-related fractures: a retrospective study of a French cohort of 52 patients and review of the literature. Osteoporos Int. 2017; 28 (11): 3135–42. DOI: https://doi.org/10.1007/s00198-017-4165-2

7. Kyvernitakis I., Reuter T.C., Hellmeyer L., Hars O., Hadji P. Subsequent fracture risk of women with pregnancy and lactation-associated osteoporosis after a median of 6 years of follow-up. Osteoporos Int. 2018; 29 (1): 135–42. DOI: https://doi.org/10.1007/s00198-017-4239-1

8. Hardcastle S.A. Pregnancy and lactation associated osteoporosis. Calcif Tissue Int. 2022; 110 (5): 531–45. DOI: https://doi.org/10.1007/s00223-021-00815-6

9. Brocq O., Simon E., Bongain A., Gillet J.Y., Euller-Ziegler L. Femoral neck fracture complicating algodystrophy in pregnancy. Presse Med. 1999; 28 (22): 1165–6.

10. Wright E.V., Naqvi A.Z., Syed S., Zaw H. Transient osteoporosis of the hip in pregnancy: the orthopaedic management of bilateral neck of femur fractures in the third trimester. BMJ Case Rep. 2021; 14 (3): e238659. DOI: https://doi.org/10.1136/bcr-2020-238659

11. Clemetson I.A., Popp A., Lippuner K., Ballmer F., Anderson S.E. Postpartum osteoporosis associated with proximal tibial stress fracture. Skeletal Radiol. 2004; 33 (2): 96–8. DOI: https://doi.org/10.1007/s00256-003-0721-2

12. Hindioğlu N., Uçar D., Sezgin Özcan D., Örmeci T. Postpartum stress fracture of bilateral tibia: a case report. Turk J Phys Med Rehabil. 2021; 67 (2): 254–8. DOI: https://doi.org/10.5606/tftrd.2021.4947

13. Rao R., Cuthbertson D., Nagamani S.C.S., Sutton V.R., Lee B.H., Krischer J., et al. Pregnancy in women with osteogenesis imperfecta: pregnancy characteristics, maternal, and neonatal outcomes. Am J Obstet Gynecol MFM. 2021; 3 (4): 100362. DOI: https://doi.org/10.1016/j.ajogmf.2021.100362

14. Viktorova I.A., Koshnu N.V., Ivanova D.S. Osteogenesis imperfecta: polymorphism of clinical manifestations and treatment tactics. Arkhiv vnutrenney meditsiny [Archive of Internal Medicine]. 2015; 22 (2): 69–73. DOI: https://doi.org/10.20514/2226-6704-2015-0-2-69-73 (in Russian)

15. Papshitskaya N.Yu., Subbotina V.G., Sushkova N.V., Sulkovskaya L.S. Variant course of osteogenesis imperfecta. A case study. Mezhdunarodniy zhurnal prikladnykh i fundamental’nykh issledovaniy [International Journal of Applied and Basic Research]. 2018; (3): 71–5. (in Russian)

16. Chérié-Lignière G, Tamborini U, Grosso P. Algodystrophy in conjunction with van der Hoeve. Clin Exp Rheumatol. 1995; 13 (3): 361–5.

17. Van Dijk F.S., Sillence D.O. Osteogenesis imperfecta: clinical diagnosis, nomenclature and severity assessment. Am J Med Genet. 2014; 164A (6): 1470–81. DOI: https://doi.org/10.1002/ajmg.a.36545

18. Klimov L.Ya, Vdovina T.M., Pechenkina V.A., Zheleznyakova T.V., Zakharova I.N., Dolbnya S.V., et al. Osteogenesis imperfecta: a literature review and a clinical case of a perinatal-lethal type of disease. Meditsinskiy sovet [Medical Council]. 2021; (17): 226–34. DOI: https://doi.org/10.21518/2079-701X-2021-17-226-234 (in Russian)

19. Zhytnik L., Simm K., Salumets A., Peters M., Märtson A., Maasalu K. Reproductive options for families at risk of osteogenesis imperfecta: a review. Orphanet J Rare Dis. 2020; 15 (1): 128. DOI: https://doi.org/10.1186/s13023-020-01404-w

20. Chamunyonga F., Masendeke K.L., Mateveke B. Osteogenesis imperfecta and pregnancy: a case report. J Med Case Rep. 2019; 13 (1): 363. DOI: https://doi.org/10.1186/s13256-019-2296-0

21. Lykking E.K., Kammerlander H., van Dijk F.S., Prieto-Alhambra D., Abrahamsen B., Folkestad L. Fractures following pregnancy in osteogenesis imperfecta – a self-controlled case series using Danish Health Registers. Bone. 2022; 154: 116177. DOI: https://doi.org/10.1016/j.bone.2021.116177

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CHIEF EDITORS
CHIEF EDITOR
Sukhikh Gennadii Tikhonovich
Academician of the Russian Academy of Medical Sciences, V.I. Kulakov Obstetrics, Gynecology and Perinatology National Medical Research Center of Ministry of Healthсаre of the Russian Federation, Moscow
CHIEF EDITOR
Kurtser Mark Arkadievich
Academician of the Russian Academy of Sciences, MD, Professor, Head of the Obstetrics and Gynecology Subdepartment of the Pediatric Department, N.I. Pirogov Russian National Scientific Research Medical University, Ministry of Health of the Russian Federation
CHIEF EDITOR
Radzinsky Viktor Evseevich
Corresponding Member of the Russian Academy of Sciences, MD, Professor, Head of the Subdepartment of Obstetrics and Gynecology with a Course of Perinatology of the Medical Institute in the Russian People?s Friendship University named after P. Lumumbа

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