{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:57Z","timestamp":1787755437232,"version":"build-2784847793"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present an unusual case of bilateral femoral neck fatigue fractures in a 28-year-old pregnant woman at the 18th week of gestation successfully treated through operative intervention involving consecutive total hip arthroplasty and internal fixation within the same procedure, resulting in favorable clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Current clinical practices suggest that a restricted use of plain radiographs, even those involving the pelvis in pregnant women carries a minimal risk to the fetus and is not contraindicated. Magnetic resonance imaging proved valuable for differential diagnosis, contrasting with sonography.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00298","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T14:03:37Z","timestamp":1713449017000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Unusual Presentation of Hip Pain in a Pregnant Woman Due to Bilateral Cervical Neck Stress Fractures"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6065-0174","authenticated-orcid":false,"given":"Ofir","family":"Vinograd","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7759-1641","authenticated-orcid":false,"given":"Noam","family":"Shohat","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel"},{"name":"Faculty of Medicine, Tel Aviv University, Tel Aviv, Ramat Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6309-5639","authenticated-orcid":false,"given":"Ahmad","family":"Essa","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4]]},"reference":[{"issue":"12","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1016\/j.arthro.2008.06.019","article-title":"Differential diagnosis of pain around the hip joint","volume":"24","author":"Tibor","year":"2008","journal-title":"Arthroscopy."},{"issue":"4","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.jbspin.2006.12.001","article-title":"Pregnancy-related hip diseases: incidence and diagnoses","volume":"74","author":"Steib-Furno","year":"2007","journal-title":"Joint Bone Spine."},{"issue":"2","key":"bib3-20240805","first-page":"81","article-title":"Hip pain in adults: evaluation and differential diagnosis","volume":"103","author":"Chamberlain","year":"2021","journal-title":"Am Fam Physician."},{"issue":"4","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1016\/j.beem.2010.05.010","article-title":"Vitamin D and pregnancy: an old problem revisited","volume":"24","author":"Barrett","year":"2010","journal-title":"Best Pract Res Clin Endocrinol Metab."},{"issue":"11","key":"bib5-20240805","first-page":"e11478","article-title":"Bilateral femoral neck stress fracture in an obese middle-aged female with osteomalacia and coxa-vara managed by simultaneous bilateral total hip arthroplasty","volume":"12","author":"Tomar","year":"2020","journal-title":"Cureus."},{"key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"2720736","DOI":"10.1155\/2019\/2720736","article-title":"Total hip arthroplasty for bilateral femoral neck stress fracture: a case report and review of the literature","volume":"2019","author":"Moerenhout","year":"2019","journal-title":"Adv Orthop."},{"issue":"1","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"77","DOI":"10.5371\/hp.2017.29.1.77","article-title":"Bilateral femoral neck stress fracture presented with unilateral symptoms in a Shipman laborer: a case report","volume":"29","author":"Santoso","year":"2017","journal-title":"Hip Pelvis."},{"issue":"1","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1186\/s13256-021-03198-2","article-title":"Bilateral stress fracture of the femoral neck in association with simultaneously developing osteonecrosis of the femoral head: a case report","volume":"15","author":"Nishino","year":"2021","journal-title":"J Med Case Rep."},{"key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.ijscr.2015.09.034","article-title":"Osteomalacia and coxa vara. 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