{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T07:03:30Z","timestamp":1776495810537,"version":"3.51.2"},"reference-count":35,"publisher":"SLACK, Inc.","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:p>\n            Managing orthopedic conditions in pregnant patients leads to challenges that must be carefully considered so that the safety of both the mother and the fetus is maintained. Both perioperative and intraoperative considerations must be made based on physiologic changes during pregnancy, risks of radiation, and recommendations for monitoring. Operative timing, imaging, and medication selection are also factors that may vary based on trimester and clinical scenario. Pregnancy introduces unique parameters that can result in undesirable outcomes for both mother and fetus if not handled appropriately. Ultimately, pregnant patients offer a distinct challenge to the orthopedic surgeon in that the well-being of 2 patients must be considered in all aspects of care. In addition, not only does pregnancy affect the management of orthopedic conditions but the pregnant state also causes physiologic changes that may actually induce various pathologies. These pregnancy-related orthopedic conditions can interfere with an otherwise healthy pregnancy and should be recognized as possible complications. Although the management of orthopedic conditions in pregnancy is often conservative, pregnancy does not necessarily preclude safely treating pathologies operatively. When surgery is considered, regional anesthesia provides less overall drug exposure to the fetus and less variability in fetal heart rate. Intraoperative fluoroscopy can be used when appropriate, with 360\u00b0 fetal shielding if possible. Lateral decubitus positioning is ideal to prevent hypotension associated with compression of the inferior vena cava. [\n            <jats:italic>Orthopedics.<\/jats:italic>\n            2015; 38(10):e874\u2013e880.]\n          <\/jats:p>","DOI":"10.3928\/01477447-20151002-53","type":"journal-article","created":{"date-parts":[[2015,11,3]],"date-time":"2015-11-03T15:53:11Z","timestamp":1446565991000},"source":"Crossref","is-referenced-by-count":23,"title":["Orthostetrics: Management of Orthopedic Conditions in the Pregnant Patient"],"prefix":"10.3928","volume":"38","author":[{"given":"Leslie J.","family":"Matthews","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B.","family":"McConda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trapper A. J.","family":"Lalli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott D.","family":"Daffner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31820eede9"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mporth.2012.05.004"},{"key":"e_1_3_1_4_2","unstructured":"American College of Radiology. ACR-SPR practice guideline for imaging pregnant or potentially pregnant adolescents and women with ionizing radiation. http:\/\/www.acr.org\/~\/media\/9e2ed55531fc4b4fa53ef3b6d3b25df8.pdf. Accessed August 31 2014."},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2013.03.005"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-199603000-00004"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00470112"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e3181c11f60"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199105000-00011"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0004-8666.2002.00482.x"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(95)80582-6"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1267112"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200212150-00020"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016340500410024"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-199707000-00023"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199411000-00018"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199705000-00008"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMicm0807117"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-994155"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200206000-00012"},{"key":"e_1_3_1_21_2","first-page":"26","article-title":"Trauma in pregnancy","volume":"24","author":"D\u2019Amico CJ","year":"2002","unstructured":"D\u2019Amico CJ. Trauma in pregnancy. Top Emerg Med. 2002; 24:26\u201339.","journal-title":"Top Emerg Med"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181dbe1ea"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31822428c5"},{"key":"e_1_3_1_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200210000-00033"},{"issue":"4","key":"e_1_3_1_25_2","first-page":"547","article-title":"Traumatic tibia and fibula fracture in a 36 weeks\u2019 pregnant patient: a case report","volume":"13","author":"Sorbi F","year":"2013","unstructured":"Sorbi F, Sisti G, Di Tommaso M, Fambrini M. Traumatic tibia and fibula fracture in a 36 weeks\u2019 pregnant patient: a case report. Ochsner J. 2013; 13 (4):547\u2013549.","journal-title":"Ochsner J"},{"key":"e_1_3_1_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2012.07.020"},{"key":"e_1_3_1_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20661"},{"key":"e_1_3_1_28_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.167.3.3363135"},{"key":"e_1_3_1_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/230949901202000227"},{"key":"e_1_3_1_30_2","first-page":"165","article-title":"Transient osteoporosis of the hip in pregnancy","volume":"115","author":"Beaulieu JG","year":"1976","unstructured":"Beaulieu JG, Razzano CD, Levine RB. Transient osteoporosis of the hip in pregnancy. Clin Orthop Relat Res. 1976; 115:165\u2013168.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_1_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-007-0439-z"},{"key":"e_1_3_1_32_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.sult.2011.10.007"},{"key":"e_1_3_1_33_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00407"},{"issue":"3","key":"e_1_3_1_34_2","first-page":"647","article-title":"ACOG Committee Opinion Number 299, September 2004 (replaces No. 158, September 1995): guidelines for diagnostic imaging during pregnancy","volume":"104","author":"ACOG Committee on Obstetric Practice","year":"2004","unstructured":"ACOG Committee on Obstetric Practice. ACOG Committee Opinion Number 299, September 2004 (replaces No. 158, September 1995): guidelines for diagnostic imaging during pregnancy. Obstet Gynecol. 2004; 104 (3):647\u2013651.","journal-title":"Obstet Gynecol"},{"key":"e_1_3_1_35_2","volume-title":"The Johns Hopkins Hospital: The Harriet Lane Handbook","author":"Lee CKK","year":"2012","unstructured":"Lee CKK, Engorn B, Flerlage J. Drug dosages: explanation of pregnancy categories. In: The Johns Hopkins Hospital: The Harriet Lane Handbook. 19th ed. Philadelphia, PA: Elsevier; 2012.","edition":"19"},{"key":"e_1_3_1_36_2","unstructured":"Drug monographs: Micromedex\u00ae Healthcare Series Drugdex\u00ae [Internet database]. http:\/\/www.micromedex.com\/products\/solutions_for_your_market\/other_health-care\/pharma. Accessed August 31 2014."}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20151002-53","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T19:18:44Z","timestamp":1683055124000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20151002-53"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10]]},"references-count":35,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.3928\/01477447-20151002-53"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20151002-53","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10]]}}}