# Cracking the Case: Post-pregnancy Bilateral Femoral Fragility, a Rare Clinical Challenge

## TL;DR

A rare case of hip fractures after twin pregnancy with diabetes and cholestasis is presented, highlighting the need for timely diagnosis and treatment.

## Contribution

The paper presents a rare clinical case of post-pregnancy bilateral femoral fragility in a high-risk patient.

## Key findings

- The patient developed bilateral hip insufficiency fractures after a complicated twin pregnancy.
- Surgical intervention improved the patient's condition with pain relief and better mobility.
- The case emphasizes the diagnostic and therapeutic challenges in pregnancy-related musculoskeletal disorders.

## Abstract

Pregnancy-associated musculoskeletal disorders are relatively rare but can present significant diagnostic and therapeutic challenges. We present a rare case of a 37-year-old woman with a twin pregnancy complicated by type 2 diabetes mellitus and obstetric cholestasis, who developed bilateral hip insufficiency fractures. Despite initial conservative management, her condition worsened, requiring surgical intervention in the form of core decompression and internal fixation. Postoperative recovery was successful, with significant pain relief and improved mobility. This case underscores the complexity of pregnancy-related musculoskeletal disorders and the need for timely diagnosis and appropriate treatment, especially in high-risk pregnancies.