Fracture Management and Care in Pregnancy.

Kiran Sharma, Zina Smadi, Mohammad Munir Zaitoun, Fahad Nadeem, Abdullah Ghali, Toufic R Jildeh

Journal: JBJS reviews 2026;14(4):

PMID: 41996530

Abstract

» Pregnancy alters calcium balance, hormone regulation, and mechanical loading, which together lowers bone mineral density and increases risk of fractures. » Trauma during pregnancy carries significant maternal and fetal risk as low-mechanism injuries can trigger placental abruption, preterm labor, and fetal loss. » Imaging, anesthesia, and surgery require coordinated teams to provide care safely and optimize maternal and fetal outcomes. » Providers must verify pregnancy safety stratifications before medication selection.

Address: College of Osteopathic Medicine, Michigan State University, East Lansing, Michigan.; Department of Pediatric Orthopaedics, Texas Children's Hospital, Houston, Texas.; Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.; Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, Texas.; Department of Orthopaedics, Michigan State University, East Lansing, Michigan.

DOI: 10.2106/JBJS.RVW.25.00275

MeSH Terms: Humans, Pregnancy, Female, Pregnancy Complications, Fractures, Bone