Fracture Management and Care in Pregnancy.

JBJS Rev · Apr 01 2026 · Review

Sharma K, Smadi Z, Zaitoun MM, Nadeem F, Ghali A, Jildeh TR

College of Osteopathic Medicine, Michigan State University, East Lansing

Orthopaedic Trauma

SUMMARY — THE REDUCTIONReviews how pregnancy's bone and hormonal changes increase fracture risk and stresses coordinated, pregnancy-safe imaging, anesthesia, and medication choices for optimal maternal-fetal outcomes.
Abstract, as published

» 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.

Featured in the 2026-07-03 issue.

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