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

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.