Bilateral transient osteoporosis of the hip in a 20-year-old man

Dhaliwal, Jagwinder; McConnell, Jamie S; Greer, Tony

doi:10.1136/bcr-2013-201698

Cited by 5 publications

(6 citation statements)

References 11 publications

(14 reference statements)

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“…Our case had no remarkable plain X-ray findings at one week after symptom onset, and some investigators reported normal plain X-ray findings in the early stage of TOH [ 11 , 12 ]. Magnetic resonance imaging shows diffuse bone marrow edema with increased signal on T2-weighted images and decreased signal on T1-weighted images in TOH [ 13 ]. Characteristic findings of TOH in magnetic resonance imaging include the complete resolution of abnormal signal intensity over several weeks [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Bilateral Transient Osteoporosis of the Hip without Pregnancy

Okada

Tsukada

Saito

et al. 2016

Case Reports in Orthopedics

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Transient osteoporosis of the hip (TOH) is a rare disorder characterized by acute severe coxalgia and temporary osteopenia in the proximal femur. Although most cases were unilateral or staged bilateral TOH, some authors reported that the pregnant patients simultaneously had TOH in their bilateral hips. However, there has been no report of simultaneous bilateral TOH in the patient without pregnancy. A 25-year-old Japanese woman without pregnancy had acute simultaneous bilateral hip pain. Plain X-ray of the bilateral hips did not show a periarticular osteopenia. However, magnetic resonance image obtained one week after the onset demonstrated increased T2-weighted signal intensity and decreased T1-weighted signal intensity in the bilateral femoral heads. She was treated conservatively, and follow-up magnetic resonance image at seven weeks after the onset returned to normal bone marrow signal intensity. Her bilateral coxalgia subsided gradually. At one year after the onset, she had no sign of symptomatic flair. Our experience with this case indicates that recognizing the possibility of simultaneous bilateral TOH is important unless the patient is pregnant, and magnetic resonance image is predictable test to make a diagnosis of TOH, even in the absence of abnormal finding on plain X-ray.

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Section: Discussionmentioning

confidence: 99%

Simultaneous Bilateral Transient Osteoporosis of the Hip without Pregnancy

Okada

Tsukada

Saito

et al. 2016

Case Reports in Orthopedics

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“…3 ). The total bone density was 1.019 g/cm 2 (T-score 0.6, Z-Score 0.6). At this second presentation, bone scintigraphy was not obtained.…”

Section: Case Reportmentioning

confidence: 98%

“…He was a physically fit person and worked as an office staff. His body weight was 78kg and height 178cm with body mass index 24.6 kg/m 2 . On physical examination, there was a limping gait and positive on the Patrick’s test of the right hip.…”

Section: Case Reportmentioning

confidence: 99%

“…2 ). Bone mineral density (BMD) examination with dual energy radiograph absorptiometry (DEXA) showed the total bone density of the hip was 1.014 g/cm 2 (T-score 0.6, Z-Score 0.6). Bone scintigraphy (Tc-99m) examination revealed increased uptake on the right hip centered on the femoral head.…”

Section: Case Reportmentioning

confidence: 99%

“…Bone marrow edema syndrome (BMES) of the hip is an uncommon disease which is characterized by a self-limiting process 1 . It primarily affects middle-aged men, and women during the last trimester of pregnancy 1 , 2 . BMES of the hip could present as a unilateral, simultaneous bilateral or a sequential/migratory case 3 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Migratory Bone Marrow Edema Syndrome of the Hips: A Case Report

Santoso

et al. 2017

MOJ

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Migratory bone marrow edema syndrome (BMES) of the hip is a rare entity. We report the case of a 41-year old male with migratory BMES of the hip with eight months interval period between onset of the pain and consultation. This patient was successfully treated non-surgically. It is important to always inform the patient with unilateral BMES of the hip regarding the possibility of future involvement of the contralateral hip.

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Transient Osteoporosis of the Hip: A Case Report of a U.S. Soldier

Dichiera

Yim

2022

Military Medicine

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Transient osteoporosis of the hip is described as an uncommon, self-limiting condition that typically affects middle-aged men and pregnant women in their third trimester. Transient osteoporosis most commonly affects the hip, but cases have been described in the knee, ankle, and foot. Symptoms include pain, limited range of motion, and antalgic gait. A greater level of awareness of transient osteoporosis of the hip as a differential diagnosis for hip pain will obviate unnecessary, inefficient, or unproductive interventions and treatments. Transient osteoporosis of the hip is a self-limiting disease process that requires only symptomatic treatment such as basic analgesia, physical therapy, and activity modification. On average, recovery is seen within 6-12 months.

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Bilateral transient osteoporosis of the hip in a 20-year-old man

Cited by 5 publications

References 11 publications

Simultaneous Bilateral Transient Osteoporosis of the Hip without Pregnancy

Simultaneous Bilateral Transient Osteoporosis of the Hip without Pregnancy

Migratory Bone Marrow Edema Syndrome of the Hips: A Case Report

Transient Osteoporosis of the Hip: A Case Report of a U.S. Soldier

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