Transient osteoporosis of the hip: review of the literature

Asadipooya, Kamyar; Graves, Leland; Greene, Loren Wissner

doi:10.1007/s00198-017-3952-0

Cited by 87 publications

(120 citation statements)

References 90 publications

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“…21 Surgical drilling for core decompression of the femoral head in the treatment of TOH is still a debatable approach among clinicians and researchers in terms of effectiveness, rapidity of recovery, the potential for complications, and the genuine need for it given that conservative treatment is quite effective. 7 Many researchers have argued that, despite the fact that conservative treatment provides effective symptomatic relief, it never shortens the course of the disease. In other clinical studies, core decompression was shown to be an effective therapeutic measure with faster recovery.…”

Section: Discussionmentioning

confidence: 99%

“…6 The main management lines include a conservative approach such as restricted weight-bearing, anti-resorptive medications and analgesics, or combined management including surgery. 7 The pathogenesis of this condition is unclear, and at the present time, no study has investigated the role of occupation as a risk factor for TOH.…”

Section: Introductionmentioning

confidence: 99%

“…4 The populations mainly affected are middle-aged men, and pregnant women during the last trimester or the immediate post-partum period. [5][6][7] It is an idiopathic event, not related to trauma and presents with a spontaneous sudden-onset pain in the hip, extending to the groin. 5 It is associated with a limitation of movement and disability; nevertheless, the symptoms gradually disappear within 6-12 months.…”

Section: Introductionmentioning

confidence: 99%

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<p>Transient Osteoporosis of the Hip: Risk and Therapy</p>

Bashaireh¹,

Aldarwish²,

Alomari³

et al. 2020

OARRR

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The aim of this study was to investigate the impact of occupation in patients with transient osteoporosis of the hip (TOH). The study also compares two different types of management for this condition: conservative treatment and surgical drilling. Methods: This was a retrospective case series study. The medical records for patients diagnosed with TOH at our institution within the period 2012-2017 were retrieved. General demographic data, clinical features, and diagnostic modalities were obtained. In addition, management procedures and their associated prognostic factors were acquired. The effectiveness of these procedures was assessed by the number of days of sick leave, the time needed for full recovery and the number of recurrences of TOH. Also, pain responses at 24 hrs, 48 hrs, and at 1 week were estimated subjectively through a "pain score" out of 10, and objectively through the degree of improvement in daily activity. The patients had a regular follow-up at 4-to 6-week intervals. Results: In total, 15 cases of TOH, 14 men and one woman, were enrolled in the study. The mean age of the patients was 41 years (range 26-59 years). Out of the 15 cases, nine were healthcare professionals (eight physicians and one nurse). Ten patients underwent hip drilling for core decompression and five patients were treated conservatively. The time needed for full recovery was 5.8 weeks for those who underwent drilling, and 48.3 weeks for three patients receiving conservative treatment. The other two patients who were treated conservatively had not achieved full or near-full recovery at the time of reporting this study. Conclusion: Physicians may be at increased risk of developing TOH. Further studies should be conducted to examine the role of this occupation as a risk factor. In addition, hip drilling should be considered as an effective treatment modality, especially in those patients who seek a faster recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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<p>Transient Osteoporosis of the Hip: Risk and Therapy</p>

Bashaireh¹,

Aldarwish²,

Alomari³

et al. 2020

OARRR

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“…Bizim hastamızın yaşı ve cinsiyeti literatür ile uyumluydu. BMO ve GBO'da etiyoloji tam olarak aydınlatılamamıştır (13,14). En olası sebep olarak venöz akımın azalması sonucu oluşan lokal konjesyonun intramedüler basıncı arttırarak mikro hasara yol açtığı ve bu durumun da geçici olarak kemik rezorbsiyonuna neden olduğu ileri sürülmüştür (11).…”

Section: Olgu Sunumuunclassified

Regional Migratory Osteoporosis: A Case Report

Atici¹,

Akpinar²,

Özkan³

et al. 2018

Tod

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Regional migratory osteoporosis is characterized by migratory transient regional osteoporosis attacks. The etiology is not explained completely. Although it is a self-limiting benign disease, it causes serious arthralgia in involved joint and loss of labor force. It is important to make the differential diagnosis with many diseases which causes bone marrow edema. Therefore, herein we present a fifty-four-year old male patient diagnosed with regional migratory osteoporosis of the hip, knee, and ankle involvement.

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“…Studies that correlate imaging findings with the degree or duration of pain report contradictory results. 25 Even in intraindividual follow-up MRI, findings do not necessarily correlate with the degree of pain. It is particularly important to know that despite clinical improvement, persistent signal changes can be observed on MRI (►Fig.…”

mentioning

confidence: 99%

Perspective on Idiopathic Subchondral, Osteochondral, and Chondral Lesions with Emphasis on the Knee

Fischer¹

2019

Semin Musculoskelet Radiol

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Subchondral, osteochondral, and chondral lesions of unknown cause are often encountered, especially in the knee joint. These are mainly idiopathic bone marrow edema syndrome, osteochondrosis dissecans, and cartilage delaminations. The literature on these diseases is sparse and often confusing and inconsistent. Because there is little evidence, this article was written as a perspective on these conditions. It offers an overview of the literature with personal comments and opinions based on observations from many years of clinical practice. The main goal is to highlight clinically important features and provide a practical guide for dealing with various magnetic resonance imaging findings in everyday work. The article also discusses several terms commonly used in relation to these diseases and their differential diagnoses.

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Transient osteoporosis of the hip: review of the literature

Cited by 87 publications

References 90 publications

<p>Transient Osteoporosis of the Hip: Risk and Therapy</p>

<p>Transient Osteoporosis of the Hip: Risk and Therapy</p>

Regional Migratory Osteoporosis: A Case Report

Perspective on Idiopathic Subchondral, Osteochondral, and Chondral Lesions with Emphasis on the Knee

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