Transient Osteoporosis of the Hip

synonyms:

Transient Osteoporosis of the Hip ICD-9

Transient Osteoporosis of the Hip Etiology / Epidemiology / Natural History

• Middle aged men, women in the last trimester of pregnancy
• Natural history: self-resolution

Transient Osteoporosis of the Hip Anatomy

Transient Osteoporosis of the Hip Clinical Evaluation

• Groin pain with no history of trauma. Pain with weight bearing and at rest.
• Mildly decreased ROM.

Transient Osteoporosis of the Hip Xray / Diagnositc Tests

• MRI: demonstrates highly increased signal throughout the femoral head and neck on STIR images. (Urbanski SR, JBJS 1991;73:451).

Transient Osteoporosis of the Hip Classification / Treatment

• Treatment: protected weight bearing and NSAIDs. Generally resolves completely within a few months.

Transient Osteoporosis of the Hip Associated Injuries / Differential Diagnosis

• Avascular Necrosis
• Femoroacetabular Impingement
• Acetabular Labral Tear
• Sports Hernia
• Hip arthritis

Transient Osteoporosis of the Hip Complications

Transient Osteoporosis of the Hip Follow-up Care

Transient Osteoporosis of the Hip Review References

• Guerra JJ, JBJS 1995;77A:616
• Montella BJ, JBJS 1999;81A:790
• °