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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

 

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