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synonyms:hip pain,
Transient Osteoporosis of the Hip ICD-10
- Consider:
- M80.859A Other osteoporosis with current pathological fracture, unspecified femur, initial fracture
- M80.851A Other osteoporosis with current pathological fracture, right femur, initial fracture
- M80.852A Other osteoporosis with current pathological fracture, left femur, initial fracture
Transient Osteoporosis of the Hip Etiology / Epidemiology / Natural History
- Middle aged men and 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. Can be severe.
- Mildly decreased ROM.
Transient Osteoporosis of the Hip Xray / Diagnositc Tests
- MRI: demonstrates bone marrow edema in the femoral head and neck. 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
References
- Klontzas ME, Vassalou EE, Zibis AH, Bintoudi AS, Karantanas AH. MR imaging of transient osteoporosis of the hip: an update on 155 hip joints. Eur J Radiol. 2015 Mar;84(3):431-6.
- Montella, BJ, JBJS 1999;81A:790-798
- Guerraa JJ, JBJS 1995:77A:616-624
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