Transient osteoporosis of the hip in a non-pregnant woman

Abstract

Transient osteoporosis of the hip is a rare, self-limiting condition, occurring most commonly in middle-aged men, but also sometimes in women, usually in late pregnancy. It is characterised by gradual onset of hip pain aggravated by weight bearing without any associated history of trauma and systemic illness. It is usually of unknown aetiology, but pregnancy is a recognised risk factor for women. Other conditions that can mimic transient osteoporosis of the hip on MRI are osteonecrosis, osteomyelitis and neoplasms. We present a case of a 38-year-old non-pregnant woman with transient osteoporosis of the hip, managed conservatively, leading to a full recovery. Treatment is conservative, including protected weight bearing, physical therapy and non-steroidal analgesics. The patient was completely painless and symptom free at 2-year follow-up.

Comparison of the expression levels of TNF-α, IL-6, hsCRP and sICAM-1 inflammatory factors, bone mineral density and nutritional status between diabetic and normal pregnant women

“…GDM can easily lead to adverse pregnancy outcomes in mothers and children, therefore, pregnant women should be regularly inspected according to the requirements of The 5th People's Hospital of Ji'nan, and timely detection of treatment should be applied to prevent serious consequences. However, the complex condition of gestational diabetes is easily misdiagnosed or undiagnosed (17).…”

Management of transient bone osteoporosis: a systematic review

“…Several case reports referred to conservative management with limited weight bearing, physical therapy, and nonsteroidal anti-inflammatory drugs (NSAIDs), reporting full recovery in all patients at approximately one year follow-up. 16 , 21–26 , 39 Vaishya et al. 27 conducted a study analyzing 12 hips in 14 patients with hip TBO treated conservatively.…”

Lower lumbar back pain occurring with transient hip osteoporosis: complication of prolonged suffering and neck of femur fracture in a 24-year-old pregnant patient

“… 1 2 Although the hip joint is most frequently affected, transient osteoporosis can also occur in other localisations, notably on the knee, the lumbar vertebrae, the ankle and the foot. 8 Transient osteoporosis concerns both genders, with a male to female ratio of 3:1. Middle-aged men between 40 and 60 years of age are primarily affected and women mostly during their first pregnancy at the end of the second trimester until a few weeks post partum.…”

“…In TOH, MRI shows a hypointense femoral head and neck signal in T1 and a hyperintense homogenous and diffuse signal (bone marrow oedema) in T2 with joint space preservation. 8 T1 FAT SAT sequences with gadolinium contrast injection display a hyposignal on the femoral head with bone marrow oedema and joint effusion ( figure 2 ). AVN of the femoral head presents two T2 signals representing sclerotic bone and vascularised tissue.…”