Bilateral transient regional osteoporosis of the hip: Case report

Öz

Transient osteoporosis of the hip is one of the causes of hip pain starts suddenly. It is a rare clinical condition characterized by dissapperance of hip pain after a while and osteoporosis view in the femoral head comes into the picture later on. The disease begins without any trauma. It manifests itsels with hip pain in middle aged men and third trimester pregnant women. The disease responds to treatment with resting and analgesics. In this article, a case of a third trimester pregnant woman who had admitted to the hospital with hip and leg pain and had been diagnosed as transient hip osteoporosis after some clinical and radiological examinations was presented. As a result, hip and leg pain sudden onset of the third trimester in pregnancy the differential diagnosis of transient osteoporosis of the hip should be kept in mind.

Anahtar Kelimeler

• Transient osteoporosis; hip

Kalçanın çift taraflı geçici bölgesel osteoporozu: Olgu sunumu

Öz

Kalçanın geçici osteoporozu ani başlangıçlı kalça ağrısı nedenlerinden biridir. Kalça ağrısının bir süre sonra ortadan kalkması ve femur başında geç beliren osteoporoz görünümü ile karakterize olan ve nadir rastlanan bir klinik durumdur. Hastalık travma olmaksızın başlar. Genellikle orta yaş grubundaki erkeklerde ve üçüncü trimester gebelerde kalça ağrısıyla seyreder. İstirahat ve analjezik tedavisine yanıt verir. Bu makalede, kalça ve bacak ağrısı nedeniyle başvuran, klinik muayene ve radyolojik incelemeler sonucunda geçici kalça osteoporozu tanısı alan 3. trimesterdeki bir gebe olgu sunuldu. Sonuç olarak üçüncü trimester gebelerde ani başlangıçlı kalça ve bacak ağrısında geçici kalça osteoporozu ayırıcı tanıda akılda tutulmalıdır.

Anahtar Kelimeler

• Geçici osteoporoz; kalça

Kaynakça

1. 1. Curtiss PH Jr, Kincaid WE. Transitory demineralization of the hip in pregnancy. A report of three cases. J Bone Joint Surg Am 1959;41-A:1327-33
2. 2. Wheeless CR. Idiopathic transient osteoporosis of the hip. Duke Orthopaedics Wheeless’ Textbook of Orthopaedics. Available from: http://www.wheelessonline.com/ortho/idiopathic_transi ent_osteoporosis_of_the_hip. Accessed September 2, 2013
3. 3. Vande Berg BC, Lecouvet FE, Koutaissoff S, Simoni P, Malghem J. Bone marrow edema of the femoral head and transient osteoporosis of the hip. Eur J Radiol 2008;67(1):68-77
4. 4. Vande Berg BE, Malghem JJ, Labaisse MA, Noel HM, Maldague BE. MR imaging of avascular necrosis and transient marrow edema of the femoral head. RadioGraphics 1993; 13(3):501-20
5. 5. Karantanas AH. Acute bone marrow edema of the hip: role of MR imaging. Eur Radiol 2007;17(9):2225-36
6. 6. Lakhanpal S, Ginsburg WW, Luthra HS, Hunder GG. Transient regional osteoporosis. A study of 56 cases and review of the literature. Ann Intern Med 1987;106(3):444-50
7. 7. Koo KH, Jeong ST, Jones JP, Jr. Borderline necrosis of the femoral head. Clin Orthop Relat Res 1999;358:158-65
8. 8. Sezer İ, Kocabaş H, Bilgilisoy M, Alkan Melikoğlu M, Girgil E

9. Geçici kalça osteoporozu: Olgu sunumu. Türk Fiz Tıp Rehab Derg 2008;54(3):124-6
10. 9. Malizos KN, Zibis AH, Dailiana Z, Hantes M, Karachalios T, Karantanas AH. MR imaging findings in transient osteoporosis of the hip. Eur J Radiol 2004;50(3):238-44
11. 10. Bezer M, Gökkuş K, Kocaoğlu B, Erol B, Güven O. Gebelikte geçici kalça osteoporozu: üç olgu sunumu. Acta Orthop Traumatol Turc 2004;38(3):229-32