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Clinical Cases in mineral and bone metabolism

Bilateral transient osteoporosis of the hip.
A case report and review of the literature

Case report, 128 - 131
doi: 10.11138/ccmbm/2018.15.1.128
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Abstract
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Transient osteoporosis of the hip is an uncommon, selflimiting condition that typically affects middle-aged men or, less frequently, women in the third trimester of pregnancy.
It may begin spontaneously or after a minor trauma, and the main symptoms are acute pain, limping, and a reduced range of hip motion. Transient osteoporosis is also known as transient bone marrow edema and, when it affects more than one joint, as migratory osteoporosis syndrome. It often resembles osteonecrosis, but the two entities should not be confused because of their different prognoses and management. Magnetic resonance imaging plays an important role in primary diagnosis and reveals a characteristic pattern of bone marrow edema in the form of a diffuse low signal on T1 images and a high signal on T2 images. Conservative treatment is the gold standard and should be adhered to even in resistant cases. We describe a case of sequential bilateral transient hip osteoporosis due to continuous micro-traumas and review the current literature in terms of the diagnostic
work-up, differential diagnosis and treatment of this rare entity.

Vol. XV (No. 3) 2018 September - December

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  1. Bilateral transient osteoporosis of the hip.
    A case report and review of the literature

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    doi: 10.11138/ccmbm/2018.15.1.128
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