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. 2009 Jul;43(3):301-4.
doi: 10.4103/0019-5413.50872.

Migrating transient osteoporosis of the hip in a 30-year-old man

Ss Suresh  1 , John K Thomas, Sameer Raniga
Affiliations

Migrating transient osteoporosis of the hip in a 30-year-old man

Ss Suresh et al. Indian J Orthop. 2009 Jul.

Abstract

Transient osteoporosis of hip is a condition of unknown etiology, presenting as painful limping, and characterized by osteopenia of the involved joint without preexisting disease or immobilization. Most of the cases were reported in middle-aged men, and one-third of the cases develop in women in the third trimester of pregnancy. The hypothesis that this condition leads to avascular necrosis of the hip has been disproved by various reports and hence does not warrant any surgical interference. This is a self limiting condition, which needs regular follow-up. The authors report a case of migrating transient osteoporosis of the hip in a 30-year-old man successfully treated with antiresorptive treatment.

Keywords: Alendronate; hip; magnetic resonance imaging; osteoporosis; pregnancy.

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Conflict of interest statement

Conflict of Interest: None.

Figures

Figure 1
Figure 1
Coronal T1-weighted image shows homogeneously hypointense marrow edema with medial sparing of the left femoral head
Figure 2
Figure 2
PD transverse T2-weighted image of left hip showing bone marrow edema (arrow)
Figure 3
Figure 3
Coronal STIR images shows marrow edema as uniform hyperintensity signal involving head and neck of left femur and extending till the intertrochanteric region. No evidence of avascular necrosis of left femoral head
Figure 4
Figure 4
Coronal T1-weighted image shows homogeneously hypointense marrow edema, with normal left hip
Figure 5
Figure 5
T1-weighted transverse image showing the bone marrow edema head and neck of right femur
Figure 6
Figure 6
Coronal STIR (T2W) image showing same appearance as in Figure 3 and normal left hip
See this image and copyright information in PMC

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