Transient osteoporosis of the hip

  • A. Misailidis
  • G. Gourtzelidis
  • D. Pallis
  • M.M. Abadiotaki
  • K. Tsivelekas
  • S.A. Papadakis
Keywords: Hip, Pain, Bone Marrow Edema

Abstract

Transient Osteoporosis of the Hip (TOH) is a rare syndrome that Orthopaedic surgeons deal with. This review emphasizes the importance of clinical suspicion that a physician should possess when examining a patient with hip pain and no prior history of trauma. Specific findings like Bone Marrow Edema (BME) play an essential role in discriminating TOH from similar clinical entities with a worse prognosis. Once a definite TOH diagnosis is established, the patient can be treated conservatively with a satisfactory functional outcome.

Downloads

Download data is not yet available.

Author Biographies

A. Misailidis

2nd Department of Orthopaedics, KAT General Hospital of Attica, Kifissia, Greece.

G. Gourtzelidis

2nd Department of Orthopaedics, KAT General Hospital of Attica, Kifissia, Greece.

D. Pallis

2nd Department of Orthopaedics, KAT General Hospital of Attica, Kifissia, Greece.

M.M. Abadiotaki

2nd Department of Orthopaedics, KAT General Hospital of Attica, Kifissia, Greece.

K. Tsivelekas

2nd Department of Orthopaedics, KAT General Hospital of Attica, Kifissia, Greece.

S.A. Papadakis

2nd Department of Orthopaedics, KAT General Hospital of Attica, Kifissia, Greece.

References

1. K. Asadipooya & L. Graves & L. W. Greene Transient osteoporosis of the hip: review of the literature Osteoporos Int 2017 Jun28 (6):1805-1816.
2. Radke S, Kenn W, Eulert J (2004) Transient bone marrow edema syndrome progressing to avascular necrosis of the hip—a case report and review of the literature. Clin Rheumatol 23(1):83–88
3. Dawid Szwedowsi, Zaneta Nitek, Jerzy Walecki Evaluation of transient osteoporosis of the hip in magnetic resonance imaging. Pol J Radiol.2014 Feb 21; 79:36-8.
4. Cano-Marquina A, Tarín JJ, García-Pérez MÁ, Cano A (2014) Transient regional osteoporosis. Maturitas 77(4):324–329
5. Thanatsis N, Kollia G, Gkliatis J, Decavalas G, Adonakis G. Bilateral transient osteoporosis of the hip in pregnancy J Obstet Gynecol. 2018 Apr;38(3):415-416
6. Idiopathic transient Osteoporosis of the Hip (ITOH). Orthobullets.com
7. Nicola Berman, Howard Brent, Gregory Chang, StephenHonig. Transient osteoporosis: Not just the hip to worry about. Bone Reports, Volume 5, December 2016
8. Patel S (2014) Primary bone marrow oedema syndromes. Rheumatology (Oxford) 53(5):785–792
9. Anita Balakrishnan, Emil H. Schemitsch, Dawn Pearce, Michael D. McKee. Distinguishing transient osteoporosis of the hip from avascular necrosis. Can J Surg 2003 Jun;46(3)
10. Yamamoto T, Kubo T, Hirasawa Y et al. (1999) A clinicopathologic study of transient osteoporosis of the hip. Skeletal Radiology 28, 621-627
11. Apley’s Modern Orthopedics and Traumatology
12. Korompilias A.V., Karantanas A.H., Lykissas M.G., Beris A.E., Transient osteoporosis. J Am AcadOrthop Surg 2008; 16:480-489
13. Transient Osteoporosis of the Hip. Radiopedia.org
14. Butscheidt S, Delsmann A, Rolvien T, Barvencik F, Al-Bughaili M, Mundlos S, Schinke T, Amling M, Kornak U, Oheim R. Mutational analysis uncovers monogenic bone disorders in women with pregnancy-associated osteoporosis: three novel mutations in LRP5, COL1A1, and COL1A2.Osteoporos Int. 2018 Jul;29(7):1643-165
15. Timothy s.h. Kwok, Thanu Nadarajah Ruban, and Michael Steirman. Transient Osteoporosis of the Hip in a Middle-Aged Male Construction Worker. The Journal of Rheumatology February 2017, 44 (2) 258
16. Anita Balakrishnan, Emil H. Schemitsch, Dawn Pearce, Michael D. McKee. Distinguishing transient osteoporosis of the hip from avascular necrosis. Can J Surg 2003 Jun;46(3)
17. Yagishita K, Jinno T, Koga D, Kato T, Enomoto M, Kato T, Muneta T, Okawa A. Transient osteoporosis of the hip treated with hyperbaric oxygen therapy: a case series. Undersea Hyperb Med. 2016 Nov-Dec;43(7):847-854
18. Michail E. Klontzas, Evangelia E. Vassalou, Aristeidis H. Zibis, Antonia S. Bintoudi, Apostolos H. Karantanas. MR imaging of transient osteoporosis of the hip: An update on 155 hip joints. European Journal of Radiology
19. Raju Vaishya, Amit Kumar Agarwal, Virender Kumar, Vipul Vijay Abhishek Vaish. Transient Osteoporosis of the Hip: A Mysterious Cause of Hip Pain in Adults. Indian J Orthop. 2017 Jul-Aug; 51(4): 455–460.
20. Tim Claßen, Antonia Becker, Stefan Landgraeber, Marcel Haversath, Xinning Li, Christoph Zilkens, Rüdiger Krauspe, and Marcus Jäger. Long-term Clinical Results after Iloprost Treatment for Bone Marrow Edema and Avascular Necrosis. Orthop Rev (Pavia). 2016 Mar 21; 8(1): 6150
21. Hatice Rana Erdem, Ali Erhan Özdemirel, BarışNacır, Mustafa Şengül. Idiopathic Transient Osteoporosis of the Hip in a Non-Pregnant Woman: A Case Report. Turk J Phys Med Rehab 2013;59:157-60
22. C. Trevisan S. Ortolani Bone Loss and Recovery in Regional Migratory Osteoporosis. Osteoporosis International November 2002, Volume 13, Issue 11, pp 901–906
23. Scheer V. Transient osteoporosis: an unusual presentation of hip pain in a trail runner BMJ Case Rep. 2019 Jul 10;12(7)
24. Rosen RA: Transitory demineralization of the femoral head. Radiology 1970;94:509-512
25. G.P.Lyritis. Metabolic Diseases of the bone, Orthopedics, and traumatology of the musculoskeletal system 2010
26. K. Asadipooya & L. Graves & L. W. Greene Transient osteoporosis of the hip: review of the literature Osteoporos Int 2017 Jun28 (6):1805-1816.
27. Antonio Cano-Marquinaa,J uan J. Tarínb, Miguel-Ángel García-Pérezc, Antonio Cano Transient regional osteoporosis Maturitas. 2014 Apr; 77(4):324-9.
Published
2021-12-02