idiopathic transient osteonecrosis of the hip Flashcards
1
Q
what is ITOH
A
Local hyperaemia and impaired venous return with marrow oedema and increased intramedullary pressure
2
Q
patient presentation
A
progressive groin pain over several weeks
diffiuclty weight bearing
3
Q
is it usually unilateral or bilateral
A
uniltaeral
4
Q
which categories have higher incidence
A
middle age men, pregnant women in third trimester
5
Q
gold standard test
A
MRI
6
Q
diagnosis of itoh
A
Elevated ESR
7
Q
what is shwon on a radiograph
A
osteopenia of the head and neck
thinning of the cortices
preserved joint space
8
Q
management
A
- Self limiting condition that resolves in 6-9 months
- Analgesia
- Protected weight (crutches) bearing to avoid stress fracture
9
Q
A
