Idiopathic Transient Osteoporosis of the Hip Flashcards
1
Q
cause
A
hyperaemia and impaired venous return with marrow oedema and intramedullary pressure blocks vessels
2
Q
who is this common in?
A
middle aged men
women in the third trimester
3
Q
presentation
A
- progressive groin pain over several weeks
- difficulty bearing weight
- usually unilateral
4
Q
diagnosis
A
elevated ESR
radiographs show osteopenia of head and neck, thinning of cortices and preserved joint space
MRI
bone scan
5
Q
management
A
self-limiting and usually resolves in around 6-9months
analgesia
protected weight bearing to avoid stress fracture
