Transient osteoporosis of the hip (underlying subchondral fracture)

Case contributed by Dr Paul Leong

Presentation

Right hip pain.

Patient Data

Age: 50
Gender: Male

No abnormality detected

Extensive marrow oedema within the femoral head and neck.

There is a subchondral fracture within the femoral head.

Case Discussion

Findings are consistent with a subchondral fracture of the femoral head. The patient was managed conservatively.

Although transient osteoporosis of the hip is considered idiopathic, the recent literature suggests that underlying subchondral fracture plays an important role in the pathophysiology of this condition. 

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Case Information

rID: 26841
Case created: 10th Jan 2014
Last edited: 26th Sep 2015
Inclusion in quiz mode: Included

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