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논문 기본 정보

자료유형
학술저널
저자정보
Yusuke Tabata (Department of Orthopedic Surgery Mitsuhashi Hospital Chiba Japan) Shuhei Matsui (Department of Orthopedic Surgery Musashino General Hospital Kawagoe Japan) Masabumi Miyamoto (Department of Orthopedic Surgery Sekishindo Hospital Kawagoe Japan) Koichiro Omori (Department of Orthopedic Surgery Mitsuhashi Hospital Chiba Japan) Yoichiro Tabata (Department of Orthopedic Surgery Mitsuhashi Hospital Chiba Japan) Tokifumi Majima (Department of Orthopedic Surgery Nippon Medical School Hospital Tokyo Japan)
저널정보
영남대학교 의과대학 Journal of Yeungnam Medical Science Journal of Yeungnam Medical Science 제40권 제2호
발행연도
2023.4
수록면
212 - 217 (6page)
DOI
10.12701/jyms.2022.00479

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We report a case of transient osteoporosis of the hip with a femoral neck fracture found during follow-up. A 53-year-old man presented with left hip pain without trauma. The pain did not improve after 2 weeks and he was brought to our hospital by ambulance. Magnetic resonance imaging (MRI) of the left hip joint showed diffuse edema in the bone marrow, which was identified by low signal intensity on T1-weighted images, high signal intensity on T2-weighted images, and increased signal intensity on short tau inversion recovery. This edema extended from the femoral head and neck to the intertrochanteric area. He was diagnosed with transient osteoporosis of the left hip. Rest gradually improved his pain; however, 3 weeks later, his left hip pain worsened without trauma. X-ray, computed tomography, and MRI results of the hip joint demonstrated a left femoral neck fracture, and osteosynthesis was performed. Differential diagnoses included avascular necrosis of the femoral head, infection, complex regional pain syndrome, rheumatoid arthritis, leukemia, and other cancers. Transient osteoporosis of the hip generally has a good prognosis with spontaneous remission within a few months to 1 year. However, a sufficient length of follow-up from condition onset to full recovery is necessary to avoid all probable complications such as fractures.

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