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Year :2018
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Month :
October
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Volume :
7
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Issue :
4
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Page :
RC04 - RC06
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Transient Osteoporosis of Hip Presenting as Stress Fracture
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Correspondence Address :
Rahul Dev,
Dr. Rahul Dev,
Assistant Professor, Department of Radiology and
Imaging, Ground Floor, Hospital Block, AIIMS, Rishikesh-
249203, Uttarakhand, India.
E-mail: rdev8283@gmail.com
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Introduction: Transient Osteoporosis of Hip (TOH) is a rare idiopathic, reversible, rapidly developing and spontaneously resolving osteoporosis, a diagnosis of exclusion. It is seen more commonly in middle aged men, though also seen in the third trimester of pregnancy. The affected individuals present clinically with acute hip pain, limping gait and limited range of hip motion. We present a case report of a middle age female patient of postpartum status presented with bilateral hip symptoms more prominent on the right side. Radiographs are typically unremarkable in this entity, but MRI is the main diagnostic tool which revealed imaging findings conforming bone marrow oedema and presence of stress fracture in the right femoral neck. TOH often resembles osteonecrosis, but the two conditions must be differentiated due to different prognosis and management approaches.
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