Transient Osteoporosis of the Hip and Spontaneous Osteonecrosis of the Knee: a Common Aetiology?

Overview

Journal Ir J Med Sci

Specialty General Medicine

Date 2009 Aug 8

PMID 19662487

Citations 4

Authors

M E A P M Adriaensen

K J Mulhall

R A P Borghans

P Magill

E C Kavanagh

Affiliations

Soon will be listed here.

Abstract

Introduction: The aetiologies of transient osteoporosis of the hip (TOH) and spontaneous osteonecrosis of the knee (SONK) are still unknown. Both entities present with pain and extensive bone marrow oedema is seen on magnetic resonance imaging.

Methods And Materials: We describe a patient who presented with TOH and later also developed SONK. Initial magnetic resonance imaging findings of both the hip and the knee showed extensive bone marrow oedema and a subchondral fracture line suggesting that subchondral fractures might be of importance to the aetiology of both conditions.

Conclusion: To our knowledge, this is the first case report that describes the occurrence of TOH and SONK in the same patient and introduces the possibility of a common aetiology.

Citing Articles

Spontaneous Osteonecrosis of the Knee: A Retrospective Analysis by Using MRI and DEXA.

Horikawa A, Miyakoshi N, Shimada Y, Kodama H Open Orthop J. 2016; 10:532-538.

PMID: 27990190 PMC: 5120381. DOI: 10.2174/1874325001610010532.

Femoral condyle insufficiency fractures: associated clinical and morphological findings and impact on outcome.

Plett S, Hackney L, Heilmeier U, Nardo L, Yu A, Zhang C Skeletal Radiol. 2015; 44(12):1785-94.

PMID: 26290325 DOI: 10.1007/s00256-015-2234-1.

MRI of subchondral fractures: a review.

Viana S, Machado B, Mendlovitz P Skeletal Radiol. 2014; 43(11):1515-27.

PMID: 25001872 DOI: 10.1007/s00256-014-1946-y.

Bone marrow lesions: a universal bone response to injury?.

Eriksen E, Ringe J Rheumatol Int. 2011; 32(3):575-84.

PMID: 21901347 DOI: 10.1007/s00296-011-2141-2.

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