Skip to main content
Top
Published in: Archives of Osteoporosis 1-2/2009

Open Access 01-12-2009 | Original Article

Male transient hip osteoporosis: are physicians at a higher risk?

Authors: Azmy M. Hadidy, Nosaiba T. Al Ryalat, Shaher T. Hadidi, Emad S. Tarawneh, Maher T. Hadidi, Osama A. Samara, Deema M. Abu-Labn, Lawrence M. Al-Rousan, Dana A. Hiyasat, Hanan A. Hamamy

Published in: Archives of Osteoporosis | Issue 1-2/2009

Login to get access

Abstract

Summary

Data of 17 male patients with a final diagnosis of transient osteoporosis (TO) of the hip seen at the radiology department of a university hospital over a period of 7 years were retrospectively studied. Comparison of the proportion of doctors among TO cases with that among other hip joint pathologies revealed a significant difference.

Purpose

The objective of this study is to present clinical and radiological findings of hip TO and to assess the association of the condition with patients' occupation.

Materials and methods

Data of 17 male patients with a final diagnosis of transient osteoporosis of the hip seen at the radiology department of a university hospital over a period of 7 years were retrospectively studied.

Results

The diagnosis of transient hip osteoporosis was in accordance with the published literature for clinical, imaging findings, and laboratory results. Among the 17 cases of male transient hip osteoporosis, 65% were physicians and 12% were commercial pilots. Comparison of the proportion of doctors among TO cases with that among other hip joint pathologies revealed a significant difference. Abnormal low hormone levels of testosterone and 25-cholicalciferol (vitamin D) were detected in three and two patients, respectively.

Conclusion

The preponderance of physicians among patients with transient hip osteoporosis has not been previously reported. Etiological contribution of endocrine pathology and type of occupation to the causation of transient osteoporosis merits further research.
Literature
1.
go back to reference Lakhanpal S, Ginsburg W, Luthra S, Hunder G (1987) Transient regional osteoporosis: a study of 56 cases and review of the literature. Ann Intern Med 106:444–450PubMed Lakhanpal S, Ginsburg W, Luthra S, Hunder G (1987) Transient regional osteoporosis: a study of 56 cases and review of the literature. Ann Intern Med 106:444–450PubMed
2.
go back to reference Schapira D (1992) Transient osteoporosis of the hip. Semin Arthritis Rheum 2:98–105CrossRef Schapira D (1992) Transient osteoporosis of the hip. Semin Arthritis Rheum 2:98–105CrossRef
3.
go back to reference Korompilias AV, Karantanas AH, Lykissas MG, Beris AE (2008) Transient osteoporosis. J Am Acad Orthop Surg 16(8):480–489PubMed Korompilias AV, Karantanas AH, Lykissas MG, Beris AE (2008) Transient osteoporosis. J Am Acad Orthop Surg 16(8):480–489PubMed
4.
go back to reference Balakrishnan A, Schemitsch E, Pearce D, Mckee M (2003) Distinguishing transient osteoporosis of the hip from avascular necrosis. Can J Surg 46:187–192PubMed Balakrishnan A, Schemitsch E, Pearce D, Mckee M (2003) Distinguishing transient osteoporosis of the hip from avascular necrosis. Can J Surg 46:187–192PubMed
5.
go back to reference Wilson AJ, Murphy WA, Hardy DC, Totty WG (1988) Transient osteoporosis: transient bone marrow edema? Radiology 167:757–760PubMed Wilson AJ, Murphy WA, Hardy DC, Totty WG (1988) Transient osteoporosis: transient bone marrow edema? Radiology 167:757–760PubMed
6.
go back to reference Solomon L (1993) Bone-marrow edema syndrome. J Bone and Joint Surg 75-B(2):175–176 Solomon L (1993) Bone-marrow edema syndrome. J Bone and Joint Surg 75-B(2):175–176
7.
go back to reference Kim SY, Koo KH, Suh KT, Kim YS, Cho YJ, Min BW, Ha YC, Choi JA (2005) Fatty marrow conversion of the proximal femoral metaphysis in transient bone marrow edema syndrome. Arch Orthop Trauma Surg 125:390–395CrossRefPubMed Kim SY, Koo KH, Suh KT, Kim YS, Cho YJ, Min BW, Ha YC, Choi JA (2005) Fatty marrow conversion of the proximal femoral metaphysis in transient bone marrow edema syndrome. Arch Orthop Trauma Surg 125:390–395CrossRefPubMed
8.
go back to reference Koo KH, Ahn IO, Song HR, Kim SY, Jones JP Jr (2002) Increased perfusion of the femoral head in transient bone marrow edema syndrome. Clin Orthop Relat Res 402:171–175CrossRefPubMed Koo KH, Ahn IO, Song HR, Kim SY, Jones JP Jr (2002) Increased perfusion of the femoral head in transient bone marrow edema syndrome. Clin Orthop Relat Res 402:171–175CrossRefPubMed
9.
go back to reference Diwanji SR, Cho YJ, Xin ZF, Yoon TR (2008) Conservative treatment for transient osteoporosis of the hip in middle-aged women. Singapore Med J 49(1):17–21 Diwanji SR, Cho YJ, Xin ZF, Yoon TR (2008) Conservative treatment for transient osteoporosis of the hip in middle-aged women. Singapore Med J 49(1):17–21
10.
go back to reference Daniel RS, Farrar EK, Norton HR, Nussbaum AI (2009) Bilateral transient osteoporosis of the talus in pregnancy. Osteoporos Int, in press Daniel RS, Farrar EK, Norton HR, Nussbaum AI (2009) Bilateral transient osteoporosis of the talus in pregnancy. Osteoporos Int, in press
11.
go back to reference Jennings PE, Malley BP O, Griffin KE, Northover B, Rosenthal FD (1984) Relevance of increased serum thyroxine concentrations associated with normal serum triiodothyronine values in hypothyroid patients receiving thyroxine: a case for “tissue thyrotoxicosis”. BMJ 289:1645–1647CrossRefPubMed Jennings PE, Malley BP O, Griffin KE, Northover B, Rosenthal FD (1984) Relevance of increased serum thyroxine concentrations associated with normal serum triiodothyronine values in hypothyroid patients receiving thyroxine: a case for “tissue thyrotoxicosis”. BMJ 289:1645–1647CrossRefPubMed
12.
go back to reference Duncan CR, Evans RA, Somers NM (1992) Bone death in transient regional osteoporosis. Bone 13:161–165CrossRef Duncan CR, Evans RA, Somers NM (1992) Bone death in transient regional osteoporosis. Bone 13:161–165CrossRef
13.
go back to reference Mitchell DG, Rao V, Dalinka M, Spritzer CE, Gefter WB, Axel L, Steinberg M, Kressel HY (1986) MRI of joint fluid in the normal and ischemic hip. AJR Am J Roentgenol 146:1215–1218PubMed Mitchell DG, Rao V, Dalinka M, Spritzer CE, Gefter WB, Axel L, Steinberg M, Kressel HY (1986) MRI of joint fluid in the normal and ischemic hip. AJR Am J Roentgenol 146:1215–1218PubMed
14.
go back to reference Shifrin LZ, Reis ND, Zinman H, Besser MI (1987) Idiopathic transient osteoporosis of the hip. J Bone Joint Surg Br 69:769–773PubMed Shifrin LZ, Reis ND, Zinman H, Besser MI (1987) Idiopathic transient osteoporosis of the hip. J Bone Joint Surg Br 69:769–773PubMed
15.
go back to reference Pantazopoulous T, Exarchou E, Hartofilakidis-Garofalidis G (1973) Idiopathic transient osteoporosis of the hip. J Bone Joint Surg Am 55:315–321 Pantazopoulous T, Exarchou E, Hartofilakidis-Garofalidis G (1973) Idiopathic transient osteoporosis of the hip. J Bone Joint Surg Am 55:315–321
16.
go back to reference Guerra JJ, Alabama B, Steinberg ME, Current concepts review (1995) Distinguishing transient osteoporosis from avascular necrosis of the hip. J Bone Joint Surg Am 77:616–624PubMed Guerra JJ, Alabama B, Steinberg ME, Current concepts review (1995) Distinguishing transient osteoporosis from avascular necrosis of the hip. J Bone Joint Surg Am 77:616–624PubMed
17.
go back to reference Hays C, Conway W, Daniel W (1993) MR imaging of bone marrow edema pattern: transient osteoporosis, transient bone marrow edema syndrome or osteonecrosis. Radiographics 13:1001–1011 Hays C, Conway W, Daniel W (1993) MR imaging of bone marrow edema pattern: transient osteoporosis, transient bone marrow edema syndrome or osteonecrosis. Radiographics 13:1001–1011
18.
go back to reference Hofmann S, Engel A, Neuhold A, Leder K, Kramer J, Plenk H (1993) Bone marrow edema syndrome and transient osteoporosis of the hip: an MRI-controlled study of treatment by core decompression. J Bone Joint Surg Br 75-B:210–216 Hofmann S, Engel A, Neuhold A, Leder K, Kramer J, Plenk H (1993) Bone marrow edema syndrome and transient osteoporosis of the hip: an MRI-controlled study of treatment by core decompression. J Bone Joint Surg Br 75-B:210–216
19.
go back to reference Ergun T, Lakadamyali H (2008) The relation between MRI findings and duration of symptoms in transient osteoporosis of the hip. Acta Orthop Traumatol Turc 42(1):10–15CrossRefPubMed Ergun T, Lakadamyali H (2008) The relation between MRI findings and duration of symptoms in transient osteoporosis of the hip. Acta Orthop Traumatol Turc 42(1):10–15CrossRefPubMed
20.
go back to reference Malizos KN, Zibis AH, Dailiana Z, Hantes M, Karachalios T, Karantanas AH (2004) MR imaging findings in transient osteoporosis of the hip. Eur J Radiol 50:238–244CrossRefPubMed Malizos KN, Zibis AH, Dailiana Z, Hantes M, Karachalios T, Karantanas AH (2004) MR imaging findings in transient osteoporosis of the hip. Eur J Radiol 50:238–244CrossRefPubMed
21.
go back to reference Miyanishi K, Kaminomachi S, Hara T, Maeda H, Watanabe H, Shimizu A, Torisu T (2007) A subchondral fracture in transient osteoporosis of the hip. Skeletal Radiol 36:677–680CrossRefPubMed Miyanishi K, Kaminomachi S, Hara T, Maeda H, Watanabe H, Shimizu A, Torisu T (2007) A subchondral fracture in transient osteoporosis of the hip. Skeletal Radiol 36:677–680CrossRefPubMed
23.
go back to reference Kronengerg H, Melmed S, Polonsky K, Larsen P (2008) Williams textbook of endocrinology. Elsevier, Amsterdam, pp 1036–1046 Kronengerg H, Melmed S, Polonsky K, Larsen P (2008) Williams textbook of endocrinology. Elsevier, Amsterdam, pp 1036–1046
Metadata
Title
Male transient hip osteoporosis: are physicians at a higher risk?
Authors
Azmy M. Hadidy
Nosaiba T. Al Ryalat
Shaher T. Hadidi
Emad S. Tarawneh
Maher T. Hadidi
Osama A. Samara
Deema M. Abu-Labn
Lawrence M. Al-Rousan
Dana A. Hiyasat
Hanan A. Hamamy
Publication date
01-12-2009
Publisher
Springer-Verlag
Published in
Archives of Osteoporosis / Issue 1-2/2009
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-009-0025-9

Other articles of this Issue 1-2/2009

Archives of Osteoporosis 1-2/2009 Go to the issue