MR Vol.14 No.3 indexに戻る

MODERN RHEUMATOLOGY Vol.14 No.3             
Initial change in transient osteoporosis of the hip on magnetic resonance images: a case report
Motoyuki Horii1 , Shigehiro Inoue1, Mikihiro Fujioka1, Keiichirou Ueshima1, Hiroshi Suehara1 and Toshikazu Kubo1
(1) Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-0841, Japan
Received: 29 September 2003 Accepted: 02 March 2004
Abstract
 We report the case of a 29-year-old Japanese man with transient osteoporosis of the left hip (TOH) following contralateral TOH, paying special attention to the initial changes on MRI. MR images showed no abnormal findings 6 weeks before the clinical manifestation, but the images just after the onset depicted a linear abnormality equivalent to a subchondral insufficiency fracture. Both radiological findings and clinical symptoms disappeared completely without any surgical intervention within 10 months.
 
Key words
Bone marrow edema - Femoral head - Magnetic resonance imaging (MRI) - Transient osteoporosis of the hip (TOH)
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