El Masry M A, Saha A, Calder S J
Department of Trauma & Orthopaedic Surgery Leeds General Infirmary, Great George Street, Leeds LS1 3EX, England, UK.
J Bone Joint Surg Br. 2005 Sep;87(9):1272-4. doi: 10.1302/0301-620X.87B9.16631.
Transient osteoporosis is an uncommon, self-limiting, reversible condition. We report a case involving the knee following trauma. The aetiology is unknown, but the association between transient osteoporosis and trauma has not been documented previously. The clinical presentation represents a degree of overlap among various clinical syndromes, including reflex sympathetic dystrophy and avascular necrosis. The diagnosis was confirmed by bone scan and MRI. The patient, a 47-year-old man, was treated with non-steroidal anti-inflammatory medication, protected weight-bearing and physiotherapy. He made a full clinical recovery and bone quality returned to virtual normality.
短暂性骨质疏松是一种罕见的、自限性的、可逆性疾病。我们报告一例创伤后累及膝关节的病例。病因不明,但此前尚无短暂性骨质疏松与创伤之间关联的文献记载。临床表现存在于包括反射性交感神经营养不良和缺血性坏死在内的各种临床综合征之间一定程度的重叠。通过骨扫描和磁共振成像确诊。患者为一名47岁男性,接受了非甾体类抗炎药物治疗、保护性负重及物理治疗。他临床完全康复,骨质恢复至几乎正常状态。