Higer H P, Grimm J, Pedrosa P, Apel R, Bandilla K
Fachbereiche Kernspintomographie und Rheumatologie, Deutsche Klinik für Diagnostik, Wiesbaden.
Rofo. 1989 Apr;150(4):407-12. doi: 10.1055/s-2008-1047047.
Transient osteoporosis of the hip is a syndrome that does not seem to be widely known; this is also true for its radiological appearance. It is often mistaken for avascular necrosis of the femoral head, metastatic or inflammatory disease. These differential diagnoses lead to more or less invasive procedures, although transient osteoporosis does not require more than immobilisation for complete remission. MRI was done in 38 patients with acute hip pain, 13 had femoral head necrosis and 8 transient osteoporosis. Follow-up studies via MRI in patients with transient osteoporosis revealed 3 stages (diffuse, focal, residual) during the clinical course of which stage II is similar to femoral head necrosis but always without the typical sclerotic rim.
髋部短暂性骨质疏松是一种似乎未被广泛知晓的综合征；其影像学表现也是如此。它常被误诊为股骨头缺血性坏死、转移性或炎性疾病。这些鉴别诊断会导致或多或少的侵入性检查，尽管髋部短暂性骨质疏松完全缓解只需制动。对38例急性髋部疼痛患者进行了磁共振成像（MRI）检查，其中13例有股骨头坏死，8例有髋部短暂性骨质疏松。对髋部短暂性骨质疏松患者进行的MRI随访研究显示，在临床过程中有3个阶段（弥漫性、局灶性、残留性），其中第二阶段与股骨头坏死相似，但始终没有典型的硬化边缘。
