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一名17岁非孕女性的髋部短暂性骨质疏松症:病例报告

Transient osteoporosis of the hip in a 17-year-old nonpregnant female: a case report.

作者信息

Sheikdon Abdirizak Abdullahi, Ahmed Abdishakur Mohamud, Ahmed Omar Hassan

机构信息

Orthopedic Department, Somali National University, Mogadishu, Somalia.

Orthopedic Department, Royal Hospital Mogadishu, Mogadishu, Somalia.

出版信息

J Med Case Rep. 2025 Jul 8;19(1):323. doi: 10.1186/s13256-025-05381-1.

Abstract

BACKGROUND

Transient osteoporosis of the hip is a rare, self-limiting condition that typically affects middle-aged men and pregnant women in the third trimester. It is rarely observed in adolescents.

CASE REPORT

We present a unique case of transient osteoporosis of the hip in a 17-year-old Somali nonpregnant female who reported severe left hip pain and restricted mobility. Initial investigations revealed bone marrow edema on magnetic resonance imaging and deficiencies in phosphorus and magnesium. The patient was treated conservatively with bed rest, nutritional supplementation, bisphosphonates, and corticosteroids. This comprehensive approach led to significant improvement. At follow-up, the patient demonstrated complete resolution of symptoms and normalization of imaging findings.

CONCLUSION

This case underscores the importance of early diagnosis and targeted therapy in achieving full recovery from transient osteoporosis of the hip. Furthermore, it expands the demographic spectrum of transient osteoporosis of the hip, emphasizing its occurrence in nonpregnant adolescents.

摘要

背景

髋部短暂性骨质疏松是一种罕见的自限性疾病,通常影响中年男性和妊娠晚期的孕妇。在青少年中很少见。

病例报告

我们报告一例独特的髋部短暂性骨质疏松病例,患者为一名17岁未怀孕的索马里女性,自述左髋部剧痛且活动受限。初步检查显示磁共振成像有骨髓水肿,且磷和镁缺乏。患者接受了卧床休息、营养补充、双膦酸盐和皮质类固醇的保守治疗。这种综合治疗方法取得了显著改善。随访时,患者症状完全缓解,影像学检查结果恢复正常。

结论

该病例强调了早期诊断和针对性治疗对于髋部短暂性骨质疏松完全康复的重要性。此外,它扩大了髋部短暂性骨质疏松的人群范围,强调了其在未怀孕青少年中的发生情况。

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