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[髋部短暂性骨质疏松症]

[Transient osteoporosis of the hip].

作者信息

Zasacki W

机构信息

Kliniki Ortopedii C.M.K.P., Otwocku.

出版信息

Pol Tyg Lek. 1993 Nov;48 Suppl 3:43-5.

PMID:8309837
Abstract

Recently, more and more interest has been focused on the local bone lost, e.g. transient osteoporosis of the hip. It is believed that its etiology is similar to that Sudeck's disease. However, it is not clear, yet. Transient osteoporosis of the hip is more frequent in man than in women, at middle age as well as in the III trimester of pregnancy. The patients suffer from increasing hip pain without any definite cause. Laboratory findings do not show pathologies but X-ray reveal marked bone loss in the area of both the head and neck of the femoral bone with normal articular space. The symptoms disappear spontaneously within approximately few months, provided that no complications develop. At the same time, a normal bone structure in the proximal end of femoral bone is restored. The author presents a case of a 37-year old pregnant woman who suffered from rare complication of undiagnosed transient osteoporosis of the hip in the form of pathological compression fracture of the femoral bone neck, immediately below its head.

摘要

最近,越来越多的关注集中在局部骨质丢失上,例如髋部的暂时性骨质疏松症。人们认为其病因与苏戴克病相似。然而,目前尚不清楚。髋部暂时性骨质疏松症在男性中比女性更常见,在中年以及妊娠晚期均如此。患者会出现无明确原因的髋部疼痛加剧。实验室检查结果未显示出病变,但X线显示股骨头部和颈部区域有明显的骨质丢失,关节间隙正常。如果没有并发症发生,症状会在大约几个月内自行消失。与此同时,股骨近端的正常骨结构得以恢复。作者介绍了一例37岁孕妇的病例,该孕妇患有罕见的未被诊断出的髋部暂时性骨质疏松症并发症,表现为股骨颈头部下方的病理性压缩骨折。

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