Temesvari M, Temesvari P, Vischer T L, Fallet G H
Schweiz Med Wochenschr. 1976 May 22;106(21):699-703.
Transitory demineralization of the hip, a special form of reflex sympathetic dystrophy, is a rare condition. It should however be distinguished from more severe conditions such as tuberculosis or neoplastic bone disease. The typical symptoms are illustrated from 3 personally observed cases. The patients, usually men between the ages of 30 and 50 years or women in the last months of pregnancy, suffer severe mechanical pain in the hip, with limping and weakness. They usually need crutches for walking. Clinical examination of the hip reveals only slight restriction of passive movements. The erythrocyte sedimentation rate may be slightly elevated. Bone scan discloses hypercaptation, while other laboratory tests are negative. A few weeks after onset of symptoms, pelvic X-rays show extreme demineralization of the femoral head. On the other hand, the joint space and bony contours remain intact. The prognosis is excellent and the symptoms disappear after a few months or after delivery.
髋关节短暂性脱矿质，一种特殊形式的反射性交感神经营养不良，是一种罕见病症。然而，它应与诸如结核病或骨肿瘤疾病等更严重的病症相区分。从3例个人观察病例中说明了典型症状。患者通常为30至50岁的男性或处于妊娠最后几个月的女性，髋关节遭受严重的机械性疼痛，伴有跛行和无力。他们通常行走时需要拐杖。髋关节的临床检查仅显示被动活动略有受限。红细胞沉降率可能略有升高。骨扫描显示摄取增加，而其他实验室检查均为阴性。症状出现几周后，骨盆X线片显示股骨头极度脱矿质。另一方面，关节间隙和骨轮廓保持完整。预后良好，症状在几个月后或分娩后消失。
