Transient osteoporosis of the hip (TOH) is a clinical presentation of acute hip pain, characterized by bone marrow edema of the femoral head, bone resorption, and subsequent resoluti...
Often spontaneous onset of acute unilateral or bilateral hip pain wi...
The majority have self-limited course and complete resolution with conservative management within 6 mo (ranges from 4 to 12 mo).
Analgesia should be tailored to individual; ma...
Follow-up MRI usually done; timing of repeat study uncertain; not unreasonable to repeat at 6 mo
Weight-bearing activity as tolerated; unclear when high impact act...
Diwanji SR, Cho YJ, Xin ZF, et al. Conservative treatment for transient osteoporosis of the hip in middle-aged women. Singapore Med J. 2008;49(1):e17–e21.
Fessel J. There are m...
TOH is a diagnosis of exclusion; evaluate for common causes of hip pain before diagnosing.
MRI is imaging modality of choice and is able to distinguish between AVN and TOH.
Most patients...
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