Transient regional osteoporosis is an uncommon cause of hip pain. It affects mostly healthy middle-aged men, and women in the third trimester of pregnancy. The aetiology is unknown.Eight patients (3 females, 5males) who were diagnosed as transient regional osteoporosis of hip were included in the study. Long-term results of all the patients were evaluated. Their mean follow-up duration was 5.1 years. Following every hip involvement, after a mean duration of 6.6 months, all the patients were asymptomatic and returned to full activitiy without residual effects. Both hips were affected in 5 patients, in 4 of which the involvement was migratory. Migratory involvement duration ranged from 3 months to 4 years.In conclusion, Transient regional osteoporosis is self-limiting and resolves symptomatically and radiologically within some months of presentationKey words: Transient regional osteoporisis, hip disease, bone marrow.
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GIRIS
Geçici bölgesel osteoporoz (GBOP), lokal osteoporozun primer nedenlerinden biridir. Diger primer nedeni ise refleks sempatik distrofidir. Sekonder nedenler arasinda ise immobilizasyon, denervasyon, kirik vb. nedenler sayilabilir. Klinik olarak geçici osteoporoz, bölgesel ve migratuvar olarak 2 ana grupta incelenebilir (1,2). Ancak ikiside GBOP basligi altinda degerlendirilmektedir (3,4). GBOP nadir görülen etyolojisi bilinmeyen bir patolojidir. Erkeklerde ve orta yas grubunda daha siklikla görülür (1,2,3,4,5,2,3,4,5,6,2,3,4,5,6,7,2,3,4,5,6,7,8). Özellikle alt ekstremiteyi etkilemekte daha çok da (% 67 oraninda) kalça tutulumu yapmaktadir(3). Baska bir seride bu % 76 oraninda bulunmustur(9). Özellikle femur basi etkilenmektedir. Eklem araligi ise etkilenmez ve sinovyal biopsi örnekleri normal bulunmakta ve hastalar tek bir atak göstermektedir. Rapor edilen olgularin yarisina yakininda migratuvar (yer degistiren) özellik görülmektedir (3).Bu çalismada GBOP tanisi alan olgularin bulgularinin irdelenmesi ve uzun dönem izlem sonuçlarinin sunulmasi amaçlanmistir.
