背景:短暂性髋骨骨质疏松,或者急性骨髓水肿综合征,是一种罕见的疾病,其特征是股骨近端骨密度降低,通过6-24个月的保守管理解决。在介绍时,患者抱怨髋部局部疼痛突然发作,加重负重。然而,这种情况的患病率和危险因素仍不清楚.目的:本研究旨在确定患有髋部疼痛并接受髋部磁共振成像的患者中髋部短暂性骨质疏松症的患病率。
方法:这是一项回顾性调查,涉及从沙特阿拉伯一家三级医院的患者记录中收集数据。包括候选人是出现髋部疼痛的患者,在2016年至2019年期间进行了MRI检查,年龄超过14岁.收集的数据涉及患者的年龄和性别,髋部受影响的一侧,和诊断。数据分析是通过SPSS26版执行的(IBMCorp.,Armonk,NY).
结果:三百十四个患者符合我们的纳入标准。髋关节短暂性骨质疏松症的患病率为2.5%。他们都是男性,一半年龄在40岁以上,50%的人左侧疼痛,75%有少量关节积液。股骨头是一过性髋关节骨质疏松患者关节受影响最大的部位。在我们的病人中,髋部疼痛最常见的原因是臀中肌腱炎(12.9%),33.1%的髋部疼痛患者进行了正常的检查和调查,15.2%的人有一个以上的病症。髋关节短暂性骨质疏松症的危险因素是左髋关节疼痛(p值=0.023)和年龄在41至50岁之间(p值=0.012)。
结论:髋部短暂性骨质疏松的患病率较低,然而,它需要一个更强大的设计研究的证实。40岁以上的男性和左侧髋部疼痛的风险更高。
BACKGROUND: Transient osteoporosis of the hip, or acute bone marrow edema syndrome, is a rare condition characterized by a decrease in bone mineral density of the proximal femur, which resolves with conservative management over 6-24 months. At presentation, the patient complains of sudden onset of localized pain in the hip, which is aggravated by weight-bearing. However, the prevalence and risk factors for this condition are still unclear. Objective: This study aims to identify the prevalence of transient osteoporosis of the hip among patients who present with hip pain and underwent magnetic resonance imaging of the hip.
METHODS: This is a retrospective investigation that involved collecting data from patients\' records in a tertiary hospital in Saudi Arabia. Included candidates were patients who presented with hip pain, had an MRI done between 2016 and 2019 inclusive, and were older than 14 years. The collected data involved the age and gender of patients, the hip\'s affected side, and the diagnosis. Data analysis was executed through SPSS version 26 (IBM Corp., Armonk, NY).
RESULTS: Three hundred and fourteen patients matched our inclusion criteria. The prevalence of transient osteoporosis of the hip was 2.5%. All of them were males and half were above 40 years, 50% had pain in the left side, and 75% had a small joint effusion. The femoral head was the most affected part of the joint in patients with transient osteoporosis of the hip. Among our patients, the most common cause of hip pain was gluteus medius tendonitis (12.9%), where 33.1% of patients with hip pain had normal examination and investigations, and 15.2% had more than one condition. Risk factors for transient osteoporosis of the hip are pain in the left hip joint (p-value=0.023) and an age between 41 and 50 years (p-value=0.012).
CONCLUSIONS: The prevalence of transient osteoporosis of the hip is low, yet it requires confirmation by studies with a more robust design. Males older than 40 years and left-side hip pain are at higher risk.