31-184

Diagnóstico precoz de la osteoporosis transitoria de la cadera versus necrosis isquémica de la cabeza femoral ¿Existen realmente signos diferenciales?

Early diagnosis of transient osteoporosis of the hip versus avascular necrosis. Do differential signs really exist?

J. RIBES IBORRA*, I. FARGUETA ROIG* y L. MARTI-BONMATI** Servicio de Cirugía Ortopédica y Traumatología. ** Servicio de Radiodiagnóstico.Hospital Dr. Peset, Valencia.
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
07/11/2008


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Resumen (ES)

We report a retrospective study about the differences in clinical signs and in imaging
techniques between transient osteoporosis of the hip and avascular necrosis. The study was
done on 7 patients of transient osteoporosis and the results obtained were compared with 12 cases
of avascular necrosis. We discuss if transient osteoporosis is an individual syndrome or it is an early
and reversible stage of avascular necrosis. The imaging techniques studies were: standard X-ray,
radionuclide, bone-scanning and MRI. We found differential signs between there two process, but
this don't allow us to conclude that the two illness are different. Finally, we discuss the treatment
lo carry out in case of transient osteoporosis of the hip.

Palabras clave (ES):

Transitoria
Isquémica
Cabeza
Femoral
Cadera
Algodistrofia
Distrofia
Osteonecrosis
Diagnóstico
Osteoporosis

Resumen (EN)

We report a retrospective study about the differences in clinical signs and in imaging
techniques between transient osteoporosis of the hip and avascular necrosis. The study was
done on 7 patients of transient osteoporosis and the results obtained were compared with 12 cases
of avascular necrosis. We discuss if transient osteoporosis is an individual syndrome or it is an early
and reversible stage of avascular necrosis. The imaging techniques studies were: standard X-ray,
radionuclide, bone-scanning and MRI. We found differential signs between there two process, but
this don't allow us to conclude that the two illness are different. Finally, we discuss the treatment
lo carry out in case of transient osteoporosis of the hip.

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