Showing posts with label transient osteoporosis. Show all posts
Showing posts with label transient osteoporosis. Show all posts

Friday, December 20, 2019

35M runner with chronic hip pain MRI 2016 and Now

From Feb 2016. Reported as Transient Osteoporosis / Subchondral Fracture. Follow-up was recommended to "r/o progression to AVN". WHAT???? New MRI today shows normal marrow signal. White arrow, might hallucinate residua of old healed fracture, or not.  No AVN.  Same anterosuperior labral tear. What is the current concept of TOP? Is the "Party Line" that it is subchondral fracture?  Conference talk suggests that, but I can't see that stated in the literature.  Some literature points to "potential risk of developing AVN" but I cannot find a single case of progression of TOP to AVN...what's THAT about??? Who can tell us what the truth is?






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