Evaluation of results of conservative therapy in patients with transient osteoporosis of hip

The present study aimed to review the general characteristics of 18 cases diagnosed with transient osteoporosis of the hip (TOH) in our hospital within a 3-year period and to present their follow-up results after conservative treatment. A retrospective evaluation was made of the treatment and results of followup of TOH cases using physical examination and laboratory findings, hip radiographs and magnetic resonance imaging (MRI) and Harris Hip Scores (HHS). The mean duration of complaints of 6 females (mean age, 34.3 ± 4.3 years) and 12 males (mean age, 40.7 ± 10.5 years) was 6.1 ± 2.7 weeks before the treatment. Three female patients had a history of giving birth by cesarean delivery. None of the patients had any history of trauma. MRI revealed increased intensity in T2 sequences and decreased intensity in T1 sequences in the proximal aspect of the femur. None of the patients had subchondral collapse or intra-articular effusion. For 3 female patients who were breastfeeding, no medical therapy was given, but only hyperbaric oxygen (HBO) therapy and forearm crutches. As standard management, the other patients were prevented from weight-bearing with the use of forearm crutches and medical therapy of diclofenac sodium, acetylsalicylic acid, and risedronate sodium was administered and additional HBO therapy. Clinical and radiological improvements were observed in all patients. None of the patients had avascular necrosis (AVN) of the femoral head. There was no record of therapy-related complications. While HHS was 55.6 ± 7.8 before the treatment, it increased to 88.8 ± 5.8 in the 3rd month and to 96.0 ± 1.8 in the 6th month after the treatment. This change in score over time was found to be significant

Klippel-Feil Syndrome and Dextrocardia: A Case Report

Klippel-Feil Sendromu gestasyonun 3-8. haftasında servikal somitlerin segmantasyonunda yetersizlik sonucu gelişen konjenital bir malformasyondur. Klasik triadında kısa boyun, aşağı yerleşimli saç çizgisi, en az 2 servikal segmentte füzyon ve boyun hareketlerinde azalma vardır. Genellikle çocuk yaşlarda klinik belirtiler görülmeye başlasa da nadir olgularda ileri yaşlarda tanı konulur. Biz burada 17 yaşında bayan hastada servikal vertebra bozuklukları, skolyoz ve Sprengel deformitesine ek olarak dekstrokardi ve kosta sayı anomalisinin (sağ tarafta 13 adet, sol tarafta 11 adet kosta) görüldüğü olguyu sunmayı amaçladık.Klippel-Feil syndrome is a congenital malformation that exists because of a failure of the normal segmentation of cervical somites during the third and eighth weeks of gestation. The classical triad includes short neck, low hair line, restriction in neck motion, and fusion of at least two cervical segments. Patients with Klippel-Feil syndrome usually present with the disease during childhood but may present later in life. In this case report, we present a 17-year-old female patient with cervical vertebra anomalies, scoliosis, Sprengel's deformity, dextrocardia, and costa anomalies (13 costa on the right side and 11 costa on the left side)

Bilateral Tibial Stress Fractures in a Young Man Associated with Idiopathic Osteoporosis - Case Report

Stress fractures are defined as a partial or complete fracture of bone due to an inability to endure a non-violent stress. Two factors have been proposed to explain the aetiology of stress fractures: muscle fatigue, and direct muscle action. We want to point to third factor with our case report: Osteoporosis. (From the World of Osteoporosis 2010;16:58-60