Long-term Results of the Patients with Regional Transient Osteoporosis

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 presentation

The diagnostic value of magnetic resonance imaging in subacromial impingement syndrome

The aim of this study was to assess the diagnostic ability of magnetic resonance imaging (MRI) in subacromial impingement syndrome (SIS), using a physiological standard of reference. MRI of the rotator cuff (RC) and subacromial injection test (SIT), a reference standard for SIS diagnosis, were performed in 125 painful shoulders. MRI diagnostic accuracies were determined using a 2 x 2 table and the percentage values of SIS diagnosis in patients with the three Zlatkin NM stages were determined. Shoulder function was evaluated using the Constant Scale, and results were compared for stages. The sensitivity, specificity, accuracy, positive and negative predictive values of MRI for SIS diagnosis were 98.85%, 36.84%, 80%, 78.18% and 93.33% respectively. Of the 32 patients with Zlatkin stage 1 changes in MRI, 20 (62%) had SIT approved SIS diagnosis, while 47 (79%) of the 59 patients with Zlatkin 2 and all of the 19 (100%) patients with Zlatkin 3 changes were diagnosed with SIS by SIT. Mean Constant scores were 78.04 +/- 18.3, 65.0 +/- 19.9 and 54.52 +/- 20.7 in patients with Zlatkin stages 1, 2 and 3, respectively (p < 0.05). The MRI of RC did not prove to be an excellent tool for SIT based SIS diagnosis, with its low specificity. However, the technique can give important clues, as its sensitivity and negative predictive values are high

Transient Regional Osteoporosis of the Hip: Case Report - Case Report

Transient regional osteoporosis of the hip (TOH) 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. Differential diagnosis includes avascular necrosis, stress fracture, septic arthritis, malignancy, soft-tissue injury, osteoarthrosis and radiculopathy. Due to its association with bone marrow oedema, TOH is a pathology in which magnetic resonans imaging is extremely important in differential diagnosis. In this paper, a male patient with complaint of hip pain and difficulty in walking, which was diagnosed as TOH was presented by reviewing current literature. (Osteoporoz Dünyasından 2006;12:87-90

Coccydynia in patients with axial spondyloarthritis: Reflection of enthesitis?

Objectives: In this study, we aimed to compare the Maastricht Ankylosing Spondylitis Enthesitis Score (MASES) values of patients with axial spondyloarthritis (ax-SpA) with and without coccydynia

The Results of the Bone Mineral Density Screening of Istanbul-Sultanbeyli - Original Investigation

Aim: Our aim of this study is to determine demographic characteristics and social insurance profile of the patients by doing osteoporosis screening in the socioeconomic developing territory. Material and Method: Six thousand eight hundred sixteen cases enrolled in this study, who were living in Istanbul-Sultanbeyli. Bone mineral density was measured by using radiographic absorbsiometry (Metriscan-ALARA). Demographic characteristics and social insurance profile are interrogated. Results: Of the total cases, 19.6% were unemployed, 69.6% were housewive, 4.2% were self-employed, 2.7% were retired, 2.2% were officials, 1.1% were workers, 0.5% were managers. There were not social guaranty on 44.4% of the cases. Of the other cases, 6.9% were members of Emekli Sandığı, 42.3% were members of SSK, 5.4% were members of Bağ-Kur, 1.1% were members of Yeşil Kart. According to the age of the people occurrence of osteoporosis; in 40-49 age group 3.2%, in 50-59 age group 9.5%, in 60-69 age group 32%, in 70 years old and over it was calculated as %48. The overall occurrence of the osteoporosis were 7.8% and 31% of them had not social guaranty. Conclusion: When the cost of the osteoporosis treatment is considered, it seems difficult to have treatment for the cases haven't social insurance. The majority of the same kinds of socioeconomicly developing territories increases the importance of the studies about how to prevent osteoporosis twice as much. (Osteoporoz Dünyasından 2006;12:47-9

The Value of Calcaneal Quantitative Ultrasound And Phalangeal Radiographic Absorbsiometry in Diagnosis of Osteoporosis: A Comparative Study - Original Investigation

Aims: The current method for screening osteoporosis involves dual-energy x-ray absorptiometry (DEXA). The aim of this study to determine specifity and sensitivity of the calcaneal quantative ultrasound (QUS) and radiographic absorbsiometri (RA). Materials and Methods: We enrolled a total of 69 community-dwelling people aged between 30-81 years. Of all the patient's phalangeal bone mineral density (BMD) was measured using RA; calcaneal BMD was measured by using QUS; lumbar spine and hip regions BMD was measured using by DEXA. The screening results conducted by QUS and RA were compared with the DEXA results. Results: While QUS measurements revealed osteopenia in 21 cases (30.4%) and osteoporosis in 31 cases (44.9%); RA measurements revealed osteopenia in 21 cases (30.4%) and osteoporosis in 33 cases (47.8%). Whereas according to lumbar vertebra DEXA results: 21 cases revealed osteopenia, and 30 cases revealed osteoporosis; according to hip DEXA results: 26 cases revealed osteopenia, and 19 cases revealed osteoporosis. The sensitivity, specificity, positive predictive value, and negative predictive value for identifying cases with osteoporosis by QUS were 66.7%, 78.8%, 77.4%, 68.4%, respectively, and by RA were 75%, 81.8%, 81.8%, 75%, respectively. Conclusion: QUS and RA seem to be valid and practical method. Due to highly concordant RA and lumbar vertebral DEXA results, RA appears to be a useful technique for assessing osteoporosis. (Osteoporoz Dünyasından 2006; 12: 43-6