Transient Osteoporosis of the Hip: Risk and Therapy

Khaldoon M Bashaireh,1 Fa’ek M Aldarwish,1 Ali A Al-Omari,1 Moath A Albashaireh,1 Mai Hajjat,2 Mohammad A Al-Ebbini,3 Abdelwahab J Aleshawi3 1Department of Special Surgery, Division of Orthopedics, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan; 2Prin...

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Autores principales:	Bashaireh KM, Aldarwish FM, Al-Omari AA, Albashaireh MA, Hajjat M, Al-Ebbini MA, Aleshawi AJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	hip bone marrow edema core decompression healthcare professionals Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/e0d139054bca46f48accf614957ae4c1
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spelling	oai:doaj.org-article:e0d139054bca46f48accf614957ae4c12021-12-02T11:26:28ZTransient Osteoporosis of the Hip: Risk and Therapy1179-156Xhttps://doaj.org/article/e0d139054bca46f48accf614957ae4c12020-01-01T00:00:00Zhttps://www.dovepress.com/transient-osteoporosis-of-the-hip-risk-and-therapy-peer-reviewed-article-OARRRhttps://doaj.org/toc/1179-156XKhaldoon M Bashaireh,1 Fa’ek M Aldarwish,1 Ali A Al-Omari,1 Moath A Albashaireh,1 Mai Hajjat,2 Mohammad A Al-Ebbini,3 Abdelwahab J Aleshawi3 1Department of Special Surgery, Division of Orthopedics, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan; 2Princess Rahma Pediatric Hospital, Jordanian Ministry of Health, Irbid, Jordan; 3Internship, King Abdullah University Hospital, Irbid 22110, JordanCorrespondence: Khaldoon M BashairehDepartment of Special Surgery, Division of Orthopedics, Faculty of Medicine, Jordan University of Science and Technology, PO Box: 3030, Irbid 22110, JordanTel +962 799051087Fax +962 2-7201064Email bashaireh@just.edu.joObjective: The aim of this study was to investigate the impact of occupation in patients with transient osteoporosis of the hip (TOH). The study also compares two different types of management for this condition: conservative treatment and surgical drilling.Methods: This was a retrospective case series study. The medical records for patients diagnosed with TOH at our institution within the period 2012–2017 were retrieved. General demographic data, clinical features, and diagnostic modalities were obtained. In addition, management procedures and their associated prognostic factors were acquired. The effectiveness of these procedures was assessed by the number of days of sick leave, the time needed for full recovery and the number of recurrences of TOH. Also, pain responses at 24 hrs, 48 hrs, and at 1 week were estimated subjectively through a “pain score” out of 10, and objectively through the degree of improvement in daily activity. The patients had a regular follow-up at 4- to 6-week intervals.Results: In total, 15 cases of TOH, 14 men and one woman, were enrolled in the study. The mean age of the patients was 41 years (range 26–59 years). Out of the 15 cases, nine were healthcare professionals (eight physicians and one nurse). Ten patients underwent hip drilling for core decompression and five patients were treated conservatively. The time needed for full recovery was 5.8 weeks for those who underwent drilling, and 48.3 weeks for three patients receiving conservative treatment. The other two patients who were treated conservatively had not achieved full or near-full recovery at the time of reporting this study.Conclusion: Physicians may be at increased risk of developing TOH. Further studies should be conducted to examine the role of this occupation as a risk factor. In addition, hip drilling should be considered as an effective treatment modality, especially in those patients who seek a faster recovery.Keywords: hip, bone marrow edema, core decompression, healthcare professionalsBashaireh KMAldarwish FMAl-Omari AAAlbashaireh MAHajjat MAl-Ebbini MAAleshawi AJDove Medical Pressarticlehipbone marrow edemacore decompressionhealthcare professionalsDiseases of the musculoskeletal systemRC925-935ENOpen Access Rheumatology: Research and Reviews, Vol Volume 12, Pp 1-8 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	hip bone marrow edema core decompression healthcare professionals Diseases of the musculoskeletal system RC925-935
spellingShingle	hip bone marrow edema core decompression healthcare professionals Diseases of the musculoskeletal system RC925-935 Bashaireh KM Aldarwish FM Al-Omari AA Albashaireh MA Hajjat M Al-Ebbini MA Aleshawi AJ Transient Osteoporosis of the Hip: Risk and Therapy
description	Khaldoon M Bashaireh,1 Fa’ek M Aldarwish,1 Ali A Al-Omari,1 Moath A Albashaireh,1 Mai Hajjat,2 Mohammad A Al-Ebbini,3 Abdelwahab J Aleshawi3 1Department of Special Surgery, Division of Orthopedics, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan; 2Princess Rahma Pediatric Hospital, Jordanian Ministry of Health, Irbid, Jordan; 3Internship, King Abdullah University Hospital, Irbid 22110, JordanCorrespondence: Khaldoon M BashairehDepartment of Special Surgery, Division of Orthopedics, Faculty of Medicine, Jordan University of Science and Technology, PO Box: 3030, Irbid 22110, JordanTel +962 799051087Fax +962 2-7201064Email bashaireh@just.edu.joObjective: The aim of this study was to investigate the impact of occupation in patients with transient osteoporosis of the hip (TOH). The study also compares two different types of management for this condition: conservative treatment and surgical drilling.Methods: This was a retrospective case series study. The medical records for patients diagnosed with TOH at our institution within the period 2012–2017 were retrieved. General demographic data, clinical features, and diagnostic modalities were obtained. In addition, management procedures and their associated prognostic factors were acquired. The effectiveness of these procedures was assessed by the number of days of sick leave, the time needed for full recovery and the number of recurrences of TOH. Also, pain responses at 24 hrs, 48 hrs, and at 1 week were estimated subjectively through a “pain score” out of 10, and objectively through the degree of improvement in daily activity. The patients had a regular follow-up at 4- to 6-week intervals.Results: In total, 15 cases of TOH, 14 men and one woman, were enrolled in the study. The mean age of the patients was 41 years (range 26–59 years). Out of the 15 cases, nine were healthcare professionals (eight physicians and one nurse). Ten patients underwent hip drilling for core decompression and five patients were treated conservatively. The time needed for full recovery was 5.8 weeks for those who underwent drilling, and 48.3 weeks for three patients receiving conservative treatment. The other two patients who were treated conservatively had not achieved full or near-full recovery at the time of reporting this study.Conclusion: Physicians may be at increased risk of developing TOH. Further studies should be conducted to examine the role of this occupation as a risk factor. In addition, hip drilling should be considered as an effective treatment modality, especially in those patients who seek a faster recovery.Keywords: hip, bone marrow edema, core decompression, healthcare professionals
format	article
author	Bashaireh KM Aldarwish FM Al-Omari AA Albashaireh MA Hajjat M Al-Ebbini MA Aleshawi AJ
author_facet	Bashaireh KM Aldarwish FM Al-Omari AA Albashaireh MA Hajjat M Al-Ebbini MA Aleshawi AJ
author_sort	Bashaireh KM
title	Transient Osteoporosis of the Hip: Risk and Therapy
title_short	Transient Osteoporosis of the Hip: Risk and Therapy
title_full	Transient Osteoporosis of the Hip: Risk and Therapy
title_fullStr	Transient Osteoporosis of the Hip: Risk and Therapy
title_full_unstemmed	Transient Osteoporosis of the Hip: Risk and Therapy
title_sort	transient osteoporosis of the hip: risk and therapy
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/e0d139054bca46f48accf614957ae4c1
work_keys_str_mv	AT bashairehkm transientosteoporosisofthehipriskandtherapy AT aldarwishfm transientosteoporosisofthehipriskandtherapy AT alomariaa transientosteoporosisofthehipriskandtherapy AT albashairehma transientosteoporosisofthehipriskandtherapy AT hajjatm transientosteoporosisofthehipriskandtherapy AT alebbinima transientosteoporosisofthehipriskandtherapy AT aleshawiaj transientosteoporosisofthehipriskandtherapy
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Transient Osteoporosis of the Hip: Risk and Therapy

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