TRANSIENT OSTEOPOROSIS OF KNEE: A COMMON CONDITION FOR NON-INDICATED TKR
| Autor: | Srinivas H, B.S. Jayakrishna Reddy, Amit Chaudhary |
|---|---|
| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | Journal of Evolution of Medical and Dental sciences. 2:10188-10195 |
| ISSN: | 2278-4802 2278-4748 |
| DOI: | 10.14260/jemds/1755 |
| Popis: | BACKGROUND: This article reports a case of transient osteoporosis involving both tibial and femoral condyle in 30 patients, reviews the existing literature, discusses disease pathologyand discusses the treatment options.SUBJECTS & METHODS: 30 patients with a 1-8 weeks history of knee pain and on the verge of planning a TKR were further investigated and differentiated as Transient osteoporosis. RESULTS:All patients were managed withobservation, protected weight bearing, and pain control. Non-weight bearing status often is required during the initial 1 to 2 weeks of treatment to assist conservative management. Only few required TKR at later time.CONCLUSION: Early differentiation of transient osteoporosis from early Osteoarthritis of knee will avoid unnecessary surgical intervention and ensure appropriate treatment. SUBJECTS & METHODS: 30patients with a 1-8 weeks history of knee pain. The pain was most apparent during walking, and had increased to the point of preventing weight bearing in few. The patient reported no recent trauma to the joint and had no history of knee injury or disease. The patient did not use alcohol excessively and had not been treated with systemic or local corticosteroids. On knee examination, a minimal effusion and joint line tenderness was noted. Kneejoint's range of motion was full. No signs of ligamentous instability were observed. Radiographs revealed minor osteoarthritic changes (Fig 1). Laboratory values were within normal limits, including those associated with infection. Initial managementwasinvestigating with Magnetic resonance imaging (MRI) which showed decreased signal intensity on T1-weighted images within the tibial or femoral condyles and corresponding increased signal intensity on T2-weighted images, consistent with bone |
| Databáze: | OpenAIRE |
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