presents
Wheeless' Textbook of Orthopaedics
www.datatrace.com
Tracking Pixel

Transient Regional Osteoporosis





- Discussion:
      - patient presents with pain and possibly a limp;
      - x-rays show severe osteoporosis, and bone scans show increased signal;
      - MRI shows decreased Bone Marrow signal on T1 images and
            increased signal on T2
            - these changes are due to increase in bone marrow water content;
            - joint effusion is also evident in T2-weighted images;
            - may be confused with AVN in MR images;
      - as pts return to normal in 6-10 months MRI images will return to normal.



Original Text by Clifford R. Wheeless, III, MD.