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Management of transient bone osteoporosis: a systematic review.
Migliorini, Filippo; Vecchio, Gianluca; Weber, Christian David; Kämmer, Daniel; Bell, Andreas; Maffulli, Nicola.
Afiliación
  • Migliorini F; Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Hospital, 52074 Aachen, Germany.
  • Vecchio G; Department of Orthopaedics and Trauma Surgery, Academic Hospital of Bolzano (SABES-ASDAA), 39100 Bolzano, Italy.
  • Weber CD; Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, SA, Italy.
  • Kämmer D; Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Hospital, 52074 Aachen, Germany.
  • Bell A; Department of Orthopaedic and Trauma Surgery, Eifelklinik St.Brigida, 52152 Simmerath, Germany.
  • Maffulli N; Department of Orthopaedic and Trauma Surgery, Eifelklinik St.Brigida, 52152 Simmerath, Germany.
Br Med Bull ; 147(1): 79-89, 2023 09 12.
Article en En | MEDLINE | ID: mdl-37328938
INTRODUCTION: Transient bone osteoporosis (TBO) is characterized by persistent pain, loss of function, no history of trauma and magnetic resonance image (MRI) findings of bone marrow edema. SOURCE OF DATA: PubMed, Google scholar, EMABSE and Web of Science were accessed in February 2023. No time constrains were used for the search. AREAS OF AGREEMENT: TBO is rare and misunderstood, typically affecting women during the third trimester of pregnancy or middle-aged men, leading to functional disability for 4-8 weeks followed by self-resolution of the symptoms. AREAS OF CONTROVERSY: Given the limited evidence in the current literature, consensus on optimal management is lacking. GROWING POINTS: This systematic review investigates current management of TBO. AREAS TIMELY FOR DEVELOPING RESEARCH: A conservative approach leads to the resolution of symptoms and MRI findings at midterm follow-up. Administration of bisphosphonates might alleviate pain and accelerate both clinical and imaging recovery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteoporosis / Enfermedades de la Médula Ósea Tipo de estudio: Diagnostic_studies / Systematic_reviews Límite: Female / Humans / Male / Middle aged / Pregnancy Idioma: En Revista: Br Med Bull Año: 2023 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteoporosis / Enfermedades de la Médula Ósea Tipo de estudio: Diagnostic_studies / Systematic_reviews Límite: Female / Humans / Male / Middle aged / Pregnancy Idioma: En Revista: Br Med Bull Año: 2023 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido