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TABLE 39.1
Transient Migratory Osteoporosis in Osteogenesis Imperfecta
Reference
Author
OI Type: Age, Gender
Location
Comment
Ann Intern Med
1968; 68:
539-52
Hunder GG et al.
Type I: 41, Male
R hip
Rev Rhum
1969; 36: 517-21
Coste F et al.
Type ?: 40, Male
L hip
Z Rheumaforschg
1973; 32:
375-84
Schilling F
Type ?: 40, Male
L hip
Type ?: 50, Male
? hip
Z Rheumatol
1974; 33: 206-13
Hasche HH et al.
Type ?: 23, Male
R hip and L knee
Type ?: 28, Male
R hip, L knee and ? ankle
Rev Rhum
1981; 48: 641-5
Doury P et al.
Type ?: 34, Female
R hip
,,
Type ?: 59, Male
? ankle, R foot, L hip and
L knee
,,
Type ?: 63, Male
? knee and ? foot
,,
Type ?: 65, Female
?
,,
Type ?: ?, Male
? foot
,,
Unknown
? hip
Rev Rhum
1990; 57: 221-2
Laroche M et al.
Type ?: 27, Male
R hip
Type ?: 49, Female
R ankle and L ankle
Rev Rhum
1991: 640-2
Sibilia J et al.
Type ?: 26, Female
R hip
Arch Orthop Trauma Surg
1991; 110: 98-102
Grimm J et al.
Type I
? hip
Clin Orthop Relat Res
1997
Apr; (337): 249-55
Noorda RJ et al.
Type I: 48, Female
L hip and L ankle
J Bone Joint Surg Br
1998 Jan;
80(1): 54-5
Karagkevrekis CB et al.
Type I: 37, Male
R hip and L hip
Type ?: 30, Male
R hip and L hip
Orthopedics
2000 Dec; (12):
1291-2
Weitzel SH et al.
Type I: 30, Female
R and L hip
Transient osteoporosis
associated with pregnancy
Am J Orthop
(Belle Mead NJ)
2008 Feb; 37(2): 88-91
Young SD 3rd et al.
Type I: late 40, Male
L hip
Type ?: mid-60s, Male
L hip
Bone
2010 Jul; 51(1): 142-4
Pabinger C et al.
Type I: 32, Female
R hip
Transient osteoporosis
associated with pregnancy
including the ankle and foot. TMO of the pelvis in preg-
nancy has been reported to be associated with radio-
graphic changes in other areas.
6
In the patient with OI of either a severe or mild type,
the onset of unremitting hip, knee or foot pain is an
immediate cause of concern for a fracture. Occurrence
of these symptoms is added to the pain and disabil-
ity many individuals with OI experience on a chronic
basis. TMO involving the hip presents as the relatively
sudden onset of a dull ache in the buttocks, inguinal
area or anterior aspect of the thigh. Pain may involve
the side of the hip or the groin. Typically, this pain can-
not be related to a specific traumatic event. Patients will
frequently remember the exact timing and situation
when the pain began. They describe the pain as exac-
erbated with weight-bearing and relieved with rest.
Typically, range of motion is decreased at the involved
joint and rotating the involved joint tends to intensify
the pain. There is a reported disproportionate func-
tional disability as evidenced by patients who refuse to
bear weight or require the use of assistive devices, such
as canes or crutches, yet describe the pain as mild and