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Male transient hip osteoporosis are physicians at a higher risk

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					Male transient hip osteoporosis: are physicians at a higher
risk?
Azmy M. Hadidy, 1 Nosaiba T. Al Ryalat,1 Shaher T. Hadidi,2 Emad S.
Tarawneh,1 Maher T. Hadidi,3 Osama A. Samara,1 Deema M. Abu-
Labn,1Lawrence M. Al-Rousan,4 Dana A. Hiyasat,5 and Hanan A.
Hamamy5
1
  Department of Radiology, Jordan University Hospital, Amman, P.O. Box 13046, 11942 Jordan
2
  Department of Orthopedic Surgery, Jordan University Hospital, Amman, Jordan
3
  Department of Anatomy, Faculty of Medicine, Jordan University, Amman, Jordan
4
  Department of Medicine, Jordan University Hospital, Amman, Jordan
5
  National Center for Diabetes, Endocrinology and Genetics, Amman, Jordan
Azmy M. Hadidy, Phone: +962-7-88707000, Email: amshadidy@yahoo.com.

 Corresponding author.
Received April 14, 2009; Accepted May 11, 2009.
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                                             Abstract
Summary
Data of 17 male patients with a final diagnosis of transient osteoporosis (TO) of
the hip seen at the radiology department of a university hospital over a period of
7 years were retrospectively studied. Comparison of the proportion of doctors
among TO cases with that among other hip joint pathologies revealed a
significant difference.
Purpose
The objective of this study is to present clinical and radiological findings of hip TO
and to assess the association of the condition with patients' occupation.
Materials and methods
Data of 17 male patients with a final diagnosis of transient osteoporosis of the hip
seen at the radiology department of a university hospital over a period of 7 years
were retrospectively studied.
Results
The diagnosis of transient hip osteoporosis was in accordance with the published
literature for clinical, imaging findings, and laboratory results. Among the 17
cases of male transient hip osteoporosis, 65% were physicians and 12% were
commercial pilots. Comparison of the proportion of doctors among TO cases with
that among other hip joint pathologies revealed a significant difference. Abnormal
low hormone levels of testosterone and 25-cholicalciferol (vitamin D) were
detected in three and two patients, respectively.
Conclusion
The preponderance of physicians among patients with transient hip osteoporosis
has not been previously reported. Etiological contribution of endocrine pathology
and type of occupation to the causation of transient osteoporosis merits further
research.
Keywords: Transient osteoporosis, Hip MRI, Occupation, Hormones



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