The document presents a detailed case study of a patient with transient osteoporosis of the hip (TOH) and spontaneous osteonecrosis of the knee (SONK) treated at Choithram Hospital & Research Centre in India. Over 20 years, the patient experienced multiple episodes of TOH and SONK with no history of trauma or co-morbidities, resulting in resolutions and recurrences of conditions. The information is intended for orthopedic surgery students and highlights personal experiences and case collections, with a disclaimer regarding content usage and potential controversies.

1. Migratory Reflex Transient
Osteoporosis
Vinod Naneria
Girish Yeotikar
Arjun Wadhwani
Choithram Hospital & Research Centre, Indore,
India

29. Case of TOH and SONK
• Presenting here a case who developed
• TOH rt hip 2000,
• TOH lt hip 2011
• SONK lt knee 2018
• Sonk rt knee 2020
• No history of trauma,
• No co-morbidity
• All routine investigations were normal.

45. MRI Left Hip TOH January 2011

46. MRI Left Hip TOH January 2011

68. Summary – 20 years follow up
• Patient first seen in Sept. 2000
• After full investigations of blood and imaging like
MRI, CT scan and TC 99 bone scanning, a diagnosis
of TOH was made and treated accordingly.
• Patient develop TOH in left Hip in 2011.
• Again develop SONK lesion in Left knee in Oct 2018.
• Total resolution in January 2019.
• Recurrence of SONK lesion in Rt knee in January
2020.

117. • Information contained and transmitted by this presentation is
based on personal experience and collection of cases at Choithram
Hospital & Research centre, Indore, India, during last 40 years.
• It is intended for use only by the students of orthopaedic
surgery.
• Views and opinion expressed in this presentation are personal.
• Depending upon the x-rays and clinical presentations viewers can
make their own opinion.
• For any confusion please contact the sole author for clarification.
• Every body is allowed to copy or download and use the material
best suited to him. Authors are not responsible for any
controversies arise out of this presentation.
• For any correction or suggestion please contact:
naneria@yahoo.com
DISCLAIMER