A 26 year old lady presented with right sided hip pain and diagnosed as avascular necrosis of the femoral head. After 6 months she presented a similar pain in left hip, which revealed avascular necrosis of left femoral head as well. [ncbi.nlm.nih.gov]

• Pain

  At the initial visit to our department, the patient was noted to have a painful trigger wrist that was brought on by wrist flexion and extension. [ncbi.nlm.nih.gov]

• Oral Ulcers

  Rashes and oral ulcers were not associated with AVN. Mean daily dose of CS and duration of CS use had no impact on AVN occurence. [ncbi.nlm.nih.gov]

• Progressive Hearing Loss

  Patients complain on progressive hearing loss and tinnitus. The diagnosis is made clinically by conventional audiologic evaluation and radiologically by x-ray mastoid Schuller's view and CT scan. [ncbi.nlm.nih.gov]

• Wrist Pain

  A 24-year-old woman presented with right wrist pain of 12 months duration. She reported no major trauma and reported that her pain had begun during the third month of her pregnancy. [ncbi.nlm.nih.gov]

• Metatarsalgia

  If the surgeon encounters significant bone loss, he or she should add a block of autogenous bone graft to maintain length of the first ray and prevent transfer metatarsalgia. [podiatrytoday.com]

• Ankle Pain

  A diagnosis of avascular necrosis should be considered in patients with atraumatic foot and ankle pain, especially in the presence of risk factors such as alcohol excess and smoking. [ncbi.nlm.nih.gov]

• Short Arm

  The patient was placed in a short-arm thumb spica cast, with a window for a bone stimulator, for 14 weeks. At the conclusion of the treatment, the pain had resolved and x-ray and computed tomography scan demonstrated bony union. [ncbi.nlm.nih.gov]

• Dysphasia

  AIMS: The aim of this study was to evaluate the correlation between Salter's criteria and Kalamchi's classification of avascular necrosis in patients treated for developmental dysphasia of the hip (DDH). [ncbi.nlm.nih.gov]

This staging system was revised after the widespread use of MRI in the workup of AVN. [orthopaedicsone.com]

The purpose of this article is to report a prototypical case with complete radiographic and histologic workup and to provide facts regarding Kummel disease that are salient to the primary care provider. [doi.org]

See Workup. Early diagnosis and appropriate intervention can delay the need for joint replacement. However, most patients present late in the disease course. [emedicine.medscape.com]

These patients were treated by conservative treatment (non surgical) in three cases, vascularized bone graft in two and palliative treatments (proximal row carpectomy or partial fusion) in five. [ncbi.nlm.nih.gov]

Early diagnosis and treatment of this entity are crucial because it affects relatively young individuals, and treatment options for advanced disease are limited. [doi.org]

RESULTS: S1 and S2 criteria were predictive of a poor prognosis. The outcome following S3, S4 and S3 S4 varied; 18 (40%) had a good prognosis, 17 (38%) a fair prognosis and ten (22%) a poor prognosis. [ncbi.nlm.nih.gov]

In addition, lesion size and location can be more easily assessed on magnetic resonance images, and this has been shown to relate to prognosis and need for treatment. [doi.org]

We know that the older the child is, the worse the prognosis. Most agree that children younger than 6 years do not require surgical treatment or even treatment with a brace. [lifebridgehealth.org]

The most common reported etiology is trauma. We report a case of avascular necrosis of the capitate in a patient with chronic wrist pain that began after a single episode of remote trauma. [ncbi.nlm.nih.gov]

Although bone scintigraphy using single photon emission computed tomography (CT) may be nearly as accurate as MRI, MRI offers a more specific diagnosis in the patient who presents with hip pain of uncertain etiology. [doi.org]

Epidemiology Frequency United States The frequency of AVN depends on the site involved. The most common site is the hip; other locations include the carpals, talus, femur, metatarsal, mandible, and humerus. [emedicine.medscape.com]

We will review the pathophysiologic mechanisms of AVN and the current use of MRI in the diagnosis of this condition. [ncbi.nlm.nih.gov]

The pathophysiology of avascular necrosis of the femoral head has not been completely accounted for. In some patients there has clearly been a direct cause (trauma, radiation,..), while in others the pathophysiology is still uncertain. [physio-pedia.com]

OBJECTIVES: To assess the effects of pharmacological interventions for preventing insufficiency fractures and avascular necrosis in adults over 18 years of age undergoing pelvic radiotherapy. [ncbi.nlm.nih.gov]

In cases of AVN of the hip, it is very important to diagnose and treat early in order to prevent disability. [hss.edu]