Symptoma

Avascular Necrosis of the Hip

Hip Avascular Necrosis

We report a 30-yr-old woman with Cushing's disease whose presenting manifestation was early AVN of the hip. Although plain x-ray was negative, magnetic resonance imaging (MRI) of the hip showed stage 2 AVN. [ncbi.nlm.nih.gov]

  • Sepsis

    Mechanical failure with loosening of the femoral component occurred in one patient who developed deep sepsis. Significant thigh pain occurred in four patients in the noncemented group. [ncbi.nlm.nih.gov]

  • Surgical Procedure

    Nine patients (37.5%) had a conversion to total hip arthroplasty, none of which was associated with technical difficulties related to the initial surgical procedure. [ncbi.nlm.nih.gov]

  • Raynaud Phenomenon

    Risk factors for clinically occult AVN included Afro-American origin, Raynaud's phenomenon, migraine headaches, and a maximal corticosteroid dose of at least 30 mg/day. [ncbi.nlm.nih.gov]

  • Purpura

    Abstract Avascular necrosis (AVN) is a devastating adverse effect of steroid therapy rarely reported in idiopathic thrombocytopenic purpura (ITP). [ncbi.nlm.nih.gov]

  • Hip Pain

    Two weeks later she described left knee and left hip pain. On physical examination, motion in her left knee and hip was severely painful without inflammation but range of motion was not limited. [ncbi.nlm.nih.gov]

  • Thigh Pain

    A high incidence of thigh pain (29%) in the cementless group remains a problem. [ncbi.nlm.nih.gov]

  • Joint Effusion

    The outcome was more unfavorable with radiological stage III AVN, joint effusion, and/or a double-line sign around the lesions on magnetic resonance images. [ncbi.nlm.nih.gov]

[…] as morphological changes on femoral head, and to classify them with standard classification methods, and (3) to analyse the research results and make a recommendation for the following treatment dilemma: when is the optimal time for an operative treatment [ncbi.nlm.nih.gov]

AVN carries a poor prognosis, if not treated early. The diagnostic procedure of choice is MRI, because plain radiographs are falsely negative in early stages. [ncbi.nlm.nih.gov]

This case illustrates that AVN can be the presenting manifestation of CS; to prevent irreversible effects on the femoral head, core decompression should not be delayed for the purpose of evaluation and treatment of CS. [ncbi.nlm.nih.gov]