Avascular necrosis of the femoral head - Revision history

Michael at 12:09, 30 May 2014

2014-05-30T12:09:03Z

← Older revision		Revision as of 12:09, 30 May 2014
Line 32:		Line 32:
	It is often just referred to as '''avascular necrosis''', abbreviated '''AVN'''.		It is often just referred to as '''avascular necrosis''', abbreviated '''AVN'''.

	In children idiopathic AVN of the [[femoral ~~head]]~~ is known as ''[[Legg–Calvé–Perthes disease]]''.		In children idiopathic AVN of the of capital femoral epiphysis is known as ''[[Legg–Calvé–Perthes disease]]''.<ref name=pmid24267210>{{cite journal \|author=Shah H \|title=Perthes disease: evaluation and management \|journal=Orthop. Clin. North Am. \|volume=45 \|issue=1 \|pages=87–97 \|year=2014 \|month=January \|pmid=24267210 \|doi=10.1016/j.ocl.2013.08.005 \|url=}}</ref>

	==General==		==General==

Michael at 11:54, 30 May 2014

2014-05-30T11:54:40Z

← Older revision		Revision as of 11:54, 30 May 2014
Line 31:		Line 31:

	It is often just referred to as '''avascular necrosis''', abbreviated '''AVN'''.		It is often just referred to as '''avascular necrosis''', abbreviated '''AVN'''.

			In children idiopathic AVN of the [[femoral head]] is known as ''[[Legg–Calvé–Perthes disease]]''.

	==General==		==General==

Michael: /* See also */

2014-05-30T11:53:34Z

Michael: /* Focal soft lesion suggestive of AVN */

2014-02-26T21:03:17Z

Focal soft lesion suggestive of AVN

← Older revision		Revision as of 21:03, 26 February 2014
Line 104:		Line 104:
	Joint capsule tissue with focal lymphocytes and plasma cells is present.		Joint capsule tissue with focal lymphocytes and plasma cells is present.

	===~~Focal soft~~ lesion ~~suggestive of AVN~~===		===Remote AVN with focal lesion===
	<pre>		<pre>
	FEMORAL HEAD AND SURROUNDING TISSUE, RIGHT, HIP ARTHROPLASTY:		FEMORAL HEAD AND SURROUNDING TISSUE, RIGHT, HIP ARTHROPLASTY:

Michael: /* Focal soft lesion suggestive of AVN */

2014-02-26T21:02:52Z

Focal soft lesion suggestive of AVN

← Older revision		Revision as of 21:02, 26 February 2014
Line 107:		Line 107:
	<pre>		<pre>
	FEMORAL HEAD AND SURROUNDING TISSUE, RIGHT, HIP ARTHROPLASTY:		FEMORAL HEAD AND SURROUNDING TISSUE, RIGHT, HIP ARTHROPLASTY:
	- FOCAL DEGENERATIVE CHANGES IN THE CARTILAGE WITH UNDERLYING FIBROSIS AND BONE		- FOCAL DEGENERATIVE CHANGES OF THE CARTILAGE WITH AN UNDERLYING WEDGE OF FIBROSIS
	~~REMODELING~~ COMPATIBLE WITH A HISTORY OF AVASCULAR NECROSIS.		AND REMODELLED BONE COMPATIBLE WITH A HISTORY OF AVASCULAR NECROSIS.
	- DEGENERATIVE JOINT DISEASE.		- DEGENERATIVE JOINT DISEASE.
	- BENIGN FIBROADIPOSE TISSUE AND CARTILAGE.		- BENIGN FIBROADIPOSE TISSUE AND CARTILAGE.

Michael: /* Remote AVN */

2014-02-26T20:54:33Z

Remote AVN

← Older revision		Revision as of 20:54, 26 February 2014
Line 103:		Line 103:

	Joint capsule tissue with focal lymphocytes and plasma cells is present.		Joint capsule tissue with focal lymphocytes and plasma cells is present.

			===Focal soft lesion suggestive of AVN===
			<pre>
			FEMORAL HEAD AND SURROUNDING TISSUE, RIGHT, HIP ARTHROPLASTY:
			- FOCAL DEGENERATIVE CHANGES IN THE CARTILAGE WITH UNDERLYING FIBROSIS AND BONE
			REMODELING COMPATIBLE WITH A HISTORY OF AVASCULAR NECROSIS.
			- DEGENERATIVE JOINT DISEASE.
			- BENIGN FIBROADIPOSE TISSUE AND CARTILAGE.
			- NEGATIVE FOR MALIGNANCY.
			</pre>

	==See also==		==See also==

Michael: /* Microscopic */

2014-02-26T20:48:25Z

Microscopic

← Older revision		Revision as of 20:48, 26 February 2014
Line 58:		Line 58:
	</ref>		</ref>
	*Empty lacunae - indicative of necrotic bone (osteonecrosis).		*Empty lacunae - indicative of necrotic bone (osteonecrosis).
			*Degnerative changes of the cartilage overlying the necrotic bone.<ref name=pmid15885478/>
	DDx:		DDx:
	*Suboptimal [[tissue fixation]].<ref>{{Cite journal \| last1 = Fondi \| first1 = C. \| last2 = Franchi \| first2 = A. \| title = Definition of bone necrosis by the pathologist. \| journal = Clin Cases Miner Bone Metab \| volume = 4 \| issue = 1 \| pages = 21-6 \| month = Jan \| year = 2007 \| doi = \| PMID = 22460748 }}</ref>		*Suboptimal [[tissue fixation]].<ref>{{Cite journal \| last1 = Fondi \| first1 = C. \| last2 = Franchi \| first2 = A. \| title = Definition of bone necrosis by the pathologist. \| journal = Clin Cases Miner Bone Metab \| volume = 4 \| issue = 1 \| pages = 21-6 \| month = Jan \| year = 2007 \| doi = \| PMID = 22460748 }}</ref>

Michael: /* General */

2014-02-26T20:45:54Z

General

← Older revision		Revision as of 20:45, 26 February 2014
Line 40:		Line 40:
	*[[Sickle cell disease]].<ref>{{Cite journal \| last1 = Al Omran \| first1 = A. \| title = Multiple drilling compared with standard core decompression for avascular necrosis of the femoral head in sickle cell disease patients. \| journal = Arch Orthop Trauma Surg \| volume = 133 \| issue = 5 \| pages = 609-13 \| month = May \| year = 2013 \| doi = 10.1007/s00402-013-1714-9 \| PMID = 23494112 }}</ref>		*[[Sickle cell disease]].<ref>{{Cite journal \| last1 = Al Omran \| first1 = A. \| title = Multiple drilling compared with standard core decompression for avascular necrosis of the femoral head in sickle cell disease patients. \| journal = Arch Orthop Trauma Surg \| volume = 133 \| issue = 5 \| pages = 609-13 \| month = May \| year = 2013 \| doi = 10.1007/s00402-013-1714-9 \| PMID = 23494112 }}</ref>

	Clinical:<ref>{{Cite journal \| last1 = McCarthy \| first1 = J. \| last2 = Puri \| first2 = L. \| last3 = Barsoum \| first3 = W. \| last4 = Lee \| first4 = JA. \| last5 = Laker \| first5 = M. \| last6 = Cooke \| first6 = P. \| title = Articular cartilage changes in avascular necrosis: an arthroscopic evaluation. \| journal = Clin Orthop Relat Res \| volume = \| issue = 406 \| pages = 64-70 \| month = Jan \| year = 2003 \| doi = 10.1097/01.blo.0000043045.84315.d9 \| PMID = 12579001 }}</ref>		Clinical:
	*Pain.		*Pain.<ref name=pmid15885478>{{Cite journal \| last1 = Magnussen \| first1 = RA. \| last2 = Guilak \| first2 = F. \| last3 = Vail \| first3 = TP. \| title = Cartilage degeneration in post-collapse cases of osteonecrosis of the human femoral head: altered mechanical properties in tension, compression, and shear. \| journal = J Orthop Res \| volume = 23 \| issue = 3 \| pages = 576-83 \| month = May \| year = 2005 \| doi = 10.1016/j.orthres.2004.12.006 \| PMID = 15885478 }}</ref>
	*Locking.		*Locking.<ref>{{Cite journal \| last1 = McCarthy \| first1 = J. \| last2 = Puri \| first2 = L. \| last3 = Barsoum \| first3 = W. \| last4 = Lee \| first4 = JA. \| last5 = Laker \| first5 = M. \| last6 = Cooke \| first6 = P. \| title = Articular cartilage changes in avascular necrosis: an arthroscopic evaluation. \| journal = Clin Orthop Relat Res \| volume = \| issue = 406 \| pages = 64-70 \| month = Jan \| year = 2003 \| doi = 10.1097/01.blo.0000043045.84315.d9 \| PMID = 12579001 }}</ref>
	*Catching.		*Catching.

Michael: /* General */

2014-02-26T20:42:01Z

General

← Older revision		Revision as of 20:42, 26 February 2014
Line 40:		Line 40:
	*[[Sickle cell disease]].<ref>{{Cite journal \| last1 = Al Omran \| first1 = A. \| title = Multiple drilling compared with standard core decompression for avascular necrosis of the femoral head in sickle cell disease patients. \| journal = Arch Orthop Trauma Surg \| volume = 133 \| issue = 5 \| pages = 609-13 \| month = May \| year = 2013 \| doi = 10.1007/s00402-013-1714-9 \| PMID = 23494112 }}</ref>		*[[Sickle cell disease]].<ref>{{Cite journal \| last1 = Al Omran \| first1 = A. \| title = Multiple drilling compared with standard core decompression for avascular necrosis of the femoral head in sickle cell disease patients. \| journal = Arch Orthop Trauma Surg \| volume = 133 \| issue = 5 \| pages = 609-13 \| month = May \| year = 2013 \| doi = 10.1007/s00402-013-1714-9 \| PMID = 23494112 }}</ref>

	~~Clincal~~:<ref>{{Cite journal \| last1 = McCarthy \| first1 = J. \| last2 = Puri \| first2 = L. \| last3 = Barsoum \| first3 = W. \| last4 = Lee \| first4 = JA. \| last5 = Laker \| first5 = M. \| last6 = Cooke \| first6 = P. \| title = Articular cartilage changes in avascular necrosis: an arthroscopic evaluation. \| journal = Clin Orthop Relat Res \| volume = \| issue = 406 \| pages = 64-70 \| month = Jan \| year = 2003 \| doi = 10.1097/01.blo.0000043045.84315.d9 \| PMID = 12579001 }}</ref>		Clinical:<ref>{{Cite journal \| last1 = McCarthy \| first1 = J. \| last2 = Puri \| first2 = L. \| last3 = Barsoum \| first3 = W. \| last4 = Lee \| first4 = JA. \| last5 = Laker \| first5 = M. \| last6 = Cooke \| first6 = P. \| title = Articular cartilage changes in avascular necrosis: an arthroscopic evaluation. \| journal = Clin Orthop Relat Res \| volume = \| issue = 406 \| pages = 64-70 \| month = Jan \| year = 2003 \| doi = 10.1097/01.blo.0000043045.84315.d9 \| PMID = 12579001 }}</ref>
	*Pain.		*Pain.
	*Locking.		*Locking.

Michael at 20:41, 26 February 2014

2014-02-26T20:41:50Z

← Older revision		Revision as of 20:41, 26 February 2014
Line 40:		Line 40:
	*[[Sickle cell disease]].<ref>{{Cite journal \| last1 = Al Omran \| first1 = A. \| title = Multiple drilling compared with standard core decompression for avascular necrosis of the femoral head in sickle cell disease patients. \| journal = Arch Orthop Trauma Surg \| volume = 133 \| issue = 5 \| pages = 609-13 \| month = May \| year = 2013 \| doi = 10.1007/s00402-013-1714-9 \| PMID = 23494112 }}</ref>		*[[Sickle cell disease]].<ref>{{Cite journal \| last1 = Al Omran \| first1 = A. \| title = Multiple drilling compared with standard core decompression for avascular necrosis of the femoral head in sickle cell disease patients. \| journal = Arch Orthop Trauma Surg \| volume = 133 \| issue = 5 \| pages = 609-13 \| month = May \| year = 2013 \| doi = 10.1007/s00402-013-1714-9 \| PMID = 23494112 }}</ref>

	~~Symptoms~~:<ref>{{Cite journal \| last1 = McCarthy \| first1 = J. \| last2 = Puri \| first2 = L. \| last3 = Barsoum \| first3 = W. \| last4 = Lee \| first4 = JA. \| last5 = Laker \| first5 = M. \| last6 = Cooke \| first6 = P. \| title = Articular cartilage changes in avascular necrosis: an arthroscopic evaluation. \| journal = Clin Orthop Relat Res \| volume = \| issue = 406 \| pages = 64-70 \| month = Jan \| year = 2003 \| doi = 10.1097/01.blo.0000043045.84315.d9 \| PMID = 12579001 }}</ref>		Clincal:<ref>{{Cite journal \| last1 = McCarthy \| first1 = J. \| last2 = Puri \| first2 = L. \| last3 = Barsoum \| first3 = W. \| last4 = Lee \| first4 = JA. \| last5 = Laker \| first5 = M. \| last6 = Cooke \| first6 = P. \| title = Articular cartilage changes in avascular necrosis: an arthroscopic evaluation. \| journal = Clin Orthop Relat Res \| volume = \| issue = 406 \| pages = 64-70 \| month = Jan \| year = 2003 \| doi = 10.1097/01.blo.0000043045.84315.d9 \| PMID = 12579001 }}</ref>
	*Pain.		*Pain.
	*Locking.		*Locking.

← Older revision		Revision as of 11:53, 30 May 2014
Line 116:		Line 116:
	==See also==		==See also==
	*[[Femoral head]].		*[[Femoral head]].
			*[[Legg–Calvé–Perthes disease]].

	==References==		==References==