Osteonecrosis Quiz
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Reviewed By:
Kent C Doan, MD (Orthopedic surgery)
Dr Doan Graduated from the University of Missouri Kansas City School of Medicine and completed residency training in Orthopedic Surgery at the University of Colorado. He completed additional fellowship training in Orthopedic Sports Medicine at the prestigious Steadman Clinic and Steadman Philippon Research Institute in Vail, Colorado. He is a practicing Orthopedic Surgeon who specializes in complex and revision knee and shoulder surgery at the Kansas City Orthopedic Institute. He also holds an assistant professorship at the University of Kansas City.
Tomohiro Hamahata, MD (Orthopedic surgery)
Dr. Hamahata graduated from the Jikei University of Medical Science. After working at Asanokawa General Hospital and Kosei Chuo Hospital, he joined the Department of Orthopedics at Asakusa Hospital in April 2021, specializing in general orthopedics and joint replacement surgery.
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People with similar symptoms also use Ubie's symptom checker to find possible causes
Hip pain when walking
Pain behind the knee
Knee swelling
Hip pain when sleeping
Knee pain when crouching
Knee pain with numbness or tingling in the same leg
Pain when I press the knee
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Learn more about Osteonecrosis
Content updated on Nov 26, 2023
What is osteonecrosis?
A condition where bone loses its blood supply and dies. It can be caused by direct injury to the bone (e.g., a fracture or dislocation) or indirect injury (e.g., alcohol, smoking, diseases, medications, or radiotherapy).
Symptoms of osteonecrosis
Knee pain
Hip pain
Questions your doctor may ask to check for osteonecrosis
Your doctor may ask these questions to diagnose osteonecrosis
Do you have pain in the knee(s)
Do you have pain in your hip joints?
Treatment for osteonecrosis
Treatment aims to prevent further bone damage and restore blood supply. This is done with a multifactorial approach depending on the cause. It can include lifestyle changes like taking weight off the affected area, avoiding strenuous activity, or avoiding causative factors such as alcohol, smoking, culprit drugs, or treatment of systemic diseases. In some cases, surgery is indicated to restore blood supply or treat the affected area.
Diseases related to Osteonecrosis
References
Lespasio MJ, Sodhi N, Mont MA. Osteonecrosis of the Hip: A Primer. Perm J. 2019;23:18-100. doi: 10.7812/TPP/18-100. PMID: 30939270; PMCID: PMC6380478.
https://www.thepermanentejournal.org/issues/2019/winter/6970-osteonecrosis-of-the-hip-a-primer.html
Weinstein RS. Glucocorticoid-induced osteonecrosis. Endocrine. 2012 Apr;41(2):183-90. doi: 10.1007/s12020-011-9580-0. Epub 2011 Dec 15. PMID: 22169965; PMCID: PMC3712793.
https://link.springer.com/article/10.1007/s12020-011-9580-0
Rioux-Forker D, Shin AY. Osteonecrosis of the Lunate: Kienböck Disease. J Am Acad Orthop Surg. 2020 Jul 15;28(14):570-584. doi: 10.5435/JAAOS-D-20-00020. PMID: 32692092.
https://journals.lww.com/jaaos/Abstract/2020/07150/Osteonecrosis_of_the_Lunate__Kienb_ck_Disease.2.aspx
Chang C, Greenspan A, Gershwin ME. The pathogenesis, diagnosis and clinical manifestations of steroid-induced osteonecrosis. J Autoimmun. 2020 Jun;110:102460. doi: 10.1016/j.jaut.2020.102460. Epub 2020 Apr 16. PMID: 32307211.
https://www.sciencedirect.com/science/article/abs/pii/S0896841120300767?via%3Dihub
Karim AR, Cherian JJ, Jauregui JJ, Pierce T, Mont MA. Osteonecrosis of the knee: review. Ann Transl Med. 2015 Jan;3(1):6. doi: 10.3978/j.issn.2305-5839.2014.11.13. PMID: 25705638; PMCID: PMC4293480.
User testimonials
Reviewed By:
Kent C Doan, MD (Orthopedic surgery)
Dr Doan Graduated from the University of Missouri Kansas City School of Medicine and completed residency training in Orthopedic Surgery at the University of Colorado. He completed additional fellowship training in Orthopedic Sports Medicine at the prestigious Steadman Clinic and Steadman Philippon Research Institute in Vail, Colorado. He is a practicing Orthopedic Surgeon who specializes in complex and revision knee and shoulder surgery at the Kansas City Orthopedic Institute. He also holds an assistant professorship at the University of Kansas City.
Tomohiro Hamahata, MD (Orthopedic surgery)
Dr. Hamahata graduated from the Jikei University of Medical Science. After working at Asanokawa General Hospital and Kosei Chuo Hospital, he joined the Department of Orthopedics at Asakusa Hospital in April 2021, specializing in general orthopedics and joint replacement surgery.
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Dale Mueller, MD
Cardiothoracic Surgery, Vascular surgery
Cardiothoracic and Vascular Surgery Associates
