Osteonecrosis Quiz
Reviewed By:
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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Learn more about Osteonecrosis
Content updated on Sep 20, 2022
A condition where parts of bone are damaged and die out. It can be caused by direct injury to the bone (e.g. a fracture or dislocation), or indirect injury (e.g. alcohol, smoking, medications or radiotherapy).
Taking steroids
Difficulty moving the joint(s)
Knee pain
Hip pain
Your doctor may ask these questions to diagnose osteonecrosis
Are you currently taking steroids (e.g. Prednisolone, Hydrocortisone, Dexamethasone)?
Are your joints stiff and difficult to move?
Do you have pain in the knee(s)
Do you have pain in your hip joints?
Treatment aims to prevent further bone damage and reduce pain. This is done through lifestyle changes like taking weight off the joint, avoiding strenuous activity, and avoiding alcohol, smoking, culprit drugs and other causes of bone damage. In some cases, a bone surgery or transplant may be advised.
View the symptoms of Osteonecrosis
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
Reviewed By:
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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Seiji Kanazawa, MD, PHD
Obstetrics and gynecology (OBGYN)
National Center for Child Health and Development, Japan