Osteonecrosis Quiz
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Knee does not move
Have knee pain
I have hip pain
Hip joint does not move
Have pain in the hip joint
I have pain in both knees
Joints are difficult to move
Not seeing your symptoms? No worries!
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).
Typical Symptoms of Osteonecrosis
- Taking steroids
- Knee pain
- Hip pain
- Typically engages in a job that involves walking around
- Primarily engaged in work that requires standing
- Arm pain
- Broken bone within the last 3 months
- Difficulty moving the joint(s)
Diagnostic Questions for Osteonecrosis
Your doctor may ask these questions to check for this disease:
- Are you currently taking steroids?
- Are you experiencing knee pain?
- Are you experiencing hip pain?
- Do you have a job that requires a lot of walking?
- Do you stand a lot for work?
Treatment of 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.
Reviewed By:
Kent C Doan, MD (Orthopedics)
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 (Orthopedics)
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.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Hip pain when sleeping
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See full list
Symptoms Related to Osteonecrosis
Diseases Related to Osteonecrosis
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
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.htmlWeinstein 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/s12020-011-9580-0Rioux-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.aspxChang 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%3DihubKarim 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.