Treatment of Hip and Knee Osteonecrosis: A Presentation of Three Cases and Evidence-based Algorithm | Chapter 5 | Medical Science: Trends and Innovations Vol. 8

Osteonecrosis of the hip and knee presents challenging cases for the orthopaedic surgeon. ON of the hip and knee can be a source of severe morbidity for affected individuals. Although several risk factors and explanations for the pathogenesis of ON have been recognized, there exists little consensus in the literature as to the appropriate clinical management. Here are the cases of three patients who were treated at the institution and a treatment algorithm for hip and knee osteonecrosis was conducted. The cases represent pre- and post-collapse lesions of the hip and knee. Current evidence is reviewed and an algorithm for both hip and knee ON is presented. Core decompression may be used in small, pre-collapse areas of osteonecrosis especially if the involved bone has minimal involvement of the weight-bearing surface. Arthroplasty has proven to be an excellent option for patients with osteonecrosis and debilitating pain and function. This study has found that one can achieve excellent results with arthroplasty in the setting of osteonecrosis.

 

Author (s) Details

 

Commerce, Elle
Kaiser Permanente, West Los Angeles, USA.

 

Khatod, Monti
Kaiser Permanente, West Los Angeles, USA.

 

Please see the book here:- https://doi.org/10.9734/bpi/msti/v8/4468

A Case of Adrenal Cushing’s Syndrome Presenting as Avascular Necrosis of the Femoral Head | Chapter 2 | Highlights on Medicine and Medical Research Vol. 4

 Excessive use of steroids or alcohol intake can lead to avascular necrosis of the femoral head. Overproduction of endogenous cortisol seldom causes avascular necrosis of the femoral head. The case of a 37-year-old woman with avascular necrosis of the femoral head and adrenal Cushing syndrome is discussed in this study. A cortisol-producing adrenal adenoma was verified by biochemical and pathologic analysis. The patient's ongoing right pelvic pain triggered further testing, which revealed the existence of avascular necrosis of the right femoral head. After a left adrenal resection and complete right hip arthroplasty, the patient was discharged and has been treated without relapse. Avascular necrosis of the femoral head may appear as an early symptom of endogenous cortisol development, according to this case study.

Author (s) Details

Yu Hee Lee
Department of Internal Medicine, College of Medicine, Inje University, Busan, Republic of Korea.

Soon Hee Lee
Department of Internal Medicine, College of Medicine, Inje University, Busan, Republic of Korea.

View Book :- https://stm.bookpi.org/HMMR-V4/article/view/551