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Bilateral Idiopathic Avascular Necrosis of Both Hip Developing at the Same Time: Case Report

Year 2013, Volume: 4 Issue: 14, 49 - 52, 03.03.2015

Abstract

Avascular necrosis is the cellular death of bone caused by deterioration of blood flow from various reasons. Here, a case with bilateral avascular necrosis of both hips developing at the same time is presented. 50-year old male patient applied to our clinic with the complaint of pain in both hips for 2 months. His history was unremarkable. On physical examination, both hip movements were painful. MR imaging of both hips was reported as mild focal irregularity at the top of the femoral head. The patient was diagnosed with bilateral idiopathic avascular necrosis. As a result, usually hip avascular necrosis is seen unilaterally. However, sometimes as in our patient, both hips may be affected simultaneously without any revealed etiological factor

References

  • Mazires B. Osteonekroz Uğur M (çeviren). In: Hocberg M, Silman AJ, Smolen J, Weinblett
  • ME, Weisman MH (eds). Romatoloji. Ankara:Rotatıp Kitapevi, 2011:1777-1789
  • Rizzo M, Urbanak JR. Osteonekroz Tan K, Taşkaynatan MA (çeviren). In: Harris ED, Budd
  • CR, Genovese MC, Firestein GS, Sargent JS, Sledge CB. Kelly Romatoloji. Ankara:Güneş
  • Kitabevi, 2006:1812-1828.
  • Sekkat J, Rachidi O, Janani S, Mkinsi O. Idiopathic avascular necrosis of the femoral heads in
  • five members of a Moroccan family. Joint Bone Spine. 2012;79:504-6
  • Kamal D, Traistaru R, Alexandru DO, Kamal CK, Pirici D, Pop OT, Malaescu DG.
  • Morphometric findings in avascular necrosis of the femoral head. Rom J Morphol Embryol.
  • ;53:763-7.
  • Özçakı Ş. Kalçanın avasküler nekrozu. Türk Fiz Tıp Rehab Derg. 2009;55:25-9.
  • Pajaczkowski JA. The stubborn hip: idiopathic avascular necrosis of the hip. J Manipulative
  • Physiol Ther. 2003;26:107.
  • Imhof H, Breitenseher M, Trattnig S, Kramer J, Hofmann S, Plenk H, Schneider W, Engel A.
  • Imaging of avascular necrosis of bone. Eur Radiol. 1997;7:180-6.
  • Kaushik AP, Das A, Cui Q.Osteonecrosis of the femoral head: An update in year 2012. World
  • J Orthop. 2012;18:49-57.

HER İKİ KALÇADA AYNI ANDA GELİŞEN İDYOPATİK BİLATERAL AVASKÜLER NEKROZ: OLGU SUNUMU

Year 2013, Volume: 4 Issue: 14, 49 - 52, 03.03.2015

Abstract

Avasküler nekroz çeşitli nedenlerle kan akımında bozulma sonucunda ortaya çıkan kemiğin hücresel ölümüdür. Burada her iki kalçasında aynı anda gelişen bilateral avasküler nekrozlu bir olgu sunmayı amaçladık. 50 yaşında erkek hasta 2 aydır her iki kalça bölgesinde ağrı şikâyeti ile kliniğimize başvurdu. Öyküsünde özellik yoktu. Fizik muayenesinde her iki kalça hareketleri ağrılıydı. Çekilen kalça MR, her iki femur başı tepesinde hafif derecede fokal düzensizlik şeklinde rapor edildi. Bu bulgularla hastaya bilateral idyopatik avasküler nekroz tanısı kondu. Sonuç
olarak, kalça avasküler nekrozu genellikle tek eklemde görülür. Ancak bizim hastamızda olduğu gibi herhangi bir etyolojik faktör bulunmaksızın her iki kalça eklemi de aynı anda etkilenebilir.


References

  • Mazires B. Osteonekroz Uğur M (çeviren). In: Hocberg M, Silman AJ, Smolen J, Weinblett
  • ME, Weisman MH (eds). Romatoloji. Ankara:Rotatıp Kitapevi, 2011:1777-1789
  • Rizzo M, Urbanak JR. Osteonekroz Tan K, Taşkaynatan MA (çeviren). In: Harris ED, Budd
  • CR, Genovese MC, Firestein GS, Sargent JS, Sledge CB. Kelly Romatoloji. Ankara:Güneş
  • Kitabevi, 2006:1812-1828.
  • Sekkat J, Rachidi O, Janani S, Mkinsi O. Idiopathic avascular necrosis of the femoral heads in
  • five members of a Moroccan family. Joint Bone Spine. 2012;79:504-6
  • Kamal D, Traistaru R, Alexandru DO, Kamal CK, Pirici D, Pop OT, Malaescu DG.
  • Morphometric findings in avascular necrosis of the femoral head. Rom J Morphol Embryol.
  • ;53:763-7.
  • Özçakı Ş. Kalçanın avasküler nekrozu. Türk Fiz Tıp Rehab Derg. 2009;55:25-9.
  • Pajaczkowski JA. The stubborn hip: idiopathic avascular necrosis of the hip. J Manipulative
  • Physiol Ther. 2003;26:107.
  • Imhof H, Breitenseher M, Trattnig S, Kramer J, Hofmann S, Plenk H, Schneider W, Engel A.
  • Imaging of avascular necrosis of bone. Eur Radiol. 1997;7:180-6.
  • Kaushik AP, Das A, Cui Q.Osteonecrosis of the femoral head: An update in year 2012. World
  • J Orthop. 2012;18:49-57.
There are 17 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Case Report
Authors

Abdullah Yağız This is me

Nilgün Üstün This is me

Hayal Güler This is me

Ayşe Turhanoğlu This is me

Publication Date March 3, 2015
Submission Date March 1, 2015
Published in Issue Year 2013 Volume: 4 Issue: 14

Cite

Vancouver Yağız A, Üstün N, Güler H, Turhanoğlu A. HER İKİ KALÇADA AYNI ANDA GELİŞEN İDYOPATİK BİLATERAL AVASKÜLER NEKROZ: OLGU SUNUMU. mkutfd. 2015;4(14):49-52.