Avascular necrosis of the bilateral femoral head with pregnancy: A case report

Osteonecrosis, also called avascular necrosis, of the femoral head is a pathologic process resulting from an inadequate bloodsupply. The death of cells in bone tissue can cause the collapse of the affected joint. It is a progressive disease primarily affecting adults in middle age and can lead to substantial loss of joint function. Osteonecrosis of the femoral head during or just after pregnancy is a rare clinical entity. Although many causes of femoral head osteonecrosis have been identified, little is knownabout pregnancy as an etiological factor. Presently described is the case of a 30-year-old female with bilateral osteonecrosis ofthe femoral head that developed during the peripartum period.

Hamilelik döneminde gelişen bilateral femur başı avasküler nekrozu: Olgu sunumu

Femur başı osteonekrozu veya avasküler nekrozu, yetersiz kan beslenmesinden dolayı kemik dokusunda hücrelerin ölümüne ve eklemin çökmesine neden olan patolojik bir süreçtir. Avasküler nekroz, esas olarak orta yaş yetişkinleri etkileyen ve eklem fonksiyonunda ciddi kayıplara yol açan ilerleyici bir hastalıktır. Gebelik sırasında veya hamilelikten hemen sonra femur başının osteonekrozu nadir görülen bir klinik durumdur. Femur başı steonekrozun birçok sebebinin iyi bilinmesine rağmen, etiyolojik bir faktör olan gebelik için çok az şey bilinmektedir. Peripartum dönemde gelişen femur başı bilateral avasküler nekrozu olan 30 yaşında bir kadın hastanın olgusunu sunmaktayız.

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1. Hochberg MC, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH. Rheumatology, 6th Edition. Elsevier 2015;184:1528–9.

2. Lieberman JR, Berry DJ, Montv MA, Aaron RK, Callaghan JJ, Rayadhyaksha A, et al. Osteonecrosis of the hip: Management in the twenty-firstcentury. J Bone Joint Surg Am 2002;84(5):834–53.

3. Aldridge JM 3rd, Urbaniak JR. Avascular necrosis of the femoral head: etiology, pathophysiology, classification, and current treatment guidelines. Am J Orthop (Belle Mead NJ) 2004;33(7):327–32.

4. Pfeifer W. A case of unusual form and origin of bilateral symmetrical osteonecrosis of the femoral & humerus heads. Fortschr Geb Rontgenstr Nuklearmed 1957;86(3):346–9. [Article in German]

5. Lin YC, Chen WS, Chang CC, Chen M, Yu CT. Aseptic necrosis of bilateral femoral heads after pregnancy. Taiwan J Obstet Gynecol 2011;50(1):111–3.

6. Ugwonali OF, Sarkissian H, Nercessian OA. Bilateral osteonecrosis of the femoral head associated with pregnancy: four new cases and a review of the literature. Orthopedics 2008;31(2):183.

7. Vandenbussche E, Madhar M, Nich C, Zribi W, Abdallah T, Augereau B. Bilateral osteonecrosis of the femoral head after pregnancy. Arch Orthop Trauma Surg 2005;125(3):201–3.

8. Montella BJ, Nunley JA, Urbaniak JR. Osteonecrosis of the femoral head associated with pregnancy. A preliminary report. J Bone Joint Surg Am 1999;81(6):790–8.

9. Gribble RK, Emanuel Berres L. Idiopathic osteonecrosis of the hip during pregnancy: outcome in a subsequent gestation. Obstet Gynecol 2001;98:911–3.

10. Hasegawa Y, Iwase T, Iwasada S, Kitamura S, Iwata H. Osteonecrosis of the femoral head associated with pregnancy. Arch Orthop Trauma Surg 1999;119(1-2):112–4.

11. Ginsberg JS, Brill-Edwards P, Bona R, Burrows R. Deep vein thrombosis (DVT) during pregnancy: leg and trimester of presentation. Thromb Haemost 1991;65:720.

12. Cockett FB, Thomas ML. The iliac compression syndrome. Br J Surg 1965;52(10):816–21.

13. Lausten GS. Osteonecrosis of the femoral head during pregnancy. Arch Orthop Trauma Surg 1991;110:214–25.

14. Lüring C, Beckmann J, Pennekamp PH, Linhardt O, Grifka J, Tingart M. Conservative treatment of aseptic necrosis of the femoral head. Are there evidence-based therapy concepts? Orthopade 2007;36(5):441–2. [Article in German]

15. Im GI, Kim DY, Shin JH, Cho WH, Lee CJ. Degeneration of the acetabular cartilage in osteonecrosis of the femoral head: histopathologic examination of 15 hips. Acta Orthop Scand 2000;71(1):28–30.
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  • ISSN: 1300-0012
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2018
  • Yayıncı: Ali Cangül
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