Atraumatic Osteonecrosis of the Distal Radius and Ulna: Case Series and Review

Stroh, D. Alex; LaPorte, Dawn M.; Märker, David; Johnson, Aaron J.; Mont, Michael A.

doi:10.1016/j.jhsa.2011.09.028

Cited by 12 publications

(12 citation statements)

References 44 publications

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“…Glucocorticoid administration was also found to be a significant risk factor for the rare atraumatic osteonecrosis of the distal radius and ulna [34]. …”

Section: Pathogenetic Mechanisms That Lead To Atraumatic Osteonecrmentioning

confidence: 99%

Osteonecrosis in Systemic Lupus Erythematosus: An Early, Frequent, and Not Always Symptomatic Complication

Caramaschi

Biasi

Forno

et al. 2012

Autoimmune Diseases

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Osteonecrosis may complicate the course of systemic lupus erythematosus and may contemporaneously affect multiple joints. The major risk factor associated with the development of osteonecrosis is the use of glucocorticoid at high doses. Recent studies using serial MRI, which represents the “gold standard” for the early detection of osteonecrosis, yielded some interesting findings about the natural history of this clinical entity. Osteonecrosis in the majority of the cases is asymptomatic and occurs early in the course of the disease. Its later occurrence is associated with lupus flare that requires the increase of corticosteroid dose. The optimal treatment of osteonecrosis is controversial. In case of silent osteonecrosis involving a small area conservative strategy is usually adequate. When lesions are symptomatic surgical treatment as core decompression or free vascularized fibular grafting is required; extracorporeal shockwave treatment may represent an alternative therapeutic approach. When the lesion has a medium-large dimension or involves a weight-bearing area bone collapse is a common complication requiring total joint replacement. Coadministration of bisphosphonate or warfarin with high doses of corticosteroid might be a promising preventive strategy of osteonecrosis.

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“…Glucocorticoid administration was also found to be a significant risk factor for the rare atraumatic osteonecrosis of the distal radius and ulna [34]. …”

Section: Pathogenetic Mechanisms That Lead To Atraumatic Osteonecrmentioning

confidence: 99%

Osteonecrosis in Systemic Lupus Erythematosus: An Early, Frequent, and Not Always Symptomatic Complication

Caramaschi

Biasi

Forno

et al. 2012

Autoimmune Diseases

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“…Kahn described a case of bilateral lunate osteonecrosis associated with osteomyelitis [5]. Mok et al described bilateral Kienbock's disease in association with systemic lupus erythematosus where vasculitis related to the antiphospholipid antibodies was thought to be responsible [9]. Similarly, Rennie et al described bilateral disease associated with Reynaud's disease and scleroderma [8].…”

Section: Discussionmentioning

confidence: 99%

Bilateral Kienbock's Disease Concomitant with Bilateral Legg–Calvé–Perthes Disease: A Case Report

Wollstein

Tantawi

Wollstein

2012

Hand (New York, N,Y.)

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“…The gold standard procedure in most countries is core decompression, during which one or more holes are drilled into the femoral head from a retrograde direction [8]. A similar therapeutic protocol is applied in other types of osteonecrosis or osteochondral lesions [9][10][11][12][13]. The exact mode of action is unknown and even the terminology is misleading, since the bone oedema in the affected area may not actually contribute to higher hydrostatic pressure.…”

Section: Introductionmentioning

confidence: 99%

Platelet-Rich Plasma Enhanced Bone Autograft in Femoral Head Necrosis-A Case Series Report on a Six-Year Follow-Up Period

Lakatos¹,

Major²,

Somogyi³

et al. 2017

J Osteopor Phys Act

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Aim: We compared the long-term results of two treatment regimes in avascular femoral head necrosis. Methods:We performed a retrospective clinical observational study on 19 hips that were operated on by core decompression and autologous bone impaction enhanced with platelet-rich plasma (platelet-rich plasma+bone autograft group). As a control, 13 hips were operated on by core decompression only (decompression group). Joint replacement was evaluated as the primary endpoint of the study, functional results were evaluated according to the Harris Hip Score and bone density measurements were performed.Results: Prosthesis implantation was significantly less frequent in the platelet-rich plasma+bone autograft group than in the decompression group (p<0.05). In the platelet-rich plasma+bone autograft group, operated hip function at follow-up declined according to advancement of the preoperative Ficat stages. No specific pattern in the bone density scoring was identified between the groups analyzed. Conclusion:The combination of platelet-rich plasma with core decompression and autologous bone impaction may be an effective method in lowering the need for hip prosthesis implantation in the treatment of femoral head avascular necrosis.

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Atraumatic Osteonecrosis of the Distal Radius and Ulna: Case Series and Review

Cited by 12 publications

References 44 publications

Osteonecrosis in Systemic Lupus Erythematosus: An Early, Frequent, and Not Always Symptomatic Complication

Osteonecrosis in Systemic Lupus Erythematosus: An Early, Frequent, and Not Always Symptomatic Complication

Bilateral Kienbock's Disease Concomitant with Bilateral Legg–Calvé–Perthes Disease: A Case Report

Platelet-Rich Plasma Enhanced Bone Autograft in Femoral Head Necrosis-A Case Series Report on a Six-Year Follow-Up Period

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