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Diagnosis of Aseptic Osteonecrosis of the Femoral Head (AONTH)

Received: 25 March 2022    Accepted: 19 April 2022    Published: 13 January 2023
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Abstract

Aseptic osteonecrosis is a frequent pathology. It corresponds to epiphyseal bone necrosis, secondary to ischemic and/or cytotoxic mechanisms. It is not a specific disease, but rather the final outcome of various pathological situations in which there is a disturbance of the intraosseous circulation of the femoral head. This explains the usual names of avascular necrosis or aseptic necrosis. It may be unilateral, bilateral or multifocal. More than 75% of aseptic osteonecrosis involve the femoral head. Many risk factors must be considered, such as corticosteroid therapy, alcoholism, dyslipidemia or sickle cell disease. It is important to diagnose osteonecrosis in the potentially reversible stages of the disease. It is a condition that is all the more disabling because it affects the young adult, in the middle of an active life, in the presence of pain in the groin crease of a young man who tends to take steroids, when the femoral head is still spherical on standard radiography. Magnetic resonance imaging has profoundly changed our diagnostic possibilities, showing pathognomonic signs while the radiograph may still be normal. Aseptic osteonecrosis of the femoral head (AONTH) often poses a problem of differential diagnosis with other coxopathies, which is a source of diagnostic delay in medical practice.

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 9, Issue 1)
DOI 10.11648/j.ijcems.20230901.11
Page(s) 1-6
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Osteonecrosis, Aseptic Osteonecrosis, Etiologies, Diagnosis

References
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  • APA Style

    Halidou Idrissa Abdoul-Rahamane, Kawtar Nassar, Saadia Janani. (2023). Diagnosis of Aseptic Osteonecrosis of the Femoral Head (AONTH). International Journal of Clinical and Experimental Medical Sciences, 9(1), 1-6. https://doi.org/10.11648/j.ijcems.20230901.11

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    ACS Style

    Halidou Idrissa Abdoul-Rahamane; Kawtar Nassar; Saadia Janani. Diagnosis of Aseptic Osteonecrosis of the Femoral Head (AONTH). Int. J. Clin. Exp. Med. Sci. 2023, 9(1), 1-6. doi: 10.11648/j.ijcems.20230901.11

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    AMA Style

    Halidou Idrissa Abdoul-Rahamane, Kawtar Nassar, Saadia Janani. Diagnosis of Aseptic Osteonecrosis of the Femoral Head (AONTH). Int J Clin Exp Med Sci. 2023;9(1):1-6. doi: 10.11648/j.ijcems.20230901.11

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  • @article{10.11648/j.ijcems.20230901.11,
      author = {Halidou Idrissa Abdoul-Rahamane and Kawtar Nassar and Saadia Janani},
      title = {Diagnosis of Aseptic Osteonecrosis of the Femoral Head (AONTH)},
      journal = {International Journal of Clinical and Experimental Medical Sciences},
      volume = {9},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ijcems.20230901.11},
      url = {https://doi.org/10.11648/j.ijcems.20230901.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20230901.11},
      abstract = {Aseptic osteonecrosis is a frequent pathology. It corresponds to epiphyseal bone necrosis, secondary to ischemic and/or cytotoxic mechanisms. It is not a specific disease, but rather the final outcome of various pathological situations in which there is a disturbance of the intraosseous circulation of the femoral head. This explains the usual names of avascular necrosis or aseptic necrosis. It may be unilateral, bilateral or multifocal. More than 75% of aseptic osteonecrosis involve the femoral head. Many risk factors must be considered, such as corticosteroid therapy, alcoholism, dyslipidemia or sickle cell disease. It is important to diagnose osteonecrosis in the potentially reversible stages of the disease. It is a condition that is all the more disabling because it affects the young adult, in the middle of an active life, in the presence of pain in the groin crease of a young man who tends to take steroids, when the femoral head is still spherical on standard radiography. Magnetic resonance imaging has profoundly changed our diagnostic possibilities, showing pathognomonic signs while the radiograph may still be normal. Aseptic osteonecrosis of the femoral head (AONTH) often poses a problem of differential diagnosis with other coxopathies, which is a source of diagnostic delay in medical practice.},
     year = {2023}
    }
    

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    T1  - Diagnosis of Aseptic Osteonecrosis of the Femoral Head (AONTH)
    AU  - Halidou Idrissa Abdoul-Rahamane
    AU  - Kawtar Nassar
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    DO  - 10.11648/j.ijcems.20230901.11
    T2  - International Journal of Clinical and Experimental Medical Sciences
    JF  - International Journal of Clinical and Experimental Medical Sciences
    JO  - International Journal of Clinical and Experimental Medical Sciences
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    UR  - https://doi.org/10.11648/j.ijcems.20230901.11
    AB  - Aseptic osteonecrosis is a frequent pathology. It corresponds to epiphyseal bone necrosis, secondary to ischemic and/or cytotoxic mechanisms. It is not a specific disease, but rather the final outcome of various pathological situations in which there is a disturbance of the intraosseous circulation of the femoral head. This explains the usual names of avascular necrosis or aseptic necrosis. It may be unilateral, bilateral or multifocal. More than 75% of aseptic osteonecrosis involve the femoral head. Many risk factors must be considered, such as corticosteroid therapy, alcoholism, dyslipidemia or sickle cell disease. It is important to diagnose osteonecrosis in the potentially reversible stages of the disease. It is a condition that is all the more disabling because it affects the young adult, in the middle of an active life, in the presence of pain in the groin crease of a young man who tends to take steroids, when the femoral head is still spherical on standard radiography. Magnetic resonance imaging has profoundly changed our diagnostic possibilities, showing pathognomonic signs while the radiograph may still be normal. Aseptic osteonecrosis of the femoral head (AONTH) often poses a problem of differential diagnosis with other coxopathies, which is a source of diagnostic delay in medical practice.
    VL  - 9
    IS  - 1
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Author Information
  • Rheumatology Department, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco

  • Rheumatology Department, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco

  • Rheumatology Department, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco

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