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European Journal of Orthopaedic Surgery & Traumatology

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01-10-2011 | Up-to date Review and Case Report

Aggressive and rapid progression of idiopathic bilateral avascular necrosis of femoral head in an old woman suffering from osteoporosis: A case report and review of the literature

Authors: Elias Fotiadis, Apostolos Gantsos, Eustathios Kenanidis, Theodoros Svarnas, Crisa Filitantzi, Efthimios Samoladas, Byron Chalidis

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 7/2011

Abstract

Background

We present an unusual case of an aggressive and rapid progression of idiopathic bilateral avascular necrosis (AVN) of femoral head in an old woman suffering from osteoporosis.

Case presentation

An 83-year-old woman with an unremarkable past medical history admitted to the Emergency Department of the Hospital with ongoing bilateral groin and buttock pain started a week ago. Clinical examination revealed painful hip movements with a slight limitation of joint range of motion. Anteroposterior radiographs demonstrated only osteoporosis of both hips without evidence of fracture or deformity. The patient was re-admitted to the Emergency Department 3 weeks afterwards with intractable bilateral groin pain and inability to walk. New X-Rays showed severe destruction and collapse of both femoral heads. The patient underwent cemented bipolar hemiarthroplasty in both hips. Histological examination established the diagnosis of AVN.

Conclusion

This is the first case presented in English literature of such aggressive and rapid progression of bilateral idiopathic AVN. Due to the potential synergistic role of osteoporosis in the development of hip AVN, early MRI examination should be considered in patients with osteoporosis and acute hip pain.

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Title: Aggressive and rapid progression of idiopathic bilateral avascular necrosis of femoral head in an old woman suffering from osteoporosis: A case report and review of the literature
Authors: Elias Fotiadis
Apostolos Gantsos
Eustathios Kenanidis
Theodoros Svarnas
Crisa Filitantzi
Efthimios Samoladas
Byron Chalidis
Publication date: 01-10-2011
Publisher: Springer-Verlag
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 7/2011
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-010-0736-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Aggressive and rapid progression of idiopathic bilateral avascular necrosis of femoral head in an old woman suffering from osteoporosis: A case report and review of the literature

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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