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Frequency of idiopathic aseptic necrosis in medically treated alcoholics

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Summary

The occurrence of idiopathic aseptic necrosis of bone in multiple sites has been studied in persons who have had medical treatment for excessive consumption of alcohol. The incidence was 5.3% in 1157 such persons and there were 92 different sites in 62 patients. There were 82 lesions affecting the femoral head, 46 in the left hip and 36 in the right. In 10, it was present in the head of the humerus. Multiple foci were found in 6.1% of patients with the disease. In 2 men and 2 women both femoral heads and both humeral heads were affected. In 2 men the necrosis was present in both humeral heads and the head of the right femur.

Résumé

La survenue de nécrose osseuse aseptique idiopathique de diverses localisations a été étudiée chez des sujets traités pour consommation excessive d'alcool. Chez 1157 de ces sujets la fréquence a été de 5,3%, soit 62 malades présentant 92 lésions. 82 étaient situées au niveau de la tête fémorale, 46 à gauche et 36 à droite. Dix fois la tête humérale était atteinte. 6,1% des patients présentaient plusieurs localisations de la maladie. Chez 2 hommes et 2 femmes les deux têtes fémorales et les deux têtes humérales étaient atteintes. Chez deux hommes la nécrose affectait les deux têtes humérales et celle du fémur droit.

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References

  1. Axhausen G (1928) Über anämische Infarcte am Knochensystem und ihre Bedeutung für die Lehre von primären Epiphysenekrosen. Arch Klin Chir 151: 72–98

    Google Scholar 

  2. Beltran J, Herman JL, Burk MJ, Zuezler AW, Clark NR, Lucas GJ, Weis DL, Yang A (1988) Femoral head avascular necrosis: MR imaging with clinical-pathologic and radionuclide correlation. Radiology 166: 215–220

    Google Scholar 

  3. Camp FJ, Colwell WC Jr, Joll L (1986) Core Decompression of the Femoral Head for Osteonecrosis. J Bone Joint Surg [Am] 68: 1313–1319

    Google Scholar 

  4. Ficat RP (1985) Idiopathic bone necrosis of the femoral head early diagnosis and treatment. J Bone Joint Surg [Br] 67: 3–9

    Google Scholar 

  5. Freund E (1926) Frage der aseptischen Knochennekrose. Arch pathol Anat 261: 287–314

    Google Scholar 

  6. Graffenried P (1966) Zur Behandlung der idiopathischen Schenkelkopfnekrose. Z Orthop 102: 100–106

    Google Scholar 

  7. Hackenbroch Jun MH, Fischer V, Matzen K (1977) Der differential-diagnostische Wert von Harnsäure und Fettstoffwechseluntersuchungen bei der Osteochondrosis dissecans des Hüftkopfes. Z. Orthop 115: 479

    Google Scholar 

  8. Hipp E (1966) Zur idiopathischen Hüftkopfnekrose. Z Orthop 101: 457–472

    Google Scholar 

  9. Huke B, Reichelt A, Strik WO (1977) Leberbioptische Befunde bei idiopathischer Hüftkopfnekrose. Z Orthop 115: 478

    Google Scholar 

  10. Hungerford DS, Zizic TM (1978) Alcoholism associated ischemic necrosis of the femoral head: early diagnosis and treatment. Clin Orthop 130: 144–153

    Google Scholar 

  11. Jacobs B (1978) Epidemiology of Traumatic and nontraumatic osteonecrosis. Clin Orthop 130: 51–67

    Google Scholar 

  12. Jones JP Jr (1971) Alcoholism, fat embolism and osseous avascular necrosis. In: Zinn WM (ed) Idiopathic necrosis of the femoral head in adults. Thieme, Stuttgart 112–132

    Google Scholar 

  13. Jovanović S (1980) Correlation of the excessive consumption of alcohol and the idiopathic aseptic necrosis of femoral head in the region of Slavonia and Baranja. Master's Paper, Zagrab

  14. Matsuo K, Hirohata T, Sugioka Y, Ikeda M, Fukuda A (1988) Influence of alcohol intake, cigarette smoking, and occupational status on idiopathic osteonecrosis of the femoral head. Clin Orthop 234: 115–123

    Google Scholar 

  15. McCollum DE, Mathews RS, O'Neil MT, Pickett PT (1971) Gout hyperuricemia and aseptic necrosis of the femoral head. In: Zinn WM (ed) Idiopathic ischemic necrosis of the femoral head in adults. Thieme, Stuttgart, pp 133–139

    Google Scholar 

  16. Merle d'Aubigné R, Postet M, Mazabraund A, Massia P, Queguen J (1965) Idiopathic necrosis of the femoral head in adults. J Bone Joint Surg [Br] 47: 612–633

    Google Scholar 

  17. Mitchell DG, Rao DM, Dalinka MK, Spritzer CE, Alavi A, Steinberg ME, Fallon M, Kressel HY (1987) Femoral head avascular necrosis: correlation of MR imaging, radiographic staging, radionuclide imaging, and clinical findings. Radiology 162: 709–715

    Google Scholar 

  18. Müller-Schweinitzer E (1970) Zur Diagnose und Ätiogie der aseptischen Hüftkopfnekrose Erwachsener. Z Orthop 196–206

  19. Nishi H, Koda K, Nakazima N (1980) Idiopathic avascular necrosis of the femoral head in chronic alcoholism. In Nishio A. (ed.) Annual report of the idiopathic avascular necrosis of the femoral head research committee. Fukuoka, Ministry of Health and Welfare of Japan, p 65 (in Japanese)

    Google Scholar 

  20. Orlić D, Antičević D, Lang B (1980) Evaluation of Subjective, Clinical and radiological findings in the detection of IANGF in the case of the medically treated alcoholics. In: Ruszkowski I (ed) Frequency of the Aseptic Necrosis of the Femoral Head in the Population with a special view of alcoholism. The final report from the Special Scientific-Research Project, Zagreb

  21. Patterson RJ, Bickel WH, Dahlin DC (1964) Idiopathic avascular necrosis of the head of the femur. J Bone Joint Surg [Am] 46: 267

    Google Scholar 

  22. Puhl W, Niethard FV, Hamacher P, Augustin J, Greten H (1978) Metabolische Störungen bei der idiopathischen Hüftkopfnekrose Erwachsener. Z Orthop 116: 81–92

    Google Scholar 

  23. Reichelt T (1969) Die idiopathische Hüftkopfnekrose. Z Orthop 106: 273–295

    Google Scholar 

  24. Ruszkowski I (ed) (1979) The Orthopaedic Surgery, Jumena, Zagreb

    Google Scholar 

  25. Ruszkowski I (ed) (1980) Frequency of the aseptic necrosis of the femoral head in the population with special view to alcoholism. The final report from the Scientific-Research Project. Zagreb

  26. Schmorl G (1924) Anämische Nekrosen im Schenkelkopf. Zbl Pathol 35: 261

    Google Scholar 

  27. Serre H, Simon L (1962) L'ostéonécrose primitive de la tête fémorale chez l'adulte: II. Etiologie et pathogénie. Rev Rhumatol 29: 536–545

    Google Scholar 

  28. Schauer A (1977) Zur pathologischen Anatomie der spontanen Osteonekrosen. Z Orthop 115: 432–443

    Google Scholar 

  29. Schneider R (1970) Radiologische Funktionaldiagnostic zur Planung der intertrochanteren Osteotomie. Schweiz Ges 131

  30. Sugioka Y (1976) Clinical and histo-pathological investigations and treatment of idiopathic necrosis of the femoral head. J Jpn Orthop Assoc (in Japanese) 50: 1173

    Google Scholar 

  31. Totty WG, Murphy WA, Ganz WI, Kumar B, Daum WJ, Basiegl B (1984) Magnetic resonance imaging of the normal and ischemic femoral head. Am J Radiol 143: 1272–1280

    Google Scholar 

  32. Vasey H (1971) Aseptic necrosis of the humeral head in a case of alcoholism with cirrhosis of the liver. In: Zinn WM (ed) Idiopathic ischemic necrosis of the femoral head in adults. Thieme, Stuttgart, pp 183–185

    Google Scholar 

  33. Vignon G, Duqvensel J, Drogue M, Vezat Y (1960) Les nécroses primitives de la tête fémorale chez l'adulte (à propos de 9 observations). Rev Lyon Med 9: 1177–1183

    Google Scholar 

  34. Willert HG, Safert D (1975) Die Behandlung segmentaler, ischemischer Hüftkopfnekrosen mit intertrochantären Flexionostetomie. Z Orthop 113: 974–994

    Google Scholar 

  35. Zečević J (1983) Frequency of the idiopathic aseptic necrosis of the femoral head in the case of medically treated alcoholics in the region of Podravina and Bilogora. Master's Paper, Zagreb

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Faculty of Medicine, University of Zagreb, Yugoslavia

    D. Orlić & D. Antičević

  2. Department of Orthopaedics, General Hospital, Osijek, Yugoslavia

    S. Jovanović

  3. Medical Centre Koprivnica, Yugoslavia

    J. Zečević

Authors
  1. D. Orlić
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  2. S. Jovanović
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  3. D. Antičević
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  4. J. Zečević
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Orlić, D., Jovanović, S., Antičević, D. et al. Frequency of idiopathic aseptic necrosis in medically treated alcoholics. International Orthopaedics 14, 383–386 (1990). https://doi.org/10.1007/BF00182650

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