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Title: | Bilateral Avascular Necrosis of the Femoral Head in Fibrous Dysplasia. | Authors: | Milat F.;Lee M.H.;Ebeling P.R. | Institution: | (Lee, Ebeling, Milat) Department of Endocrinology, Monash Health, Clayton, Australia (Ebeling, Milat) Department of Medicine, School of Clinical Sciences, Monash University, Clayton, Australia (Milat) Hudson Institute of Medical Research, Clayton, Australia | Issue Date: | 12-Sep-2018 | Copyright year: | 2017 | Publisher: | Blackwell Publishing Ltd (E-mail: info@royensoc.co.uk) Blackwell Publishing Ltd |
Place of publication: | United States | Publication information: | JBMR Plus. 1 (1) (pp 27-30), 2017. Date of Publication: 01 Aug 2017. | Abstract: | Fibrous dysplasia (FD) is an uncommon benign skeletal disorder, characterized by bone pain, deformities, and the development of pathological fractures. It is caused by osteoblastic lineage differentiation defects, leading to the replacement of normal bone with benign disorganized fibrous connective tissue. Avascular necrosis (AVN) of the femoral head is an insidious condition that can often be challenging to diagnose in its early stages. The pathogenesis of AVN is not well understood; however, it causes femoral head ischemia and collapse, often requiring hip arthroplasty. We report the first case of FD and bilateral AVN of the femoral head in the absence of an antecedent fracture. We postulate several mechanisms to explain how FD may result in AVN; however, further research is required to understand its pathophysiology and thus to guide clinical practice. © 2017 The Authors. JBMR Plus is published by Wiley Periodicals, Inc. on behalf of the American Society for Bone and Mineral Research. | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1002/jbm4.10002 | Link to associated publication: | Click here for full text options | ISSN: | 2473-4039 (electronic) | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/26942 | Type: | Article | Subjects: | differential diagnosis dual energy X ray absorptiometry erythrocyte sedimentation rate face fracture female *femur head necrosis/di [Diagnosis] *femur head necrosis/su [Surgery] *fibrous dysplasia/di [Diagnosis] *fibrous dysplasia/dt [Drug Therapy] fibula fracture hip pain human hypertension hysterectomy lumbar spine Mauritian medical history middle aged olecranon fracture postoperative period priority journal rib fracture/su [Surgery] rib resection skull fracture thorax radiography tibia fracture uterus myoma/su [Surgery] weight bearing alendronic acid/dt [Drug Therapy] alendronic acid/po [Oral Drug Administration] alkaline phosphatase/ec [Endogenous Compound] collagen/ec [Endogenous Compound] hydrocortisone/ec [Endogenous Compound] olmesartan unclassified drug zoledronic acid/dt [Drug Therapy] zoledronic acid/iv [Intravenous Drug Administration] total hip prosthesis procollagen type 1 propeptide/ec [Endogenous Compound] nuclear magnetic resonance imaging antinuclear antibody/ec [Endogenous Compound] carboxy terminal telopeptide/ec [Endogenous Compound] colecalciferol adult antibody titer article *avascular necrosis/di [Diagnosis] *avascular necrosis/su [Surgery] bone density bone scintiscanning breast cyst case report clinical article clinical examination computer assisted tomography differential diagnosis dual energy X ray absorptiometry erythrocyte sedimentation rate face fracture female *femur head necrosis / *diagnosis / *surgery *fibrous dysplasia / *diagnosis / *drug therapy fibula fracture hip pain human hypertension hysterectomy lumbar spine Mauritian medical history middle aged nuclear magnetic resonance imaging olecranon fracture postoperative period priority journal rib fracture / surgery rib resection skull fracture thorax radiography *avascular necrosis / *diagnosis / *surgery uterus myoma / surgery weight bearing Article antibody titer adult tibia fracture bone density bone scintiscanning breast cyst case report clinical article clinical examination computer assisted tomography |
Type of Clinical Study or Trial: | Case series or case report |
Appears in Collections: | Articles |
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