Updating Osteonecrosis of the Femoral Head
Osteonecrosis of the femoral head (ONFH), a condition characterized by the presence of a necrotic bone lesion in the femoral head, is caused by a disruption in the blood supply. Its occurrence is more common in young and middle-aged adults and it is the main reason for performance of total hip arthr...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Hip Society
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10505838/ https://www.ncbi.nlm.nih.gov/pubmed/37727298 http://dx.doi.org/10.5371/hp.2023.35.3.147 |
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author | Ko, Young-Seung Ha, Joo Hyung Park, Jung-Wee Lee, Young-Kyun Kim, Tae-Young Koo, Kyung-Hoi |
author_facet | Ko, Young-Seung Ha, Joo Hyung Park, Jung-Wee Lee, Young-Kyun Kim, Tae-Young Koo, Kyung-Hoi |
author_sort | Ko, Young-Seung |
collection | PubMed |
description | Osteonecrosis of the femoral head (ONFH), a condition characterized by the presence of a necrotic bone lesion in the femoral head, is caused by a disruption in the blood supply. Its occurrence is more common in young and middle-aged adults and it is the main reason for performance of total hip arthroplasty in this age group. Its incidence is increasing along with increased use of glucocorticoids for management of adjuvant therapy for treatment of leukemia as well as organ transplantation and other myelogenous diseases. Current information on etiology and pathogenesis, as well as natural history, stage system, and treatments is provided in this review. A description of the Association Research Circulation Osseous (ARCO) criteria for classification of glucocorticoids- and alcohol-associated ONFH, 2019 ARCO staging system, and 2021 ARCO classification using computed tomography for the early stages of ONFH is also provided. |
format | Online Article Text |
id | pubmed-10505838 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Korean Hip Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-105058382023-09-19 Updating Osteonecrosis of the Femoral Head Ko, Young-Seung Ha, Joo Hyung Park, Jung-Wee Lee, Young-Kyun Kim, Tae-Young Koo, Kyung-Hoi Hip Pelvis Review Article Osteonecrosis of the femoral head (ONFH), a condition characterized by the presence of a necrotic bone lesion in the femoral head, is caused by a disruption in the blood supply. Its occurrence is more common in young and middle-aged adults and it is the main reason for performance of total hip arthroplasty in this age group. Its incidence is increasing along with increased use of glucocorticoids for management of adjuvant therapy for treatment of leukemia as well as organ transplantation and other myelogenous diseases. Current information on etiology and pathogenesis, as well as natural history, stage system, and treatments is provided in this review. A description of the Association Research Circulation Osseous (ARCO) criteria for classification of glucocorticoids- and alcohol-associated ONFH, 2019 ARCO staging system, and 2021 ARCO classification using computed tomography for the early stages of ONFH is also provided. Korean Hip Society 2023-09 2023-09-06 /pmc/articles/PMC10505838/ /pubmed/37727298 http://dx.doi.org/10.5371/hp.2023.35.3.147 Text en Copyright © 2023 by Korean Hip Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Ko, Young-Seung Ha, Joo Hyung Park, Jung-Wee Lee, Young-Kyun Kim, Tae-Young Koo, Kyung-Hoi Updating Osteonecrosis of the Femoral Head |
title | Updating Osteonecrosis of the Femoral Head |
title_full | Updating Osteonecrosis of the Femoral Head |
title_fullStr | Updating Osteonecrosis of the Femoral Head |
title_full_unstemmed | Updating Osteonecrosis of the Femoral Head |
title_short | Updating Osteonecrosis of the Femoral Head |
title_sort | updating osteonecrosis of the femoral head |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10505838/ https://www.ncbi.nlm.nih.gov/pubmed/37727298 http://dx.doi.org/10.5371/hp.2023.35.3.147 |
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