Rauchen, erhöhte Blutfette, Alkoholmissbrauch oder ein schlecht eingestellter Diabetes mellitus sind Risikofaktoren für die Entwicklung einer Hüftkopfnekrose. Typische Symptome sind plötzliche, oft nächtliche Schmerzen in der Leiste sowie Bewegungseinschränkungen. Wird die Erkrankung frühzeitig erkannt, ist noch eine gelenkerhaltende Therapie möglich.
Literatur
Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. The Journal of bone and joint surgery. American volume 1995; 77: 459–474
Vandenbussche E, Madhar M, Nich C, Zribi W, Abdallah T, Augereau B. Bilateral osteonecrosis of the femoral head after pregnancy. Archives of orthopaedic and trauma surgery 2005; 125: 201–203
Mont MA, Jones LC, Hungerford DS. Nontraumatic osteonecrosis of the femoral head: Ten years later. The Journal of bone and joint surgery. American volume 2006; 88: 1117–1132
Green KR, Hernandez-Jimenez JM, Isache CL, Jacob R. Avascular necrosis: A growing concern for the HIV population. BMJ case reports 2018; 2018
Hauzeur JP, Pasteels JL, Orloff S. Bilateral non-traumatic aseptic osteonecrosis in the femoral head. An experimental study of incidence. The Journal of bone and joint surgery. American volume 1987; 69: 1221–1225
Hofmann S, Kramer J, Plenk H. Die Osteonekrose des Hüftgelenkes im Erwachsenenalter. Der Orthopade 2005; 34: 171–83; quiz 184
Roth A, Beckmann J, Bohndorf K et al. S3-Guideline non-traumatic adult femoral head necrosis. Archives of orthopaedic and trauma surgery 2016; 136: 165–174
Bohndorf K, Beckmann J, Jäger M, Kenn W, Maus UM. S3-Leitline. Teil 1: Diagnostik und Differenzialdiagnostik der atraumatischen Femurkopfnekrose (aFKN) des Erwachsenen: S3 Guideline. Part 1: Diagnosis and Differential Diagnosis of Non.Traumatic Adult Femoral Head Necrosis. Zeitschrift für Orthopädie und Unfallchirurgie: Organ der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie 2015; 153: 375–386
Gardeniers JW. Report of the Committee of Staging and Nomenclature (1993), 1993
Castro FP, Barrack RL. Core decompression and conservative treatment for avascular necrosis of the femoral head: A meta-analysis. American journal of orthopedics (Belle Mead, N.J.) 2000; 29: 187–194
Lai K-A, Shen W-J, Yang C-Y, Shao C-J, Hsu J-T, Lin R-M. The use of alendronate to prevent early collapse of the femoral head in patients with nontraumatic osteonecrosis. A randomized clinical study. The Journal of bone and joint surgery. American volume 2005; 87: 2155–2159
Disch AC, Matziolis G, Perka C. The management of necrosis-associated and idiopathic bone-marrow oedema of the proximal femur by intravenous iloprost. The Journal of bone and joint surgery. British volume 2005; 87: 560–564
Urbaniak JR, Coogan PG, Gunneson EB, Nunley JA. Treatment of osteonecrosis of the femoral head with free vascularized fibular grafting. A long-term follow-up study of one hundred and three hips. The Journal of bone and joint surgery. American volume 1995; 77: 681–694
Shannon BD, Trousdale RT. Femoral osteotomies for avascular necrosis of the femoral head. Clinical orthopaedics and related research 2004: 34 – 40
Ficat RP. Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. The Journal of bone and joint surgery. British volume 1985; 67: 3–9
Classen T, Warwas S, Jäger M, Landgraeber S. Two-year follow-up after advanced core decompression. Journal of tissue engineering and regenerative medicine 2017; 11: 1308–1314
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Zimmerer, A., Sobau, C. & Miehlke, W. Hüftkopfnekrose — Es muss nicht immer eine Prothese sein. MMW - Fortschritte der Medizin 161, 56–59 (2019). https://doi.org/10.1007/s15006-019-0275-4
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DOI: https://doi.org/10.1007/s15006-019-0275-4