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缺血性坏死

Avascular Necrosis

作者信息

Matthews Alexander H., Davis Donald D., Fish Michael J., Stitson David

机构信息

Wellstar Atlanta Medical Center

McLaren Macomb Hospital/Michigan State University

Abstract

Osteonecrosis is a degenerative bone condition characterized by the death of cellular components of the bone secondary to an interruption of the subchondral blood supply.[1] It is also known as avascular necrosis, aseptic necrosis, and ischemic bone necrosis. It typically affects the epiphysis of long bones at weight-bearing joints. Severe cases can lead to the destruction of subchondral bone or the collapse of an entire joint. The most common sites for AVN are the femoral head, knee, talus, and humeral head. The hip is the most common location overall. AVN less commonly occurs in other bones of the body, such as the carpus and jaw. Therefore, early recognition and treatment of osteonecrosis are essential.[2] This activity discusses the etiology and pathogenesis of the disease. Additionally, it includes the presentation and treatment options of the most common forms of osteonecrosis.

摘要

骨坏死是一种退行性骨病,其特征是由于软骨下血供中断导致骨细胞成分死亡。[1] 它也被称为缺血性坏死、无菌性坏死和缺血性骨坏死。它通常影响负重关节处的长骨骨骺。严重的病例可导致软骨下骨破坏或整个关节塌陷。AVN最常见的部位是股骨头、膝关节、距骨和肱骨头。总体而言,髋关节是最常见的部位。AVN较少发生在身体的其他骨骼,如腕骨和颌骨。因此,早期识别和治疗骨坏死至关重要。[2] 本活动讨论了该疾病的病因和发病机制。此外,它还包括最常见形式的骨坏死的表现和治疗选择。

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