Université de Rennes, INSERM, CHU Rennes, institut NUMECAN (Nutrition Metabolisms and Cancer), UMR 1241, 35000 Rennes, France.
Université de Rennes, INSERM, CHU Rennes, institut NUMECAN (Nutrition Metabolisms and Cancer), UMR 1241, 35000 Rennes, France.
Morphologie. 2021 Jun;105(349):80-84. doi: 10.1016/j.morpho.2020.12.002. Epub 2021 Jan 12.
Avascular osteonecrosis of the femoral head (ONFH) is one of the causes of hip pain that clinicians need to know about. In many cases, it is a fortuitous discovery when pelvic X-rays is performed for another reason. In the other cases, pain reveals the disease. For the rheumatologist, a major part of the job is to look for a cause. An etiology can be found to ONFH in about 70% of the cases. Some of them are evident and the context give the diagnosis (corticosteroids, alcohol abuse…). However, in many cases, additional tests to imaging are required to make the causal diagnosis. In some cases, the treatment of the cause can prevent the recurrence of the disease.
股骨头缺血性坏死（ONFH）是临床医生需要了解的引起髋关节疼痛的原因之一。在许多情况下，这是在因其他原因进行骨盆 X 光检查时偶然发现的。在其他情况下，疼痛会揭示这种疾病。对于风湿病学家来说，工作的主要部分是寻找病因。大约 70%的病例可以找到ONFH 的病因。其中一些是明显的，并且可以通过上下文诊断（皮质类固醇、酗酒等）。然而，在许多情况下，需要额外的影像学检查来做出病因诊断。在某些情况下，病因的治疗可以防止疾病的复发。
