Although sometimes we may think that bones are somewhat inert and immutable, the truth is that they are living tissue, much like the rest of our bodies. vulnerable to diseases.
What is this and why does it happen?
As explained by the United States National Library of Medicine, osteonecrosis is a condition that occurs when a chunk of bone detaches. not getting enough blood flow And it dies. Without treatment, it damages the joint to which the bone belongs and therefore leads to severe arthritis.
often it the result of serious illness or trauma It affects the blood supply to the bone, although it sometimes occurs idiopathically (with no known cause).
some of the possible trigger Intravenous or oral steroid use, excessive alcohol use, sickle cell anemia, dislocation of the fracture around the joint, bleeding disorders, HIV or anti-HIV medications, radiation therapy, chemotherapy, HIV Gaucher disease (some of which cause the accumulation of harmful substances) causes). organs and bones), systemic lupus erythematosus (autoimmune disease), Legg-Calve-Perthes disease and decompression disease in deep divers.
What are the symptoms?
Osteonecrosis can be quite insidious, as it is common. course without symptoms in the early stages, Then, however, pointers such as:
- Joint pain that begins gradually, until it becomes very strong, and presents itself even at rest.
- limited range of motion.
- Worsening of gout symptoms.
Along with this picture, a physical examination may also have to be done. X-rayMRI, bone scan, or CT scan to accurately diagnose the disorder.
How is it treated?
For the most part, treatment should focus on treat the underlying condition and in slowing disease progression, limiting joint movement, and using pain-relieving medications. However, surgery is usually necessary.
Specifically, there are options bone injuryVascularized bone graft (with its blood supply), removal of the inner part of the bone (which stimulates the formation of new blood vessels), osteotomy (changing the orientation of the bone), or even total joint replacement .
Osteoarthritis. MedlinePlus, accessed 06/17/2022 at https://medlineplus.gov/spanish/ency/article/007260.htm.