Early symptoms of steroid induced osteonecrosis?

Update Date: 2023-10-17 Source: Network

summary

Avascular necrosis of the femoral head is also known as aseptic necrosis of the femoral head, or avascular necrosis of the femoral head. It is a kind of pathological change caused by the local poor blood supply of the femoral head due to a variety of reasons, which leads to further ischemia, necrosis, trabecular fracture and collapse of the femoral head. Steroid induced necrosis of the femoral head is a kind of necrosis of the femoral head caused by long-term use of hormones. Early symptoms of steroid induced osteonecrosis? Let's talk about it

Early symptoms of steroid induced osteonecrosis?

The clinical symptoms of most patients are not obvious, only in the thigh muscle weakness and adductor muscle pain, individual patients have limb pain far away from the site, some patients may have intermittent hip pain, alternating hip pain or mild claudication after fatigue.

During the clinical examination, it can be seen that the more common misdiagnosed diseases of hip and abdomen are rheumatoid arthritis, sciatica, hip sprain and contusion, chronic lumbar muscle aging, lumbar hyperplasia, etc. Some of the patients were misdiagnosed as knee arthropathy because the complications were limited to the knee joint. Among the dead patients, the early misdiagnosis rate was more than 85%.

The more common misdiagnosed diseases are rheumatoid arthritis, sciatica, hip sprain and contusion, chronic lumbar muscle aging, lumbar hyperplasia, etc. Some of the patients were misdiagnosed as knee arthropathy because the complications were limited to the knee joint.

matters needing attention

1) Objective to improve the understanding ability of medical staff on femoral head necrosis. There are many patients suffering from femoral head necrosis, often mistaken for sciatica, rheumatoid arthritis, delayed the treatment opportunity, brought a lot of difficulties to the treatment. 2) In the process of hormone use, we should master the principle of short-term and appropriate amount. After the application of hormone, vasodilators, vitamin D, calcium preparations and traditional Chinese medicine should be used.