SavedAdd your journal

Journals / Batı Karadeniz Tıp Dergisi / 2026 / Cilt: 6 Sayı: 2

Bilateral Avascular Necrosis of the Femoral Head After COVID-19 Infection: A Case Report

COVID-19 Enfeksiyonu Sonrası Femur Başının Bilateral Avasküler Nekrozu: Bir Olgu Sunumu

Alper Uysal(Hatay Eğitim ve Araştırma Hastanesi/ FTR Kliniği)0000-0002-4114-1649
Merve Erdem Uysal(Hatay Mustafa Kemal Üniversitesi/Tayfur Ata Sökmen Tıp Fakültesi/Temel Tıp Bilimleri Bölümü/Tıbbi Mikrobiyoloji Anabilim Dalı)0000-0001-7182-067X
Pages
235–238
Publication Date
2022-08-31
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

MRI of the hip is highly specific in detecting early stagea vascular necrosis of the femoral head and can reduce patient’s disability and need for surgery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Avascular necrosis of the femoral head is a condition characterized by limited range of motion, pain, and gait disturbance resulting from insufficient blood flow.
📊
Key Findings & Data:We aim to evaluate the relationship between COVID-19 and avascular necrosis.
💡
Conclusion & Impact:MRI of the hip is highly specific in detecting early stagea vascular necrosis of the femoral head and can reduce patient’s disability and need for surgery.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:COVID-19 · Avasküler Nekroz · Femur Başı

Abstract

Aim: Avascular necrosis of the femoral head is a condition characterized by limited range of motion, pain, and gait disturbance resulting from insufficient blood flow. We aim to evaluate the relationship between COVID-19 and avascular necrosis. Case: Herein, we present a 63-year-old male patient who developed avascular necrosis of the bilateral femoral head after COVID-19. Conclusion: COVID-19 infection alone and corticosteroids given to treat it can increase the incidence of avascular necrosis of the femoral head. MRI of the hip is highly specific in detecting early stagea vascular necrosis of the femoral head and can reduce patient’s disability and need for surgery.

Özet

Amaç: Femur başının avaskuler nekrozu, yetersiz kan akımı neticesinde gelişen, eklem hareket açıklığında kısıtlanma, ağrı ve yürüme bozukluğu ile karakterize bir tablodur. COVID-19 ve avasküler nekroz arasındaki ilişkiyi değerlendirmeyi amaçlıyoruz. Olgu: Burada, COVID-19 sonrası her iki taraf femur başında avaskuler nekroz gelişen 63 yaşında bir erkek hastayı sunuyoruz. Sonuç: Tek başına COVID-19 enfeksiyonu veya tedavi etmek için verilen kortikosteroidler, femur başı avasküler nekroz insidansını artırabilir. Kalça MRG, erken evre femur başı avasküler nekrozunu saptamada oldukça spesifiktir ve hastanın sakatlığını ve ameliyat ihtiyacını azaltabilir.

🔖

Cite This Article

Uysal, A., Uysal, M. E. (2022). Bilateral Avascular Necrosis of the Femoral Head After COVID-19 Infection: A Case Report. Batı Karadeniz Tıp Dergisi, Cilt: 6 Sayı: 2, 235–238. https://doi.org/10.29058/mjwbs.1054040

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Kordzadeh-Kermani E, Khalili H, Karimzadeh I. Pathogenesis, clinical manifestations and complications of coronavirus disease 2019 (COVID-19). Future Microbiology. 2020;15(13):1287-305. https://doi.org/10.2217/fmb-2020-0110
  2. Agarwala SR, Vijayvargiya M, Pandey P. Avascular necrosis as a part of ‘long COVID-19’. BMJ Case Reports CP. 2021;14(7):e242101. http://dx.doi.org/10.1136/bcr-2021-242101
  3. Malizos KN, Karantanas AH, Varitimidis SE, Dailiana ZH, Bargiotas K, Maris T. Osteonecrosis of the femoral head: etiology, imaging and treatment. European journal of radiology. 2007;63(1):16-28. https://doi.org/10.1016/j.ejrad.2007.03.019
  4. Zalavras CG, Lieberman JR. Osteonecrosis of the femoral head: evaluation and treatment. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2014;22(7):455-64. http://dx.doi.org/doi:10.5435/JAAOS-22-07-455
  5. Assouline-Dayan Y, Chang C, Greenspan A, Shoenfeld Y, Gershwin ME, editors. Pathogenesis and natural history of osteonecrosis. Seminars in arthritis and rheumatism; 2002: Elsevier. https://doi.org/10.1053/sarh.2002.33724b
  6. Thakur M, Datusalia AK, Kumar A. Use of steroids in COVID-19 patients: A meta-analysis. European Journal of Pharmacology. 2021:174579. https://doi.org/10.1016/j.ejphar.2021.174579
  7. Chang C, Greenspan A, Gershwin ME. The pathogenesis, diagnosis and clinical manifestations of steroid-induced osteonecrosis. Journal of autoimmunity. 2020;110:102460. https://doi.org/10.1016/j.jaut.2020.102460
  8. Li W, Huang Z, Tan B, Chen G, Li X, Xiong K, et al. General recommendation for assessment and management on the risk of glucocorticoid-induced osteonecrosis in patients with COVID-19. Journal of orthopaedic translation. 2021;31:1-9. https://doi.org/10.1016/j.jot.2021.09.005
  9. Mirzai R, Chang C, Greenspan A, Gershwin ME. The pathogenesis of osteonecrosis and the relationships to corticosteroids. Journal of Asthma. 1999;36(1):77-95. https://doi.org/10.3109/02770909909065152
  10. Daltro G, Franco B, Veiga D, Faleiro T, Lima V, Vitório F. Osteonecrosis Development Post Covid-19 Infection. J Regen Biol Med. 2021;3(5):1-8. https://doi.org/10.37191/Mapsci-2582-385X-3(5)-087
  11. Disser NP, De Micheli AJ, Schonk MM, Konnaris MA, Piacentini AN, Edon DL, et al. Musculoskeletal consequences of COVID-19. JBJS. 2020;102(14):1197-204. https://doi.org/10.2106/JBJS.20.00847
  12. Awosanya OD, Dalloul CE, Blosser RJ, Dadwal UC, Carozza M, Boschen K, et al. Osteoclast-mediated bone loss observed in a COVID-19 mouse model. Bone. 2022;154:116227. https://doi.org/10.1016/j.bone.2021.116227
  13. Daltro G, Silva I, Daltro P, Silva I, Botelho V. SARS-CoV-2/COVID-19 and its implications in the development of osteonecrosis. J Regen Biol Med. 2020;2(4):1-19. https://doi.org/10.37191/Mapsci-2582-385X-2(4)-035