[Combined bilateral idiopathic necrosis of the humerus and femur heads: bone scintigraphy, x-ray, CT and MRT findings].
Aseptic bone necrosis in adults is usually caused by circulation defects or metabolic diseases but may also occur without any obvious reason. In these "idiopathic" cases, alcoholism seems to play a prominent role. In addition to the frequently affected femoral heads other bones may be involved. Here a remarkable pattern of localizations is reported: the bilateral idiopathic necroses of the heads of both humerus and femur. Untreated aseptic bone necroses close to a joint commonly leads to severe secondary arthrosis and destruction of the joint within a short time. Therefore, only a diagnosis in an early stage of the disease offers the chance of a successful joint-preserving therapy. In cases of clinically suspected aseptic bone necrosis but still negative or doubtful X-ray findings, bone scans or MRI are reliable methods of verifying the diagnosis.
Piepenburg
R
R
Klinik für Nuklearmedizin, Johannes-Gutenberg-Universität Mainz, FRG.
Doll
G
G
Grimm
J
J
Hahn
K
K
D000328:Adult; D005271:Femur Head Necrosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D009336:Necrosis; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed
Kombinierte beidseitige idiopathische Nekrose der Humerus- und Femurköpfe: Skelettszintigraphie, Röntgen-, CT- und MRT-Befunde.