title: A steroid-induced bilateral avascular necrosis of the femoral head in an underage patient affected by multiple sclerosis.
abstract: Patients affected by Multiple Sclerosis are often treated by pulsed intravenous corticosteroids to manage acute relapses with positive outcomes. The intravenous administration is frequently associated to avascular necrosis of several bones, particularly the femur. The present report regards a case of an underage MS patient with a bilateral ANFH secondary to pulsed administrations of steroids, managed by a conservative approach on a hip, and by a novel surgical technique on the contralateral side.
authors.affiliation: Orthopaedic Clinic, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy.
authors.forename: Christian
authors.initials: C
authors.lastname: Carulli
authors.affiliation: Orthopaedic Clinic, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Nistri
authors.affiliation: Neurologic Unit, Department NEUROFARBA, Section Neurosciences, University of Florence, Florence, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Bracco
authors.affiliation: Neurologic Unit, Department NEUROFARBA, Section Neurosciences, University of Florence, Florence, Italy.
authors.forename: Marta
authors.initials: M
authors.lastname: Giannini
authors.affiliation: Neurologic Unit, Department NEUROFARBA, Section Neurosciences, University of Florence, Florence, Italy.
authors.forename: Maria Pia
authors.initials: MP
authors.lastname: Amato
keywords: avascular necrosis; bioceramics; core decompression; femur; fingolimod; forage; multiple sclerosis; stem cells; steroids
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