The femoral head is the most common location for AVN to occur. Etiology of the avascular necrosis can be remembered by the following mnemonic:
GIVE INFARCTS
- Gaucher disease
- Idiopathic (Legg-Calvé-Perthes, Köhler, Chandler)
- Vasculitis (SLE, polyarteritis nodosa, rheumatoid arthritis)
- Environmental (frostbite, thermal injury)
- Irradiation
- Neoplasia (associated coagulopathy)
- Fat (prolonged corticosteroid use increases marrow)
- Alcoholism
- Renal failure and dialysis
- Caisson disease
- Trauma (femoral neck fracture, hip dislocation)
- Sickle cell disease