Avascular necrosis - hip joints

Discussion:

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
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