BILATERAL OSTEONECROSIS OF THE HUMERAL HEAD AND FEMORAL HEAD – A CASE REPORT
Abstract:
The patient referred to in this study is 42 years old. The disease started after about 1 year of
treatment with Prednison in average doses reaching finally the application of a hybrid cemented stem
prosthesis, 9 years ago, in our service. 8-9 months ago, we practiced an uncemented total hip
replacement to the left side for a femoral head osteonecrosis stage IV (Ficat) with secondary
osteoarthritis. On that occasion it was found the existence of a bilateral aseptic osteonecrosis of the
humeral head, appropriate stage V on the left and on the right stage IV (Cruess classification). Analyses
carried out recently show the existence of risk factors, such as hyperuricemia and elevated
transaminases, amid a heavy drinking. The patient was recently diagnosed with ethanol chronic
hepatitis.
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