Professional Documents
Culture Documents
Kinyanjui
Moderator: Prof. Mulimba J. A. O.
22nd July 2013
Outline
Definition
Pathophysiology
Aetiology
Presentation
Imaging
Staging
Management
Definition
Cellular death of bone components secondary to
interruption of blood supply
Corticosteroid use
Alcohol intake
Antalgic gait
Restricted ROM
Joint deformity
Muscle wasting
Imaging: X ray
Initially normal upto 3 months
Sclerosis
Flattening
Collapse of cortex
OA
Imaging: CT scan
Used to assess extent of disease and calcification
Femoral head:
10 – 20 mmHg, increasing by 15 mmHg after saline
III Cresent sign. IIIa - <15% articular surface, IIIb 15 – 30%, IIIc >30%
IV Collapse of head IVa - <15% surface collapsed, IVb 15 – 30%. IVc >30%