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Related Experiment Video

Updated: Dec 29, 2025

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[Multiple osteonecrosis. Update and case report].

V Gallart Úbeda1, J M Elía Martínez1, R Puerta de Diego1

  • 1Servicio de Medicina Física y Rehabilitación, Consorcio Hospital General Universitario de Valencia, Valencia, España.

Rehabilitacion
|February 3, 2020
PubMed
Summary
This summary is machine-generated.

Multifocal osteonecrosis, affecting three or more bone sites, is rare. This case highlights risk factors like abnormal hemostasis and medication history in developing this condition.

Keywords:
Coagulation disordersCorticosteroidsGlucocorticoidesMultiple osteonecrosisOsteonecrosis múltipleTrastornos de la coagulaciónTratamientoTreatment

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Area of Science:

  • Orthopedics
  • Rheumatology
  • Hematology

Background:

  • Multifocal osteonecrosis (MFON) is rare, affecting <3% of osteonecrosis patients.
  • Associated with systemic diseases: lupus, transplant recipients, hematologic disorders, and high-dose glucocorticoids.
  • Femoral head is the most commonly affected site.

Observation:

  • A young woman presented with bilateral hip osteonecrosis.
  • She had abnormal hemostatic factors and a history of glucocorticoid and oral contraceptive use.
  • Subsequently developed shoulder osteonecrosis.

Findings:

  • Presents a case of multifocal osteonecrosis in a young woman.
  • Highlights potential contributing factors including hemostatic abnormalities and specific therapies.
  • Reviews the etiology and treatment of multifocal osteonecrosis.

Implications:

  • Underscores the importance of considering multifocal osteonecrosis in patients with specific risk factors.
  • Suggests a need for further research into the pathogenesis of MFON.
  • Informs clinical evaluation and management strategies for patients at risk.