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Avascular Necrosis, Osteoarthritis and Synovitis

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Arthroscopy

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Abstract

Avascular osteonecrosis mostly concerns young adults in full activity. Besides traumas, most of the aetiologies are corticosteroid therapy, drepanocytose and alcoholism. After avascular necrosis, the cancellous bone rebuilt itself rather promptly unlike the subchondral bone. The subchondral bone disappears faster than it is reformed. It becomes a sensitive junction between the subchondral bone and the cancellous bone, with less resistance and a weak point that can promote subchondral fractures. If MRI allows establishing a complete statement of the necrosis, CT scan can be more precise in detecting subchondral fracture and minimal femoral head deformities [26].

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Author information

Authors and Affiliations

  1. Hip and Sports Medicine Department, Lyon-Ortho-Clinic, 29 Avenue des sources (Bat B), Lyon, 69009, France

    Nicolas Bonin MD

  2. Orthopaedic Hospital, Av. Pierre-Decker 4, CH-1011, Lausanne, Switzerland

    Christophe Tissot MD

  3. CHU Saint-Etienne, Service de Chirurgie Orthopédique et de Traumatologie, Saint-Étienne, France

    Antoine Dangin

Authors
  1. Nicolas Bonin MD
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  2. Christophe Tissot MD
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  3. Antoine Dangin
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Corresponding author

Correspondence to Nicolas Bonin MD .

Editor information

Editors and Affiliations

  1. San Donato Milanese, Milano, Italy

    Pietro Randelli

  2. Lyon, France

    David Dejour

  3. Academic Med Ctr, Orthopedic Surger, Univ of Amsterdam, Amsterdam, The Netherlands

    C. Niek van Dijk

  4. Istituto Clinico Humanitas, Rozzano, Milan, Italy

    Matteo Denti

  5. Dept Orthopedic Surgery & Sports Meds, Ctr Hospitalier Clinique d’Eich, Luxemburg, Luxembourg

    Romain Seil

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Bonin, N., Tissot, C., Dangin, A. (2016). Avascular Necrosis, Osteoarthritis and Synovitis. In: Randelli, P., Dejour, D., van Dijk, C., Denti, M., Seil, R. (eds) Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49376-2_70

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  • DOI: https://doi.org/10.1007/978-3-662-49376-2_70

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49374-8

  • Online ISBN: 978-3-662-49376-2

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