This pelvic bone-dying disease can't be relieved even if you're young...Male patients, three times more than women
Jan 09, 2025
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The upper part of the thigh bone forms the hip joint (hip) with the pelvic bone. Here, the upper end of the thigh bone in contact with the pelvic bone is called the femoral head. Bloodless necrosis of the femoral head is a disease in which the blood flow to the femoral head is blocked and bone tissue is necrotic. Necrosis can also cause anxiety that bones are rotting, but the bones are locally dead and do not spread around.
It is known that this disease often occurs on both sides of the femur. Continuous pressure is applied to the necrotic femoral head, causing pain and damage to the hip joint when fractures occur. Hematoid necrosis of the femoral head occurs in relatively young people in their 30s and 50s, and men are found to occur about three times more than women.
Even if necrosis occurs in the head of the femur, the first symptom you feel is pain in the hip joint. This does not occur at the beginning of necrosis, but symptoms appear when necrosis progresses for several months and fractures occur in the femoral head. You will complain of pain in your groin, and the pain will be severe when you walk, causing you to limp.
If a crushing deformation occurs over time, the length of the legs becomes shorter and the legs of both sides become difficult. In some cases, it is mistaken for a herniated disc, but it is necessary to check the presence or absence of pain inside the thigh rather than the waist and the discomfort in both legs.
X-ray tests are performed for confirmation, and magnetic resonance imaging (MRI) and computed tomography (CT) tests are performed if necessary. MRI is the most accurate diagnostic method for diagnosing hematogenous necrosis of the femoral head. MRI examination can detect the boundary line surrounding the necrotic area and observe findings such as increased joint fluid in the hip joint and femoral head depression over time. In addition, necrosis of the opposite femoral head with no symptoms can be found.
The cause or process of occurrence is not known exactly. However, excessive drinking, use of adrenocortical hormones (steroids), and kidney disease are considered risk factors. However, it sometimes occurs even though there is no causal risk factor. It is also caused by trauma such as a femoral neck fracture or hip dislocation.
Among young patients under the age of 55, if more than a third of the posterior joint cartilage remains on MRI examination and is detected relatively early, joint preservation is performed. However, if the hip joint is severely damaged due to necrosis, the original joint area will be removed and artificial joint surgery will be performed. If the necrotic area is large, it is the subject of artificial joint surgery regardless of age.
"Hip joint disease is commonly known as a degenerative disease caused by aging, but it often occurs at a relatively young age," said Yoo In-seon, head of the Orthopedic Lower Leg Center at Seran Hospital. "The hip joint is the largest joint in our body that connects the pelvic bone and the femur, and degenerative changes or trauma are the main causes of the disease, but drinking alcohol or blood vessel damage can also cause problems."
Manager Yoo In-seon said, `If the blood vessels heading to the femoral head are blocked and nutrients and oxygen are not supplied well, necrosis causes pain. Excessive drinking and steroid use are considered the main causes of necrosis" and advised that "the thalamus-free necrosis often progresses acutely, so if you have any suspicious symptoms, you should visit a hospital and be diagnosed."
This article was translated by Naver AI translator.
