Osteonecrosis 15 years after femoral neck fracture and long-term low-dose inhaled corticosteroid therapy - 01/01/03
Kai Kisielinski, Christopher Niedhart * , Ulrich Schneider, Fritz-Uwe Niethard*Corresponding author. Orthopädische Universitätsklinik der RWTH Aachen, Pauwelsstraße 30, 52074 Aachen, Germany.
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Résumé |
Posttraumatic avascular necrosis of the femoral head typically occurs immediately or within a few years after a femoral neck injury, and non-traumatic avascular necrosis is often related to systemic glucocorticoid therapy. We report an unusual case in which avascular necrosis of the femoral head occurred 15 years after a transcervical femoral fracture in a woman with a 20-year history of daily inhaled glucocorticoid therapy for chronic bronchitis. She had not taken glucocorticoids by any other route and had no other risk factors for osteonecrosis. To our knowledge, this is the first report of osteonecrosis associated with inhaled glucocorticoid therapy in a patient with a local cause of diminished vascular reserve. Inhaled glucocorticoid therapy should be added to the list of risk factors for osteonecrosis.
Mots clés : Osteonecrosis ; Femoral neck fracture ; Low-dose inhaled corticosteroids.
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Vol 71 - N° 3
P. 237-239 - mai 2004 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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