Doctor insights on:
What Can I Do To Prevent Or Lessen The Chance Of Avascular Necrosis
Options limited: Depends on the location and manner of fracture. Shoulder & hips at highest risk for avascular bone necrosis, so only real prevention is not getting injured to begin with. In some special cases you can take steps to reduce risk. Deep sea divers (due to the bends) and patients on high dose long term corticosteroids are more at risk. Talk to your dr. ...Read moreSee 1 more doctor answer
Non union fracture of two years at distal pole of scaphoid which recieves 100 blood supply.What are the chances of avascular necrosis setting in?
Rare: As you stated, the distal pole of the scaphoid receives good blood supply. I believe you have a simple non-union that if it is not causing pain, no need for further treatment. The waist of the scaphoid is the most risky for avascular necrosis as it does not have good blood supply. If you are having pain, surgery to remove the non-union is possible. If no pain, recommend leaving it alone. ...Read more
AVN: More information needed. In some bones (humeral + femoral head) if diagnosed before collapse and arthritis begins, there may be some value to core decompression. Some centers have shown decreased progression of collapse with free vascular fibula grafting (hip). No consensus regarding treatment before collapse. Once collapse occurs, some sort of resurfacing/replacement required to manage pain. ...Read more
Not enough info: The risk really depend if you have a disease or take meds that predispose to the disease or have fractured a hip or are a diver for instance. If you do not take prednisone, do not drink alcohol to excess and have none of the diseases or injuries or activities associated with higher risk then your risk is virtually zero. ...Read more
Dead bone: Avascular necrosis (avn) is a disruption of the blood supply to a bone. With no blood supply, the bone is substantially weakened there are numerous causes, most commonly trauma/fracture. Common bones involved are the hip, shoulder, scaphoid, femoral condyles. ...Read moreSee 1 more doctor answer
Yes: You need to see an orthopedic surgeon. ...Read more
Possibly but others: Although avascular necrosis can be related to corticosteroids it is important to know that there are other causes of avascular necrosis. There is a decrease in blood flow to the area involved. Although corticosteroids can be associated, it depends on dose and time and thus chemo steroids are less likely to be associated. Other causes: alcohol, joint injury and increased pressure ...Read moreSee 1 more doctor answer
Pain and limitation: Of movement of the elbow.Get a more detailed answer ›
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