Simultaneous Bilateral Avascular Necrosis of the Femoral Heads Associated With Cocaine Use

被引:2
|
作者
EL-Yahchouchi, Christine [1 ]
Moussa, Mohamad K. [2 ]
Khalaf, Zaynab [3 ]
Moussallem, Charbel [2 ]
机构
[1] Amer Univ Beirut, Anesthesiol, Med Ctr, Beirut, Lebanon
[2] Univ Med Ctr, Lebanese Hosp Geitaoui, Orthoped Surg, Beirut, Lebanon
[3] Lebanese Univ, Endocrinol & Diabet, Fac Med, Beirut, Lebanon
关键词
avascular necrosis; hip; primary hip replacement; cocaine; CORTICOSTEROID USE; OSTEONECROSIS; RISK; PATHOPHYSIOLOGY; METAANALYSIS; HIP;
D O I
10.7759/cureus.9865
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present a case of a 38-year-old female patient, presenting with debilitating simultaneous bilateral avascular necrosis of the femoral head (AVNFH) 10 years after cocaine detoxification, making her wheelchair-bound for six months. This case is reported for the rarity of association of cocaine with AVNFH, and for the unique fact of the simultaneous bilateral condition occurring a long time after cocaine ingestion in the absence of other important risk factors. This report postulates cocaine as a possible cause of bilateral AVNFH, which can increase the index of suspicion of this pathology, allowing early diagnosis and better outcomes.
引用
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页数:9
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