Orthopedic management and treatment of osteonecrosis.
NIOSH 1974 Jan; :201-208
Treatment of nontraumatic (for example, dysbaric) osteonecrosis is correlated with clinical, radiological and pathological stages of progressive involvement of the shoulder and hip joints. Conservative nonsurgical methods may result in spontaneous healing of Stage I and II lesions. Revascularization procedures are indicated for certain Stage I lesions. Arthrodesis and intertrochanteric osteotomy of the hip are indicated in patients under 50 years old with Stage III lesions and unilateral hip disease. When there is no significant arthritic development, hemiarthroplasty is used for hip and shoulder treatment. Arthrodesis of the shoulder and complete hip replacement are indicated when severe Stage III lesions and arthritis are present. Rehabilition from each stage is discussed.
Medical-care; Bone-disorders; Pressure; Symptoms; Pathology; Radiology; Musculoskeletal-disorders; Necrosis; NIOSH-Publication;
Dysbarism-Related Osteonecrosis, Proceedings of a Symposium on Dysbaric Osteonecrosis, NIOSH, Cincinnati, Ohio