Introduction:

Avascular Necrosis, Osteonecrosis - Everything You Need To Know - Dr. Nabil Ebraheim

Etiopathology


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Common locations

Location Condition
UPPER EXTREMITY:
Carpal ‣
Tarsal ‣
Metatarsal heads
LOWER EXTREMITY:
Femoral head
Tibial tubercle
VERTEBRAL COLUMN:
Ring apophyses of spine

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Radiology


Imaging features

Sequence of changes
1. Joint effusion Earliest sign
2. Patchy or mottled density
3. Subchondral lucency Pathognomic (20% cases)
4. Articular surface and joint fragmentation