Alcohol-induced multifocal osteonecrosis: A case report with 14-year follow-up

Jungyu Moon, Gautam M. Shetty, Sandeep Biswal, Ashok Kumar Shyam, Won Yong Shon

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Alcohol-induced osteonecrosis of femoral head is common but multifocal osteonecrosis secondary to alcohol is very rare. The authors report one case of multifocal alcohol-induced osteonecrosis involving both hips and both knees and its subsequent progression and management over a period of 14 years. There was bilateral involvement of hips in pre-collapse stage for which a core decompression was done. The left hip responded well and at 14-year follow-up was asymptomatic with full range of motion. The core decompression surgery failed in the right hip within 1 year and subsequently hybrid total hip replacement arthroplasty was done with good functional results at 13 years follow-up. The diagnosis of knee osteonecrosis was most probably missed initially and was subsequently diagnosed 6 months back due to symptoms of pain and radiographic findings for which a core decompression was done with good early results. The results of treatment of hip was excellent in our patient and despite the rarity, a high degree of suspicion and regular screening is necessary to detect involvement of other areas like the knee in alcohol-induced osteonecrosis.

Original languageEnglish
Pages (from-to)1149-1152
Number of pages4
JournalArchives of Orthopaedic and Trauma Surgery
Volume128
Issue number10
DOIs
Publication statusPublished - 2008 Jan 15

Fingerprint

Osteonecrosis
Hip
Alcohols
Decompression
Knee
Hip Replacement Arthroplasties
Articular Range of Motion
Thigh
Pain

Keywords

  • Alcohol-induced osteonecrosis
  • Multifocal
  • Treatment

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Alcohol-induced multifocal osteonecrosis : A case report with 14-year follow-up. / Moon, Jungyu; Shetty, Gautam M.; Biswal, Sandeep; Shyam, Ashok Kumar; Shon, Won Yong.

In: Archives of Orthopaedic and Trauma Surgery, Vol. 128, No. 10, 15.01.2008, p. 1149-1152.

Research output: Contribution to journalArticle

Moon, Jungyu ; Shetty, Gautam M. ; Biswal, Sandeep ; Shyam, Ashok Kumar ; Shon, Won Yong. / Alcohol-induced multifocal osteonecrosis : A case report with 14-year follow-up. In: Archives of Orthopaedic and Trauma Surgery. 2008 ; Vol. 128, No. 10. pp. 1149-1152.
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