Femoral head osteonecrosis following the use of corticosteroids in the treatment of COVID-19: case report
DOI:
https://doi.org/10.11606/issn.1679-9836.v103i4e-204032Keywords:
osteonecrosis, femur, corticosteroid, COVID-19, Avascular Necrosis of Femur HeadAbstract
Non-traumatic osteonecrosis of the femoral head (ONHF) is characterized by cell death of osteocytes and alterations in osteoblasts and osteoclasts, often caused by prolonged use of corticosteroids. Other risk factors include autoimmune diseases, alcohol, radiotherapy and infections. This report describes the case of a 55-year-old man who developed ONHF after treatment with corticosteroids for COVID-19. ONHF can be insidious, manifesting with pain and limited movement, with magnetic resonance imaging (MRI) being the most effective diagnostic method. Treatment varies from conservative to surgical, depending on the stage of the disease. Early diagnosis and multidisciplinary follow-up are essential for a better prognosis. Future research should focus on developing COVID-19 treatment guidelines that reduce the incidence of ONCF, exploring safe and effective therapeutic alternatives.
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Copyright (c) 2024 Mateus Gonçalves de Sena Barbosa, Rafaela Luiza Vilela de Souza, Maria Eduarda Santos Affi Peixoto, Arthur Carvalho de Oliveira Gonçalves, Luiz Gabriel Gonçalves Cherain, Adriano Correa Cordeiro, Lucas Hiron Ulhoa Carvalho, Raphael Antunes Lacerda, Josy Maria Maximiano Silva
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