Hip Pelvis.  2019 Jun;31(2):120-123. 10.5371/hp.2019.31.2.120.

Bilateral Avascular Necrosis of the Femoral Head in a Patient with Asymptomatic Adrenal Incidentaloma

Affiliations
  • 1Department of Orthopaedics, King's College Hospital, London, UK.
  • 2Department of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea. chm1228@hanmail.net

Abstract

Except when caused by direct and definite mechanisms (e.g., injury of the vessels to the femoral head), the pathophysiology of avascular necrosis of the femoral head has not yet been fully elucidate. While non-traumatic avascular necrosis of the femoral head is known to be caused by alcohol, steroids and various diseases, it may also occur without such events in a patient's history. Herein, a case of bilateral avascular necrosis of the femoral head caused by asymptomatic adrenal cortex incidentaloma which was initially misdiagnosed as idiopathic is reported along with a literature review.

Keyword

Adrenal gland neoplasms; Cushing's syndrome; Femur head necrosis
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