Avascular necrosis of the hip in a man with HIV infection.

Abstract

The development of an osteonecrotic (avascular necrosis) hip joint in a patient with symptomatic CDC Stage IV C2 disease is reported. The diagnosis was aided by radiological assessment and confirmed by radioisotope bone scan. This case serves as yet another musculoskeletal manifestation in association with HIV infection.

Total joint replacement in HIV positive patients

“…The first report about a femoral head necrosis in a patient with HIV was in 1990. 2 One year later, multiple osteonecrosis in HIV patients was described and in 2000, Masur et al stated that 4% of all asymptomatic HIV positives were developing an osteonecrosis of the femoral head. 3,4 The main co-factors discussed were therapy with steroids and/or protease inhibitors, alcohol abuse and hyperlipidemia.…”

Osteonecrosis Related to Intraosseous Anesthesia: Report of a Case

“…Osteonecrosis, also termed avascular necrosis, was first reported in the hip of a HIV-infected patient in 1990 (14). Since then, numerous case reports of osteopenia, osteoporosis, and osteonecrosis have been reported, and the prevalence of these disorders may be increasing (15)(16)(17)(18).…”

Orthopedic Involvement in Antiphospholipid Syndrome

“…Following reports of osteonecrosis in human immunodeficiency virus (HIV)-infected patients [25,26], Miller et al [27] conducted a prospective study in 339 HIV-infected patients. Osteonecrosis was detected by MRI in 15 of them (4.4%).…”