Discussions By Condition: Medical Stories

Avasculer Necrosis

Posted In: Medical Stories 7 Replies
  • Posted By: bulamilly
  • March 22, 2007
  • 08:05 PM

I am writing this about my husband's situation. In Dec 2005 he was involved in an auto accident. He was hit almost head on with his vehicle speed at aprox. 45 mph. The impact was on the front left front fender and drivers side door. After the initial impact with the other vehicle, his truck slammed into a steel light pole. This is where the story really starts. He was taken to the hospital, where the initial exam took place. It was determined that he broke a rib in two places and was bruised pretty good on his left side. He was sent home to recuperate. Several weeks later, he started having pain in his left hip as well as some pain in his left shoulder. The pain in his hip got so bad that he resorted to using a cane to get around. Finally in March, the doctor decided to do a series of MRI's on his hip and shoulder. It was determined that he had Avascular Necrosis of the femoral head as well as a tear in his rotator cuff. Since avascular necrosis can have several causes, including over consumption of alcohol, the surgeon told him she didn't think the accident was the cause of the avascular necrosis because he had not dislocated or fractured the hip in the accident. He ended up having a core decompression on his left hip to relieve the pressure. This was followed by surgery to repair the torn rotator cuff. Then in Nov 2006 he ended up having a full hip replacement because the hip had gone arthritic. Our frustration is the doctors insisting that avascular necrosis cannot be caused by a severe trauma unless the bone has been dislocated or fractured. We don't dispute the fact that he probably had avascular necrosis (brought on by alcohol consumption) going on in the bone, but we feel it was exascerbated by the trauma of the accident. He was getting along just fine before the accident and witihin weeks of the accident he started having the unbearable pain in his hip and leg. I would love to know if someone, somewhere has information regarding avascular necrosis becoming symptomatic after blunt trauma.
Thank you.

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7 Replies:

  • Hi my name is lrmkporter and I have avasculer necrosis and osteo arthritis caused from a fall from a set of stairs with no hand railings. The day after the fall I was taken to emergency by ambulance because of excurciating pain in my lower back and right hip , at that time x-rays were taken and showed nothing. Mind you prior to this fall Iwas a child care provider of 5 small children. The emergency room doctor told me point blank that all my pain was just all in my head. CRAZY I couldn't belive what I was hearing from medical staff professionals from a prominate hospital facility. So for a year and a half of constant complaining of pain in back and r-hip my regular physian finally sent me to see an orthopedic surgeon , and low and behold several images on his machine in his facility and he comes back telling me I have advanced stage avascular and osteo arthritis and would some day need a total hip replacement. I cried I was only 38 years old at the time. I'm now almost 46 and still have'nt had my surgery yet. But I believe with all my heart and soul that something should have been done right after the fall. I was a young woman with alot of life left in her. Now since the fall I'm so limited to the things I do. I could go on, and on . Misdiagnosed or not diagnosed at all?
    Anonymous 42789 Replies Flag this Response
  • I am writing to share my husbands story with AVN.About six years ago he and I were in a car accident where we were struck in a T-bone fashion from the passenger front side. I sustained no injuries, whereas my husband had pain pain in his neck. After about a year of trying to find a doctor that would believe there was even something wrong with him, (he was even accused of being a drug seeker) a doctor finally ordered a MRI. He found a torn disc and two bulging disc. (OUCH!!) We were so relieved that a doctor was finally able to show us a picture and say this is what is wrong and here it is. This doctor prescribed narcotics and put him on a steriod regime, including epidural neck injections. Although my husband never felt relief from these injections, the doctor kept giving them, saying everything will be fine. Then after about 18 months he started to complain about pain in his growing, the doctor started to do epidural injections in his lower back, saying everything will be fine. Finally after about 3 months my husband got am MRI of his hips and found AVN. We did the core decompression, to no relief. We couldnt get a doctor to agree to do a replacement because although there is much pain, the structure is good and there is no sign of arthritis. He felt like he had hit a dead end. My husband enlisted the help of a pain management doctor who talked him into getting a pain pump. Now my husband has a pain pump he doesnt really want, cant find a doctor who would do the replacement even if the structure was failing because they dont want to deal with the pump. He had to get on disability due to all this. I dont know what is worse, the inability for him to get out there and get involved with his daughters or the fact that all this happened to him due to the cortico steriods at the age of 27......Everything we have read on this condition says that alcohol can bring this on but so can cortico steroids (which the doctor never warned he or I about).
    Anonymous 42789 Replies
    • November 24, 2008
    • 11:59 PM
    • 0
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  • I have AVN myself, and had a total hip replacement for my 30th birthday.I think it's important to understand the cause of AVN. AVN is very different from arthritis because it's not an inflammatory disease like arthritis (which is more about an immune reaction). It's caused by something interrupting the blood flow in the hip.Because of this it's likely that the care accident did not have anything to do with your husband having AVN if he did not break or dislocate his hip. He very likely had the early stages long before the accident ever happened. Physical injury can cause it. Bo Jackson got it because he dislocated both his hips. But this was because of a serious tramatic injury to the hips. The most common cause is steroids. Even a single treatment of steroids can cause AVN in some people. Has your husband ever been treated with steroids? For pneumonia? Anything else?While it's very tempting to want to find a specific cause for it (and a car accident is a very tempting cause you can blame it on) it's likely not related. This is a disease which is usually found in young people and it was just his time.
    Anonymous 42789 Replies
    • October 16, 2009
    • 09:50 PM
    • 0
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  • I am writing to share my husbands story with AVN.About six years ago he and I were in a car accident where we were struck in a T-bone fashion from the passenger front side. I sustained no injuries, whereas my husband had pain pain in his neck. After about a year of trying to find a doctor that would believe there was even something wrong with him, (he was even accused of being a drug seeker) a doctor finally ordered a MRI. He found a torn disc and two bulging disc. (OUCH!!) We were so relieved that a doctor was finally able to show us a picture and say this is what is wrong and here it is. This doctor prescribed narcotics and put him on a steriod regime, including epidural neck injections. Although my husband never felt relief from these injections, the doctor kept giving them, saying everything will be fine. Then after about 18 months he started to complain about pain in his growing, the doctor started to do epidural injections in his lower back, saying everything will be fine. Finally after about 3 months my husband got am MRI of his hips and found AVN. We did the core decompression, to no relief. We couldnt get a doctor to agree to do a replacement because although there is much pain, the structure is good and there is no sign of arthritis. He felt like he had hit a dead end. My husband enlisted the help of a pain management doctor who talked him into getting a pain pump. Now my husband has a pain pump he doesnt really want, cant find a doctor who would do the replacement even if the structure was failing because they dont want to deal with the pump. He had to get on disability due to all this. I dont know what is worse, the inability for him to get out there and get involved with his daughters or the fact that all this happened to him due to the cortico steriods at the age of 27......Everything we have read on this condition says that alcohol can bring this on but so can cortico steroids (which the doctor never warned he or I about). Hi,I'm so sorry to here about your husbands ordeal. I too have avascular necrosis and I'm 40. I have it in both ankles. I had MRSA in my left ankle in 2006 while I was pregnant. I had to have an emergency c-section to save my baby then they did surgery on my foot. I never felt any pain from the c-section because my foot was excruciating. I have never felt such horrible pain before in my life. I'm a transplant recipient and take prednisone for my transplant but I too was not warned about the affects it could have. I had no idea. I'm scared to even mess with my medications because I haven't had any problems with my transplant but I sure don't want my body falling apart on me either! I don't know what to do. It has been one thing after another. It would be nice to have someone to talk to who is familiar with AVN. Take care!
    livingmiracle 2 Replies Flag this Response
  • I am sorry to hear about both of you. I am 19 years old and I was diagnosed with Leukemia last year. I was taking large doses of predisone as part of my chemotherapy regimine and thanks to the steriods I now have AVN in both my hips. It is so painful to the point where I cant even walk. My doctors have had me on crutches for the last 4 months but that has only made my pain worse. Before I got sick I had a softball scholarship to college and now I do not know if i will ever play again.
    Anonymous 42789 Replies Flag this Response
  • I am sorry to hear about both of you. I am 19 years old and I was diagnosed with Leukemia last year. I was taking large doses of predisone as part of my chemotherapy regimine and thanks to the steriods I now have AVN in both my hips. It is so painful to the point where I cant even walk. My doctors have had me on crutches for the last 4 months but that has only made my pain worse. Before I got sick I had a softball scholarship to college and now I do not know if i will ever play again. I'm so sorry to hear about what your going through. I also had a CT of my hips because my right one has been very sore and I can't lay on that side anymore. It is due to the right ankle collapsing I guess. I'm so worried about what will be next, my knees? I'm still taking the prednisone for my transplant and I'm scared to mess with it. However, I do plan to talk to my transplant doc about other options. I can't get around like I used to because me ankles want to give out so quickly. I have lidoderm patches that I put on them to numb them long enough so I can get groceries, etc. It really stinks I know. I hope things get better for you. Try hot baths. I find that they help me alot. There is some muscle relaxer salt bath that helps me. There are different kinds. Please have someone help you because I know your in pain in the hips. This might help you relax a little. Also ask your doc about Lidoderm patches and see if you can get those. It's better than steroid injections! Take care!
    livingmiracle 2 Replies Flag this Response
  • Hello, I started experiencing hip pain when I was just 13-14 years old, and my doctor told me it was growing pains. The pain got worse throughout my high school years because I was very active in basketball, volleyball, and other sports. Finally, when the pain got even worse during track season I demanded another explanation. I was diagnosed with avascular necrosis and immediately after (about 1 month) had surgery where they drilled out the head of my femur and replaced it with a bone graft from my pelvis. They put a pin in for pressure to stimulate growth. I do not know a whole lot about AVN, but I am now 23 and my hip pain is starting to come back. Can AVN be cured or is it recurrent? I would be very grateful for any extra information anyone could give me! I'd like to put off a hip replacement as long as possible.
    Anonymous 42789 Replies
    • November 9, 2010
    • 03:56 AM
    • 0
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