Table.
Conditions associated with osteonecrosis
Hematologic/oncologic |
Renal transplant (with or without corticosteroids) |
Sickle cell anemia |
Thalassemia |
Hemoglobinopathy |
Thrombophilia |
Marrow infiltrative disorders |
Thrombophlebitis |
Hypofibrinolysis |
Disseminated intravascular coagulation |
Hemophilia |
Acute lymphoblastic leukemia |
Anatomic |
Trauma |
Slipped capital femoral epiphyses |
Legg-Calvé-Perthes disease |
Congenital hip dislocation |
Metabolic |
Gaucher's disease |
Fat embolism |
Pancreatitis |
Fabry's disease |
Pregnancy |
Chronic liver disease |
Hypercholesterolemia |
Diabetes |
Hyperlipidemia |
Gout |
Rheumatologic |
Systemic lupus erythematosus (with or without corticosteroids) |
Antiphospholipid syndrome |
Rheumatoid arthritis |
Necrotizing arteritis |
Mucocutaneous lymph node syndrome |
Mixed connective tissue disease |
Infectious disease |
Osteomyelitis |
Human immunodeficiency virus infection |
Meningococcemia |
Iatrogenic |
Corticosteroids |
Alcoholism |
Cigarette smoking |
Dysbaric osteonecrosis |
Bisphosphonate use |
Radiation therapy |
Regional deep hyperthermia (in cancer treatment) |
From Powell C, Chang C, Gershwin ME. Current concepts on the pathogenesis and natural history of steroid-induced osteonecrosis. Clin Rev Allergy Immunol 41:102–113, 2011.