What is AVN?
avascular necrosis of bone mainly in adults
What can AVN be secondary to?
fractures eg of femoral neck
What can AVN be caused by abuse of?
alcohol and steroid (related to alteration of fat metabolism)
What other conditions can cause AVN?
sickle cell, thrombophilia, antiphospholipid
Rare cause of AVN?
Caisson’s disease/decompression sickness after deep sea diving
Treatment of AVN?
deoends on stage, if articular surface has no collapsed, drilling can be done to decompress
If it has collapsed, joint replacement needed
If foot/ankle, consider fusion