Sickle cell disease and silent avascular necrosis of the hip
Ware-H-E. Brooks-A-P. Toye-R. Berney-S-I. St Bartholomew's Hospital, West Smithfield, London, England. Sickle cell disease and silent avascular necrosis of the hip. J-Bone-Joint-Surg-. 1991 Nov [m. 73(6). P 947-9. We reviewed the prevalence of avascular necrosis (AVN) in a series of patients with sickle cell disease, using radiography and magnetic resonance imaging. We found AVN of at least one hip in 11 of 27 patients (41%). This is a significantly greater prevalence than reported. MRI was not as helpful in patients with sickle cell disease as it is in patients with AVN from other causes; it detected no more cases than radiography. Author-abstract.
Original Text by Clifford R. Wheeless, III, MD.
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