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Which are the causes of Osteonecrosis?

Causes of Osteonecrosis explained: genetic and environmental factors, reviewed against medical sources, plus patient perspectives.

Osteonecrosis causes
12 answers
For some the cause is unclear. It seems to affect females with a certain body type more per my doctor. Also heavy steroid use has been shown to cause osteonecrosis especially in females. I believe that is how I acquired the disease as I was in the military and treated with heavy steroids due to wounds I sustained while in the service.

Posted May 18, 2017 by Dot 350
Steroids / cortisone/prednisone
Alcohol
Aids
Sickle cellsisease
Systemic Lupus
Erythematosus
Idiopathic
Trauma
Gaucher's disease

Posted Jun 16, 2017 by Austin 4830
Avascular necrosis occurs when blood flow to a bone is interrupted or reduced. Reduced blood supply can be caused by:
Joint or bone trauma. An injury, such as a dislocated joint, might damage nearby blood vessels. Cancer treatments involving radiation also can weaken bone and harm blood vessels.
Fatty deposits in blood vessels. The fat (lipids) can block small blood vessels, reducing the blood flow that feeds bones.
Certain diseases. Medical conditions, such as sickle cell anemia and Gaucher's disease, also can cause diminished blood flow to bone.

Posted Jun 30, 2017 by Dave 2270
I would add: blood clotting disorders to the above list.

Posted Sep 27, 2017 by Alan 900
Unknown. Some reported causes center around a lack of suffient blood supply to the area, and however, I there are many reasons for that. In my own case the culpret was a broken femur that didn't heal. I am sure there are many other and different causes, such especially among those that have bilateral ON.

Posted Nov 3, 2017 by Pamela 1600
Trauma to joint, steroids, and alcohol.

Posted Jun 11, 2018 by Rob 1500
Well depends mines was an virus, but can happens when taken drugs, car accident, extremely sports

Posted Jun 11, 2018 by Megan 2500
The “known” cause are:
Steroid use
Extreme alcohol intake
Sickle cell disease
Circulatory problems
Illegal drug use
Trauma to the area
Or Idiopathic (no known cause)

Posted Nov 13, 2018 by Scott 3050
All of the causes are still being investigated. What they suspect so far are steroid use, heavy alcohol use, and smoking. Now this is an area where genetic research will be helpful.

Posted Aug 27, 2019 by Cheryl 2800
Long term steroid, chemotherapy, radiation,
Coagulation issues

Posted Feb 28, 2020 by Lisa j 1700
Osteonecrosis may be caused by physical injury to the joint (ie car crash). Alcoholism can cause osteonecrosis. Corticosteroid treatment (for example prednisone, prednisone) is also linked to the condition, particularly long courses of high dose corticosteroids. The mechanism that alcohol or steroids can cause osteonecrosis is unknown. In 40% of cases the cause is unknown, also called 'idiopathic'

Posted Mar 15, 2020 by Caitlin 3050
Translated from spanish Improve translation
Corticosteroids
Alcoholism
Fractures
Malpractice
Iatrogenic

Posted May 18, 2017 by Javier 2150

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