Ortho
7/23/99
Asceptic Necrosis
- Osteonecrosis
(bone death) caused by vascular insult, usually at the end of the
bone. In adults, the most common
symptom producing aseptic necrosis occurs in the femoral head (avascular
necrosis). In children, aseptic
necrosis is called epiphyseal ischemic necrosis or epiphyseal aseptic
necrosis. The precise pathologic
condition of these ds is debatable; therefore, the term is used here in
reference to epiphyseal osteochondritis or by area:
- Assmann: head of first metatarsal
- Buchman: medial cuneiform
- Freiberg:
2nd metatarsal head
- Iselins: base of the fifth metatarsal
- Kappis:
talus
- Kienbock: lunate bone of wrist
- Kohler: tarsal navicualr; sometimes of the
patella
- Lance:
cuboid
- Legg-Calve
Perthes: femoral head;
- Panner:
capitellum of the humerus
- Silverskjoid:
calcaneus
- Theimann:
proximal phalanges
- Wagner:
base of the first metatarsal
Fibromyalgia
- Diffuse
ms pain
- Multiple
tender points
- Not a
1°
inflammatory disorder
- No
single treatment is curative
- Adjustments,
exercises
- 3-6
million Dx
- female
20-50 y/o
-