Avascular Necrosis, Blood Supply Femoral Head- Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 21 ก.พ. 2012
- Educational video describing the conditions affecting the blood supply of the femoral head.
Where is the important blood supply of the femoral neck located?
On the postero-superior aspect of the femoral neck. The main blood supply for the weight-bearing dome of the femoral head is the medial femoral circumflex artery (lateral epiphyseal artery).
Using an awl at the piriformis fossa in children requiring intramedullary fixation of their femur fracture may endanger the blood supply and cause avascular necrosis of the femoral neck.
Avascular necrosis is death of a segment of bone.
High energy neck fracture
•Vertical fracture of the femoral neck that has vertical obliquity of 70 or more degrees. Has a high rate of nonunion and avascular necrosis.
•Displacement of the femoral neck fracture disrupts the blood supply (kinks the retinacualr vessels). Pressure from the intracapsular hematoma may affect the blood supply.
Clinical picture
•Hip is in flexion and external rotation
•Surgical emergency in young adults to unkink the vessels.
Treatment
•Obtain anatomic reduction in young adults.
•Open reduction if closed reduction is not possible, use Watson Jones approach between the gluteus medius and the tensor fascia latae.
•Follow the patient with an MRI to evaluate AVN.
•If the patient develops nonunion and the head is viable, treat the nonunion by valgus intertrochanteric osteotomy.
Hip dislocations
Posterior dislocation is common. Anterior dislocation is rare.
Treatment
Emergent closed reduction within 6 hours.
Assess hip stability post-reduction.
Other factors associated with hip osteonecrosis
•Corticosteroid use
•Alcohol abuse
•Hemoglobinopathy
•Coagulopathy
•Gaucher disease
•Pregnancy (rare).
Idiopathic AVN
Nontraumatic AVN of the femoral head is located anterolateral.
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This is such an amazing video, linked to my hospital group because we had a question on avascular necrosis of the femoral head.
very important information about femoral head, it needs a good blood supply, thanks for this...
Thank you for watching.
Very well done!
thanx dr. this is really make it easy to under stand
thanks
i have several ones that are very good
thx for the video..most of your video helps my educations a lot.. :)
thanks
@bobdabuildaman no problem at all
thanks
look for the next video
i like to hear your opinion
Great Work Sir
Very well explained!!
Excellent Video
@bobdabuildaman when i do a video for AVN i will add it
i try to limit the video time
i try to present the best possible info that matters
i think i did a great job here as regards the info that every body should know
i takes long time to make these videos
i do them to reach out to people and doctors to help them
i hope i was helpful
i thank you for your comment
thank u for sharing this video for everyone to learn.. very interesting presentation.
still checking out for ur other videos.
THANKS
CHECK THE OTHER CIRCULATION VIDEOS
thanks doc.
Thank you..!
thank you
you are awesome! thank u
this is awesome, did a way better job than robbins in explaining this to me, thanks so much! (music is a little dramatic though lol...)
I thought that there would be no formation of hematoma since it is intracapsular fracture??
@orthopassion thanks
@nibraham thanks
hello dr ebraheim sir, u did a marvellous job.. any person not having a clear idea abt the anatomy can have a thorough knowledge abt tht after watching ur video.. i m an ortho resident and i m very much thankful to u sir.. thnk u soo much.. keep updating such essential videos..
Pqpp
Pp
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Thank you... I just fell off the ladder and i have dislocated my hip. This is like a horor story. I have 0 money and I may turn into disabled 35 yo. And i worked hard all my life just to survive and pay debts...
Yes true it's very tough
does anybody know if we eat right n supplement can the hip bone come back alive. or will I have to have hip replacement cause xray is showing white on the bone, THT it's getting healthier on down?
Such a lucid and clear explanation. Please sir if possible please share the solution for AVN due to steroids intake.
Was the steroid prednisone by chance?
Amazing video!)very informative!but music is very dramatic:)
My niece is 9yrs old have this and take Taekwondo, I'm wondering how long should she stay in that?
A nice informative vid but you forgot to add Caissons disease (decompression sickness) in divers as another cause of AVN of the femoral head.
nice video sir do u have any special video on perthes disease if yes then kindly snd me link .. thkx
M adyan ,give me your contact no plz,I am from kolkata,India,.867040353
I had this, that followed by a complete left hip replacement!! total success!! I went from 25 hours a day pain to going back to work full time position n less then 2 months!!!! thank you Drs!!!!
Tell me which country
@Sonu , did you cure your AVN ?
Did the problem show up on xray or other imaging. I have terrible hip pain. Nothing on xray having mri next week. So debilitating. I'm 71 male.
They were X-raying the wrong area . at first i thought it was sciatica!! so they xrayed th l5 vertebra not the hip. Once I mentioned how bog my hip was getting... A year later.. the did a cat scan on my hip and saw that it was "arterial necrosis" the veins & arteries were all destroyed & the hip was a lil nub.. 😞😞😞
Thank god for the hip replacement!! I had it done in O8.. It's getting a lil weaker now. but I have very lil pain.. Limp only when it super cold or I'm really tired.
@@SonuKumar-iz7ec San Francisco County!! in O8 Complete left hip replacement due to Avascular Necrosis.
@Lolamina1 thanks
I have right hip avascular necrocis recenly i done surgery my right hip bones garfting
now i have some paning whan i seat that time siveyer pain any one give some iadea for me about this thnikas many thnkas
Sir mere ko hena ye leg bone ka gola sukh rha he to me kya karu Sir plz help
can the hip come back alive.
@hoshmandjamal thanks
He's a Doctor...
Three years ago I began to have pain in my left lower spine. Mayo Clinic in Jacksonville described my problem as entrochanteric bursitus and fact problem. I was given a shot in the trochanteric bursa. Everything felt normal for months. Pain did return. Many times since I have received shots for pain; two to three times a year. But the locations of the shots changed. The pain doctor in Charleston injected in the hip area. Now two months ago I am told I need a new hip due to AN. This is the first time I have heard this diagnosis. Hip replacement ssheduled for May 6 at Duke Regional Hospital. My history of left side problems began immediately following an ERCP in 2004. Everytime I ate my left lower back and hip area would seize up. This problem began immediatelly after the ERCP. Standing and walking as I left the table from the meal would be difficult. I saw doctors many times about this, but there were no findings. The area above my waist at bottom of ribs over to spine is affected. I have no arthuritus anywhere else in my body. Thank you.
Hi Judy I had also the same situation with yours.Last two years I was diagnosed with osteonecrosis until I was unable to climb up stairs and its so painful the left and right hip bone. I try many treatment just to recover but I'm hopeless until I found a product that helps me a lot and for only 1 month of taking there's improvement. If you are interested you can email me on (uachomedeco@outlook.com)
nice video sir i enjoyed it
if you had one about femoral head long and transverse axis
kindly send to me .... thanx😊
how do you treat this natually?
1. Raw diet plan
2. DMRT therapy
3. Chinese medicine
4. Ayurvedic medicine
5. Homeopathic medicine
With Yoga pranayam and exercise
I have this
I am having open decompression surgery next friday. I am in stage II of AVN. The surgeon informed me it will probably be a short term fix. Most everything I have read confirms that. Instead of using my BBMM, he is going to use bone grafting material to fill the void. Any Ideas???
Hi ... mark todd. ... from where you are... Why don't you prefer laser therapy first ... As you are in second stage...
@trizk1000 thanks
I have AVN and hemophilia...
Thank you very much for this educative video. I have a left femoral necrosis...and lately it has affected my motion...BUT I won't opt for the surgery since my doctor told me: "50-50" in rference to chances for noprmal motion after the surgery...
Hi can you tell me how you are feeling after these many years after opting for not having a surgery?
Any update LoginnLogann?
Iam suffering from AVN from last six months any suggesations... Everyone suggesting me for total hip replacement... If there is no other treatment without replacing the hip
Sanjeeb Kumar Sahu share your mobile number to me
Samir seth your contact no.
Contact mi 9923577373
Kaise thik hua ya Abhi bhi hai
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I can't help I was born with a faulty heart which led to bone deteriorating disease AVN.
I'm only 19 & I have this in both hips
I'm 14, I have this, and had two surgeries, one on my left hip, and the other one on my right hip. Does anybody know the changes of it coming back? Is so let me know, just out of curiosity
Hi! just wanted to help. Last two years I was diagnosed with osteonecrosis until I was unable to climb up stairs and its so painful the left and right hip bone. I dont want undergo surgery and I try therapy just to recover but its not working I'm hopeless until I found a product that helps me a lot and for only 1 month of taking there's improvement. If you are interested you can email me on (uachomedeco@outlook.com)
Really what's the name of the product you tried?
That product comes from Europe called Imuregen. Its a DNA repair and cell regeneration. It can help repair and grow cartilage. When I first tried that product the pain stops and now my hip bone gradually recovered without surgery. my email add (uachomedeco@outlook.com)
what's the cost? how many weeks did take to notice a change? and thanks for your response
Even a week you can notice changes. It depends upon the dosage you take. The cost is 157usd per bottle 90 capsule. Actually this product will open in the US 1st quarter 2017. This product is science base, has 60 years research and 2,615 clinical studies. I read a lot of comments about AVN, some bad some good. Almost surgery is the option but it never came to my mind about surgery so I search and I found this product. Each day if you wont do nothing to stop AVN femoral head will collapse, dont wait that to happen. Good thing is I did a right decision and I thank God for finding this product. Now I can walk long distance without pain. I want to share this so people have information that there is still another option.
@nabilebraheim Hey take it easy fella, it was only a friendly suggestion and is a commoner cause than the ones you did list!
@whatsup149 thanks
How to increase blood supply in femoral head naturally.
Cortisteroid use 2001 to current..2011 dx AVN know both hips need specialist...ASAP!..my twin needs a specialiat ASAP..AS HE A MOUNTAIN LION NINJA...LOL😍
Hello Mai b is problem mein hu agr koi b indian ho is problem mein ek dr hai kalayat mein wo aapko theek krdengy Mai jab 12 saal ka tha tab ye problem hui or Sabi dr ne operation ka bola par us dr ne merko theek krdiya ab merko 8 saal hogaye Mai cricket b khelta hu dance b Sab kuch ab merko ek month se firsy thoda thoda drd hone Lga tha isliye careless hoye Bina Mai sbse pehly unke pass gya ...boht problem deti hai ye agr plzz koi meri vjaah se theek ho jaaye to acha hoga comment krke puch skty ho aapko jo b puchna ho
please give you contact detail
Your contact no.please
Doctor ne dwai di ya kuch krne ke liye bola aapko jo thik ho gye
1. Raw diet plan
2. DMRT therapy
3. Chinese medicine
4. Ayurvedic medicine
5. Homeopathic medicine
With Yoga pranayam and exercise
Bhai I am in problem my wife is suffering from avn hence share me how to cure
All people who got diagnosed with AVN here, anyone who recovered WITHOUT surgery ? I am Stage 2 now.
Please reach out to Dr Prasad Rasal- Sangammer
@@sweetkhushiu thanks a lot. :)
I have cure 0612656567 whtsp me
@@rojdielyoussfi63 provide detailed number
@@rojdielyoussfi63 sir pls send correct no.
I suffer in to Avn
Pls help
bakit ganyan nmn yung tunog xDDDD