Early diagnosis of ischemic necrosis of the femoral head

D. S. Hungerford

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Intraosseous pressure in the intertrochanteric region, and response to a five milliliter saline load injected intraosseously were measured in twenty four hips in twenty patients with ischemic necrosis of the femoral head and nine hips in seven controls. All hips in which subsequent biopsy proved ischemic necrosis of the femoral head showed either intraosseous pressure greater than 30 mmHg, a hypertensive response to the saline load, or both. All controls measured less than 30 mmHg intraosseous pressure and no significant pressure rise to the saline injection. Intramedullary venography in ischemic necrosis of the femoral head revealed poor filling of extraosseous veins, diaphyseal reflux and delayed clearance of dye. These changes were present in all stages of ischemic necrosis of the femoral head including the pre radiologic stage and constitute the basis for early detection.

Original languageEnglish (US)
Title of host publicationJohns Hopkins Medical Journal
Pages270-275
Number of pages6
Volume137
Edition6
StatePublished - 1975

Fingerprint

Femur Head Necrosis
Early Diagnosis
Hip
Pressure
Phlebography
Veins
Coloring Agents
Biopsy
Injections

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hungerford, D. S. (1975). Early diagnosis of ischemic necrosis of the femoral head. In Johns Hopkins Medical Journal (6 ed., Vol. 137, pp. 270-275)

Early diagnosis of ischemic necrosis of the femoral head. / Hungerford, D. S.

Johns Hopkins Medical Journal. Vol. 137 6. ed. 1975. p. 270-275.

Research output: Chapter in Book/Report/Conference proceedingChapter

Hungerford, DS 1975, Early diagnosis of ischemic necrosis of the femoral head. in Johns Hopkins Medical Journal. 6 edn, vol. 137, pp. 270-275.
Hungerford DS. Early diagnosis of ischemic necrosis of the femoral head. In Johns Hopkins Medical Journal. 6 ed. Vol. 137. 1975. p. 270-275
Hungerford, D. S. / Early diagnosis of ischemic necrosis of the femoral head. Johns Hopkins Medical Journal. Vol. 137 6. ed. 1975. pp. 270-275
@inbook{b27ee07dc553407cbde538bc71267800,
title = "Early diagnosis of ischemic necrosis of the femoral head",
abstract = "Intraosseous pressure in the intertrochanteric region, and response to a five milliliter saline load injected intraosseously were measured in twenty four hips in twenty patients with ischemic necrosis of the femoral head and nine hips in seven controls. All hips in which subsequent biopsy proved ischemic necrosis of the femoral head showed either intraosseous pressure greater than 30 mmHg, a hypertensive response to the saline load, or both. All controls measured less than 30 mmHg intraosseous pressure and no significant pressure rise to the saline injection. Intramedullary venography in ischemic necrosis of the femoral head revealed poor filling of extraosseous veins, diaphyseal reflux and delayed clearance of dye. These changes were present in all stages of ischemic necrosis of the femoral head including the pre radiologic stage and constitute the basis for early detection.",
author = "Hungerford, {D. S.}",
year = "1975",
language = "English (US)",
volume = "137",
pages = "270--275",
booktitle = "Johns Hopkins Medical Journal",
edition = "6",

}

TY - CHAP

T1 - Early diagnosis of ischemic necrosis of the femoral head

AU - Hungerford, D. S.

PY - 1975

Y1 - 1975

N2 - Intraosseous pressure in the intertrochanteric region, and response to a five milliliter saline load injected intraosseously were measured in twenty four hips in twenty patients with ischemic necrosis of the femoral head and nine hips in seven controls. All hips in which subsequent biopsy proved ischemic necrosis of the femoral head showed either intraosseous pressure greater than 30 mmHg, a hypertensive response to the saline load, or both. All controls measured less than 30 mmHg intraosseous pressure and no significant pressure rise to the saline injection. Intramedullary venography in ischemic necrosis of the femoral head revealed poor filling of extraosseous veins, diaphyseal reflux and delayed clearance of dye. These changes were present in all stages of ischemic necrosis of the femoral head including the pre radiologic stage and constitute the basis for early detection.

AB - Intraosseous pressure in the intertrochanteric region, and response to a five milliliter saline load injected intraosseously were measured in twenty four hips in twenty patients with ischemic necrosis of the femoral head and nine hips in seven controls. All hips in which subsequent biopsy proved ischemic necrosis of the femoral head showed either intraosseous pressure greater than 30 mmHg, a hypertensive response to the saline load, or both. All controls measured less than 30 mmHg intraosseous pressure and no significant pressure rise to the saline injection. Intramedullary venography in ischemic necrosis of the femoral head revealed poor filling of extraosseous veins, diaphyseal reflux and delayed clearance of dye. These changes were present in all stages of ischemic necrosis of the femoral head including the pre radiologic stage and constitute the basis for early detection.

UR - http://www.scopus.com/inward/record.url?scp=0016666677&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0016666677&partnerID=8YFLogxK

M3 - Chapter

C2 - 1206826

AN - SCOPUS:0016666677

VL - 137

SP - 270

EP - 275

BT - Johns Hopkins Medical Journal

ER -