Internationale Zeitschrift für Physikalische Medizin und Rehabilitation
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Avascular Necrosis of the Femoral Head: The Challenge of Early Identification and Intervention in Idiopathic Cases

Craig H. Lichtblau*, Christopher Warburton, Gabrielle Meli, Allyson Gorman

Avascular Necrosis of the Femoral Head (AVNFH) can have known causes, but many cases are idiopathic and are diagnostically challenging. Because early intervention vastly improves outcomes in AVNFH, it is important that we develop better means for identifying these cases. Here we present a case of an incidental finding of idiopathic AVNFH in a young woman and the methods used to preserve the femoral head and prevent or delay the need for total hip arthroplasty. We highlight key research findings to contextualize the case and the urgent need for early identification of idiopathic cases and better treatment options for young patients.