Choice of treatment methods for a male patient with multiple aseptic necrosis of the heads of tubular bones

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Aseptic bone necrosis (osteonecrosis) is an actual problem for traumatologists, orthopedists, and rheumatologists. Surgical methods for the treatment of this disease are well developed and widely used in real clinical practice. At the same time, MRI implementation makes it possible to detect aseptic necrosis at an early stage, when surgical treatment is not yet indicated, and the patient can be observed and treated by a therapist. Conservative treatment of osteonecrosis allows to stabilize the process with its outcome in osteoarthritis, which subsequently needs to be monitored by therapist and rheumatologist. The presented clinical case shows the possibility of achieving clinical stabilization of osteonecrosis of the humeral head with histologically confirmed bone restoration in damage area and subsequent formation of secondary osteoarthritis in connection with risk factors correction, an adequate motor regimen performing, use of teriparatide, SYSADOA, and intra-articular injections of hyaluronic acid in a 44-year-old male patient.

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Sobre autores

Inna Gaydukova

I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia; Clinical Rheumatology Hospital No. 25

Autor responsável pela correspondência
Email: ubp1976@list.ru
ORCID ID: 0000-0003-3500-7256
Código SPIN: 3083-7996

MD, Professor, Deputy Director of the Research Institute of Rheumatology and Professor of the Department of Therapy, Rheumatology, Examination of Temporary Disability and Quality of Medical Care named after E.E. Eichwald, I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia; Rheumatologist at Clinical Rheumatology Hospital No. 25

Rússia, Saint Petersburg; Saint Petersburg

Evgeny Trofimov

I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia

Email: evgeniy.trofimov@szgmu.ru
ORCID ID: 0000-0003-3236-4485
Código SPIN: 4358-1663

MD, Deputy Director of the Research institute of Rheumatology and Professor of the Department of Therapy, Rheumatology, Examination of Temporary Disability and Quality of Medical Care named after E.E. Eichwald

Rússia, Saint Petersburg

Alena Nasrullaeva

I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia

Email: alenaarifovna@mail.ru
ORCID ID: 0000-0001-7696-981X

1st year resident (specialty «Therapy») of the Department of Therapy, Rheumatology, Examination of Temporary Disability and Quality of Medical Care named after E.E. Eichwald

Rússia, Saint Petersburg

Kira Morozova

Clinical Rheumatology Hospital No. 25

Email: kiramorozoba@mail.ru
ORCID ID: 0000-0002-4113-3104

Rheumatologist

Rússia, Saint Petersburg

Bibliografia

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