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Avascular necrosis of femoral head, primary, 1(ANFH1)

MedGen UID:
1639295
Concept ID:
C4551562
Disease or Syndrome
Synonyms: ANFH1; Avascular necrosis of femoral head, primary
 
Gene (location): COL2A1 (12q13.11)
 
Monarch Initiative: MONDO:0054550
OMIM®: 608805

Definition

Avascular necrosis of the femoral head (ANFH) is a debilitating disease that usually leads to destruction of the hip joint in the third to fifth decade of life. The disorder is characterized by progressive pain in the groin, mechanical failure of the subchondral bone, and degeneration of the hip joint. Nearly one-half of patients require hip replacement before 40 years of age. ANFH represents a specific form of the broader disease category of osteonecrosis (summary by Mont and Hungerford, 1995). Genetic Heterogeneity of Primary Avascular Necrosis of the Femoral Head ANFH2 is caused by mutation in the TRPV4 gene (605427) on chromosome 12q24. Mutation in COL2A1 has also been found in Legg-Calves-Perthes disease (LCPD; 150600), a form of ANFH in growing children. [from OMIM]

Clinical features

From HPO
Groin pain
MedGen UID:
536927
Concept ID:
C0239783
Sign or Symptom
An unpleasant sensation characterized by physical discomfort (such as pricking, throbbing, or aching) localized to the groin region.
Hip pain
MedGen UID:
1643075
Concept ID:
C4551516
Sign or Symptom
An unpleasant sensation characterized by physical discomfort (such as pricking, throbbing, or aching) localized to the hip.
Legg-Calve-Perthes disease
MedGen UID:
730669
Concept ID:
C1442965
Disease or Syndrome
Legg-Calve-Perthes disease (LCPD) is characterized by loss of circulation to the femoral head, resulting in avascular necrosis in a growing child. Clinical pictures of the disease vary, depending on the phase of disease progression through ischemia, revascularization, fracture and collapse, and repair and remodeling of the bone. The disease occurs more frequently in boys, and most patients tend to be shorter than their peers. Both familial and isolated cases of LCPD have been reported (summary by Chen et al., 2004).
Generalized osteoporosis
MedGen UID:
1639139
Concept ID:
C4551680
Disease or Syndrome

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  

Professional guidelines

PubMed

Iwamoto M, Nakashima Y, Nakamura T, Kohno Y, Yamaguchi R, Takamura K
J Orthop Sci 2018 Jan;23(1):156-160. Epub 2017 Oct 2 doi: 10.1016/j.jos.2017.09.012. PMID: 28982606
Mathieu D, Marroni A, Kot J
Diving Hyperb Med 2017 Mar;47(1):24-32. doi: 10.28920/dhm47.1.24-32. PMID: 28357821Free PMC Article
Scolaro JA, Marecek G, Firoozabadi R, Krieg JC, Routt MLC
J Orthop Traumatol 2017 Sep;18(3):235-241. Epub 2017 Feb 10 doi: 10.1007/s10195-017-0445-z. PMID: 28188487Free PMC Article

Recent clinical studies

Etiology

Konarski W, Poboży T, Śliwczyński A, Kotela I, Krakowiak J, Hordowicz M, Kotela A
Int J Environ Res Public Health 2022 Jun 15;19(12) doi: 10.3390/ijerph19127348. PMID: 35742595Free PMC Article
An JX, Wu GP, Niu K, Wei YP, Liu H, Gao XY, Wu JP, Wang Y, Renz H, Williams JP
Pain Physician 2022 Jan;25(1):E43-E54. PMID: 35051151
Farsetti P, Efremov K, Caterini A, Marsiolo M, De Maio F, Ippolito E
J Orthop Traumatol 2021 Jun 27;22(1):26. doi: 10.1186/s10195-021-00586-8. PMID: 34180020Free PMC Article
Guo JJ, Tang N, Yang HL, Qin L, Leung KS
Int Orthop 2010 Mar;34(3):319-22. Epub 2009 Aug 13 doi: 10.1007/s00264-009-0849-3. PMID: 19680651Free PMC Article
Glueck CJ, Freiberg RA, Fontaine RN, Tracy T, Wang P
Clin Orthop Relat Res 2001 May;(386):19-33. doi: 10.1097/00003086-200105000-00004. PMID: 11347834

Diagnosis

Konarski W, Poboży T, Śliwczyński A, Kotela I, Krakowiak J, Hordowicz M, Kotela A
Int J Environ Res Public Health 2022 Jun 15;19(12) doi: 10.3390/ijerph19127348. PMID: 35742595Free PMC Article
An JX, Wu GP, Niu K, Wei YP, Liu H, Gao XY, Wu JP, Wang Y, Renz H, Williams JP
Pain Physician 2022 Jan;25(1):E43-E54. PMID: 35051151
Sakamoto Y, Yamamoto T, Sugano N, Takahashi D, Watanabe T, Atsumi T, Nakamura J, Hasegawa Y, Akashi K, Narita I, Miyamoto T, Takeuchi T, Ikari K, Amano K, Fujie A, Kubo T, Tada Y, Kaneuji A, Nakamura H, Miyamura T, Kabata T, Yamaji K, Okawa T, Sudo A, Ohzono K, Tanaka Y, Yasunaga Y, Matsuda S, Imai Y; Japanese Research Committee on Idiopathic Osteonecrosis of the Femoral Head, Akiyama M, Kubo M, Kamatani Y, Iwamoto Y, Ikegawa S
Sci Rep 2017 Nov 8;7(1):15035. doi: 10.1038/s41598-017-14778-y. PMID: 29118346Free PMC Article
Jones LC, Mont MA, Le TB, Petri M, Hungerford DS, Wang P, Glueck CJ
J Rheumatol 2003 Apr;30(4):783-91. PMID: 12672200
Glueck CJ, Freiberg RA, Fontaine RN, Tracy T, Wang P
Clin Orthop Relat Res 2001 May;(386):19-33. doi: 10.1097/00003086-200105000-00004. PMID: 11347834

Therapy

Shan H, Lin Y, Yin F, Pan C, Hou J, Wu T, Xia W, Zuo R, Cao B, Jiang C, Zhou Z, Yu X
Cell Prolif 2023 Nov;56(11):e13485. Epub 2023 Apr 26 doi: 10.1111/cpr.13485. PMID: 37186483Free PMC Article
Farsetti P, Efremov K, Caterini A, Marsiolo M, De Maio F, Ippolito E
J Orthop Traumatol 2021 Jun 27;22(1):26. doi: 10.1186/s10195-021-00586-8. PMID: 34180020Free PMC Article
Chen K, Liu Y, He J, Pavlos N, Wang C, Kenny J, Yuan J, Zhang Q, Xu J, He W
Int J Biol Sci 2020;16(11):1888-1900. Epub 2020 Apr 6 doi: 10.7150/ijbs.40917. PMID: 32398957Free PMC Article
Papakostidis C, Panagiotopoulos A, Piccioli A, Giannoudis PV
Injury 2015 Mar;46(3):459-66. Epub 2015 Jan 3 doi: 10.1016/j.injury.2014.12.025. PMID: 25616675
Glueck CJ, Freiberg RA, Fontaine RN, Tracy T, Wang P
Clin Orthop Relat Res 2001 May;(386):19-33. doi: 10.1097/00003086-200105000-00004. PMID: 11347834

Prognosis

Rodríguez-Olivas AO, Hernández-Zamora E, Reyes-Maldonado E
Orphanet J Rare Dis 2022 Mar 15;17(1):125. doi: 10.1186/s13023-022-02275-z. PMID: 35292045Free PMC Article
Hernigou J, Housset V, Dubory A, Flouzat Lachaniette CH, Rouard H, Hernigou P
Morphologie 2021 Jun;105(349):127-133. Epub 2020 Nov 28 doi: 10.1016/j.morpho.2020.11.001. PMID: 33262030
Chokotho L, Harrison WJ, Lubega N, Mkandawire NC
Malawi Med J 2013 Jun;25(2):28-32. PMID: 24098826Free PMC Article
Jones LC, Mont MA, Le TB, Petri M, Hungerford DS, Wang P, Glueck CJ
J Rheumatol 2003 Apr;30(4):783-91. PMID: 12672200
Glueck CJ, Freiberg RA, Fontaine RN, Tracy T, Wang P
Clin Orthop Relat Res 2001 May;(386):19-33. doi: 10.1097/00003086-200105000-00004. PMID: 11347834

Clinical prediction guides

Wang Y, Wang Y, Liang D, Hu H, Li G, Meng X, Zhu B, Zhong W
BMC Musculoskelet Disord 2022 Sep 3;23(1):836. doi: 10.1186/s12891-022-05785-w. PMID: 36057712Free PMC Article
Varady NH, Abraham PF, Kucharik MP, Freccero DM, Smith EL, Martin SD
J Bone Joint Surg Am 2022 Jun 15;104(12):1055-1060. Epub 2022 Mar 11 doi: 10.2106/JBJS.21.01043. PMID: 35275891
An JX, Wu GP, Niu K, Wei YP, Liu H, Gao XY, Wu JP, Wang Y, Renz H, Williams JP
Pain Physician 2022 Jan;25(1):E43-E54. PMID: 35051151
Wang Y, Li X, Gao Y, Li Z, Yu L, Meng Q, Sun L, Wang J
Medicine (Baltimore) 2016 Nov;95(44):e5332. doi: 10.1097/MD.0000000000005332. PMID: 27858915Free PMC Article
Papakostidis C, Panagiotopoulos A, Piccioli A, Giannoudis PV
Injury 2015 Mar;46(3):459-66. Epub 2015 Jan 3 doi: 10.1016/j.injury.2014.12.025. PMID: 25616675

Recent systematic reviews

Ibrahim YH, Kersh MAAL, Fahmy H
J Pediatr Orthop B 2020 Nov;29(6):550-555. doi: 10.1097/BPB.0000000000000690. PMID: 31856037
Hanna SA, Sarraf KM, Ramachandran M, Achan P
Arch Orthop Trauma Surg 2017 Aug;137(8):1149-1154. Epub 2017 Jul 3 doi: 10.1007/s00402-017-2741-8. PMID: 28674737
Mathieu D, Marroni A, Kot J
Diving Hyperb Med 2017 Mar;47(1):24-32. doi: 10.28920/dhm47.1.24-32. PMID: 28357821Free PMC Article
Papakostidis C, Panagiotopoulos A, Piccioli A, Giannoudis PV
Injury 2015 Mar;46(3):459-66. Epub 2015 Jan 3 doi: 10.1016/j.injury.2014.12.025. PMID: 25616675
Guo JJ, Tang N, Yang HL, Qin L, Leung KS
Int Orthop 2010 Mar;34(3):319-22. Epub 2009 Aug 13 doi: 10.1007/s00264-009-0849-3. PMID: 19680651Free PMC Article

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