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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

Recent clinical studies

Therapy

Li M, Chen D, Ma Y, Zheng M, Zheng Q
J Orthop Surg Res 2023 Aug 2;18(1):560. doi: 10.1186/s13018-023-04025-8. PMID: 37533122Free 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
Zhang Q, L V J, Jin L
J Int Med Res 2018 Jun;46(6):2141-2148. Epub 2017 May 1 doi: 10.1177/0300060517700299. PMID: 28459353Free PMC Article
Roth A, Beckmann J, Bohndorf K, Fischer A, Heiß C, Kenn W, Jäger M, Maus U, Nöth U, Peters KM, Rader C, Reppenhagen S, Smolenski U, Tingart M, Kopp I, Sirotin I, Breusch SJ
Arch Orthop Trauma Surg 2016 Feb;136(2):165-74. Epub 2015 Dec 14 doi: 10.1007/s00402-015-2375-7. PMID: 26667621
Babis GC, Sakellariou V, Parvizi J, Soucacos P
Orthopedics 2011 Jan;34(1):39. doi: 10.3928/01477447-20101123-19. PMID: 21210589

Prognosis

Konarski W, Poboży T, Kotela A, Śliwczyński A, Kotela I, Hordowicz M, Krakowiak J
Int J Environ Res Public Health 2022 Aug 15;19(16) doi: 10.3390/ijerph191610050. PMID: 36011686Free PMC Article
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
Barquet A, Mayora G, Guimaraes JM, Suárez R, Giannoudis PV
Injury 2014 Dec;45(12):1848-58. doi: 10.1016/j.injury.2014.10.054. PMID: 25467713
Abdulkareem IH
Niger J Clin Pract 2013 Jan-Mar;16(1):123-6. doi: 10.4103/1119-3077.106787. PMID: 23377487
Ehlinger M, Moser T, Adam P, Bierry G, Gangi A, de Mathelin M, Bonnomet F
Orthop Traumatol Surg Res 2011 Feb;97(1):79-88. Epub 2010 Nov 18 doi: 10.1016/j.otsr.2010.06.014. PMID: 21087905

Clinical prediction guides

Li M, Chen D, Ma Y, Zheng M, Zheng Q
J Orthop Surg Res 2023 Aug 2;18(1):560. doi: 10.1186/s13018-023-04025-8. PMID: 37533122Free PMC Article
Konarski W, Poboży T, Kotela A, Śliwczyński A, Kotela I, Hordowicz M, Krakowiak J
Int J Environ Res Public Health 2022 Aug 15;19(16) doi: 10.3390/ijerph191610050. PMID: 36011686Free PMC Article
Quaranta M, Miranda L, Oliva F, Aletto C, Maffulli N
Br Med Bull 2021 Mar 25;137(1):98-111. doi: 10.1093/bmb/ldaa044. PMID: 33454780
Slobogean GP, Sprague SA, Scott T, Bhandari M
Injury 2015 Mar;46(3):484-91. Epub 2014 Oct 31 doi: 10.1016/j.injury.2014.10.010. PMID: 25480307
Ehlinger M, Moser T, Adam P, Bierry G, Gangi A, de Mathelin M, Bonnomet F
Orthop Traumatol Surg Res 2011 Feb;97(1):79-88. Epub 2010 Nov 18 doi: 10.1016/j.otsr.2010.06.014. PMID: 21087905

Recent systematic reviews

Li M, Chen D, Ma Y, Zheng M, Zheng Q
J Orthop Surg Res 2023 Aug 2;18(1):560. doi: 10.1186/s13018-023-04025-8. PMID: 37533122Free PMC Article
Konarski W, Poboży T, Kotela A, Śliwczyński A, Kotela I, Hordowicz M, Krakowiak J
Int J Environ Res Public Health 2022 Aug 15;19(16) doi: 10.3390/ijerph191610050. PMID: 36011686Free PMC Article
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
Barquet A, Mayora G, Guimaraes JM, Suárez R, Giannoudis PV
Injury 2014 Dec;45(12):1848-58. doi: 10.1016/j.injury.2014.10.054. PMID: 25467713
Reiman MP, Goode AP, Hegedus EJ, Cook CE, Wright AA
Br J Sports Med 2013 Sep;47(14):893-902. Epub 2012 Jul 7 doi: 10.1136/bjsports-2012-091035. PMID: 22773321

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