{"id":592,"date":"2021-12-17T12:43:46","date_gmt":"2021-12-17T15:43:46","guid":{"rendered":"https:\/\/reumatologiarosario.com.ar\/web\/?page_id=592"},"modified":"2024-05-13T12:43:41","modified_gmt":"2024-05-13T15:43:41","slug":"necrosis-osea-avascular","status":"publish","type":"page","link":"https:\/\/reumatologiarosario.com.ar\/web\/necrosis-osea-avascular\/","title":{"rendered":"Necrosis \u00d3sea Avascular"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00bb1&#8243; admin_label=\u00bbHero\u00bb _builder_version=\u00bb3.22&#8243; custom_padding=\u00bb0|0px|54px|0px|false|false\u00bb bottom_divider_height=\u00bb0px\u00bb border_width_bottom=\u00bb1px\u00bb border_color_bottom=\u00bb#efefef\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row column_structure=\u00bb1_2,1_2&#8243; _builder_version=\u00bb3.25&#8243; width=\u00bb100%\u00bb max_width=\u00bb100%\u00bb custom_margin=\u00bb|||\u00bb custom_margin_tablet=\u00bb||0px|\u00bb custom_margin_phone=\u00bb\u00bb custom_margin_last_edited=\u00bbon|desktop\u00bb custom_padding=\u00bb0|0px|27px|0px|false|false\u00bb use_custom_width=\u00bbon\u00bb width_unit=\u00bboff\u00bb custom_width_percent=\u00bb100%\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb1_2&#8243; _builder_version=\u00bb3.25&#8243; custom_padding=\u00bb6%||6%|12%\u00bb custom_padding_tablet=\u00bb50px|50px|50px|50px\u00bb custom_padding_phone=\u00bb50px|50px|50px|50px\u00bb custom_padding_last_edited=\u00bbon|tablet\u00bb global_colors_info=\u00bb{}\u00bb padding_tablet=\u00bb50px|50px|50px|50px\u00bb padding_last_edited=\u00bbon|tablet\u00bb custom_padding__hover=\u00bb|||\u00bb padding_phone=\u00bb50px|50px|50px|50px\u00bb][et_pb_image src=\u00bbhttp:\/\/reumatologiarosario.com.ar\/web\/wp-content\/uploads\/2021\/10\/health-icon-10-3.png\u00bb title_text=\u00bbhealth-icon-10-3&#8243; align_tablet=\u00bbcenter\u00bb align_phone=\u00bbcenter\u00bb align_last_edited=\u00bbon|desktop\u00bb _builder_version=\u00bb4.14.1&#8243; global_colors_info=\u00bb{}\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00bb4.14.1&#8243; text_font=\u00bbMontserrat|300|||||||\u00bb text_text_color=\u00bb#677a92&#8243; text_font_size=\u00bb16px\u00bb text_line_height=\u00bb1.8em\u00bb header_font=\u00bbMontserrat||||||||\u00bb header_font_size=\u00bb50px\u00bb header_line_height=\u00bb1.3em\u00bb header_2_font=\u00bb||||||||\u00bb max_width=\u00bb600px\u00bb custom_margin=\u00bb|||\u00bb custom_margin_tablet=\u00bb0px|50px||50px\u00bb custom_margin_phone=\u00bb|20px||\u00bb custom_margin_last_edited=\u00bboff|desktop\u00bb custom_padding=\u00bb|||\u00bb text_line_height_tablet=\u00bb1.8em\u00bb text_line_height_phone=\u00bb1.8em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb header_font_size_tablet=\u00bb\u00bb header_font_size_phone=\u00bb36px\u00bb header_font_size_last_edited=\u00bbon|phone\u00bb header_2_font_size_phone=\u00bb30px\u00bb header_2_font_size_last_edited=\u00bboff|desktop\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h1>Necrosis \u00f3sea avascular<\/h1>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00bb1_2&#8243; _builder_version=\u00bb3.25&#8243; custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_image src=\u00bbhttp:\/\/reumatologiarosario.com.ar\/web\/wp-content\/uploads\/2023\/07\/AD_DisegnaConsultorio-9-scaled.jpg\u00bb title_text=\u00bbAD_DisegnaConsultorio-9&#8243; force_fullwidth=\u00bbon\u00bb align_tablet=\u00bbcenter\u00bb align_phone=\u00bbcenter\u00bb align_last_edited=\u00bbon|desktop\u00bb _builder_version=\u00bb4.14.7&#8243; height=\u00bb380px\u00bb custom_margin=\u00bb||-1px|||\u00bb custom_padding=\u00bb||82px|235px||\u00bb animation_style=\u00bbslide\u00bb animation_direction=\u00bbright\u00bb animation_intensity_slide=\u00bb5%\u00bb hover_enabled=\u00bb0&#8243; border_radii=\u00bboff||||25vw\u00bb border_color_all=\u00bb#0ee1f4&#8243; border_width_left=\u00bb2vw\u00bb border_color_left=\u00bb#37dfff\u00bb box_shadow_style=\u00bbpreset4&#8243; box_shadow_horizontal=\u00bb-30px\u00bb box_shadow_vertical=\u00bb0px\u00bb box_shadow_color=\u00bbrgba(14,225,244,0.33)\u00bb global_colors_info=\u00bb{}\u00bb sticky_enabled=\u00bb0&#8243;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00bb4.14.1&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb4.14.1&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.14.1&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<p style=\"text-align: justify;\">La osteonecrosis es una entidad cl\u00ednica caracterizada por necrosis del hueso trabecular y de m\u00e9dula \u00f3sea producida por una disrupci\u00f3n en el \ufb02ujo sangu\u00edneo. Tambi\u00e9n se la conoce como necrosis \u00f3sea avascular (NOA), necrosis as\u00e9ptica y necrosis subcondral avascular. La incidencia no se conoce con exactitud debido a que muchos casos son cl\u00ednicamente silentes en estadios iniciales. La localizaci\u00f3n m\u00e1s com\u00fan es en cabeza femoral, seguida de cabeza humeral, rodilla y peque\u00f1os huesos de mu\u00f1ecas y pies. La osteonecrosis idiop\u00e1tica de rodilla es tres veces m\u00e1s com\u00fan en mujeres que en hombres y se presenta en pacientes mayores. Por el contrario, la NOA no traum\u00e1tica de cadera es m\u00e1s com\u00fan en adultos j\u00f3venes entre la tercera y quinta d\u00e9cada de vida. El pron\u00f3stico de la NOA depende del estadio, del tama\u00f1o, la localizaci\u00f3n y los factores de riesgo subyacentes.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">Dentro de las causas puede dividirse en traum\u00e1ticas y no traum\u00e1ticas, como se describe a continuaci\u00f3n.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><strong>Traum\u00e1tica<\/strong><br \/><strong>No traum\u00e1tica<\/strong><br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Trombofilia<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hipofibrin\u00f3lisis<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 S\u00edndrome antifosfol\u00edpidos<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Lupus eritematoso sist\u00e9mico<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vasculitis<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Terapia radiante<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Enfermedad de Gaucher<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Enfermedad de Caisson<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Enfermedades mieloproliferativas<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Alcoholismo<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Glucocorticoides<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Dislipemias<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><strong>Referencias<\/strong><\/p>\n<ul>\n<li style=\"text-align: justify;\">Castiglione A, Singerman L, Brance ML. Osteonecrosis no traum\u00e1tica de cabeza femoral: patog\u00e9nesis, diagn\u00f3stico y tratamientos actuales. Actual Osteol 2015;11(1):57-70.<\/li>\n<li style=\"text-align: justify;\">Rampal V, Cl\u00e9ment JL, Solla F. Legg-Calv\u00e9-Perthes disease: classifications and prognostic factors. Clin Cases Miner Bone Metab 2017; 14:74-82.<\/li>\n<li style=\"text-align: justify;\">Guerado E, Caso E. The physiopathology of avascular necrosis of the femoral head: an update. Injury 2016;47:S16-S26.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1&#8243; admin_label=\u00bbBlog\u00bb _builder_version=\u00bb3.22&#8243; background_color=\u00bb#f1f5f7&#8243; custom_margin=\u00bb|||\u00bb custom_padding=\u00bb100px|0|100px|0px|true|false\u00bb border_radii=\u00bb||15vw||\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row _builder_version=\u00bb3.25&#8243; global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb3.25&#8243; custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_blog fullwidth=\u00bboff\u00bb posts_number=\u00bb6&#8243; include_categories=\u00bb20&#8243; show_author=\u00bboff\u00bb _builder_version=\u00bb4.14.1&#8243; header_level=\u00bbh4&#8243; header_font=\u00bbMontserrat||||||||\u00bb header_line_height=\u00bb1.5em\u00bb body_font=\u00bbMontserrat|300|||||||\u00bb body_font_size=\u00bb15px\u00bb body_line_height=\u00bb2em\u00bb meta_font=\u00bbMontserrat|300|||||||\u00bb pagination_font=\u00bbMontserrat||||||||\u00bb pagination_text_color=\u00bb#2f8cff\u00bb pagination_font_size=\u00bb16px\u00bb pagination_line_height=\u00bb2em\u00bb custom_padding=\u00bb||0px|||\u00bb border_radii=\u00bbon|25px|25px|25px|25px\u00bb border_width_all=\u00bb0px\u00bb box_shadow_style=\u00bbpreset3&#8243; box_shadow_vertical=\u00bb30px\u00bb box_shadow_blur=\u00bb50px\u00bb box_shadow_spread=\u00bb-30px\u00bb box_shadow_color=\u00bbrgba(0,0,0,0.1)\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_blog][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Necrosis \u00f3sea avascular &nbsp;La osteonecrosis es una entidad cl\u00ednica caracterizada por necrosis del hueso trabecular y de m\u00e9dula \u00f3sea producida por una disrupci\u00f3n en el \ufb02ujo sangu\u00edneo. Tambi\u00e9n se la conoce como necrosis \u00f3sea avascular (NOA), necrosis as\u00e9ptica y necrosis subcondral avascular. La incidencia no se conoce con exactitud debido a que muchos casos son [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-592","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/pages\/592","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/comments?post=592"}],"version-history":[{"count":6,"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/pages\/592\/revisions"}],"predecessor-version":[{"id":1629,"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/pages\/592\/revisions\/1629"}],"wp:attachment":[{"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/media?parent=592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}