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Chandler's disease
Medical condition / From Wikipedia, the free encyclopedia
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Chandler's disease, also known as idiopathic avascular osteonecrosis of the femoral head (ANFH or ONFH), is a rare condition in which the bone cells in the head of the femur (FH) die due to lack of blood. This disease is caused when blood flow is reduced to the part of a bone near a joint. It is specifically unique because the femoral head is for some reason the only affected part of the body and rarely travels down to the main part of the femur. In 1948, F. A. Chandler did a multi-case review and first released his interpretations as Coronary Disease of the Hip. This term is now considered incorrect as it improperly describes the actual disease.[1]
Chandler's disease | |
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Other names | Idiopathic avascular osteonecrosis of the femoral head |
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X-ray of hip with femoral head osteonecrosis | |
Specialty | Orthopedics |
In current practice patients usually present with hip pain on the side with Chandler's disease. Since this is such a rare diagnosis some more conservative pain control methods are seldom used first before in-depth scans are used that lead to the diagnosis. Based on the staging of the dying bone typically dictates the course of treatment. Many of the more conservative treatments do lead to a whole hip replacement in the span of the patient's lifetime but there is promise of saving the dying bone or proper healing if caught early enough. At this time there are little research on curing the disease since it is not directly life-threatening and even the most invasive options lead to a moderate quality of life. Most of the research is more focused on finding if there is a combination of conservative treatments that together can replace more invasive treatment options as the preferred method of treatment in the later stages.