Pregnancy-related osteonecrosis

Last revised by Joshua Yap on 28 Feb 2023

Pregnancy-related osteonecrosis, also known as pregnancy-related avascular necrosis, is a common cause of femoral head osteonecrosis. Since the femoral head is relatively deficient in blood supply, it is particularly vulnerable to osteonecrosis.

Pathology

The pathophysiology is thought to be due to venous stasis and increased intramedullary pressure.

Radiographic features

Radiographs usually detect the advanced stages of osteonecrosis (usually 3 or 4).

Classical features of femoral head osteonecrosis include: 

  • articular head irregularity/defect

  • subchondral lucency

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