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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

Wang XY, Zhang LL, Jiang C, Hua BX, Ji ZF, Fan WS, Gong LJ, Zhu L, Wang XD, Yan ZQ
Clin Transl Med 2021 Feb;11(2):e298. doi: 10.1002/ctm2.298. PMID: 33634986Free PMC Article
Rossiter DJ, Ahluwalia A, Vo P, Mapara R
Br J Hosp Med (Lond) 2018 Oct 2;79(10):C150-C153. doi: 10.12968/hmed.2018.79.10.C150. PMID: 30290754
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

Recent clinical studies

Etiology

Ballas ER, Nguyen VT, Wolin EA
J Nucl Med Technol 2023 Mar;51(1):78-79. Epub 2022 Aug 30 doi: 10.2967/jnmt.122.264354. PMID: 36041873
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
Babis GC, Sakellariou V, Parvizi J, Soucacos P
Orthopedics 2011 Jan;34(1):39. doi: 10.3928/01477447-20101123-19. PMID: 21210589
Summers C
Nurse Pract 2011 Jan;36(1):6-10. doi: 10.1097/01.NPR.0000391181.32631.b2. PMID: 21173629
Hadjigeorgiou G, Dardiotis E, Dardioti M, Karantanas A, Dimitroulias A, Malizos K
Skeletal Radiol 2008 Jan;37(1):1-7. doi: 10.1007/s00256-007-0395-2. PMID: 17962936

Diagnosis

Ballas ER, Nguyen VT, Wolin EA
J Nucl Med Technol 2023 Mar;51(1):78-79. Epub 2022 Aug 30 doi: 10.2967/jnmt.122.264354. PMID: 36041873
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
Parajuli S, Fowler JR, Balasubramanian E, Reinus WR, Gaughan JP, Rosenthal DI, Khurana JS
Skeletal Radiol 2016 Jan;45(1):13-7. doi: 10.1007/s00256-015-2269-3. PMID: 26493194
Summers C
Nurse Pract 2011 Jan;36(1):6-10. doi: 10.1097/01.NPR.0000391181.32631.b2. PMID: 21173629
Ficat RP
J Bone Joint Surg Br 1985 Jan;67(1):3-9. doi: 10.1302/0301-620X.67B1.3155745. PMID: 3155745

Therapy

Hassan AAA, Khalifa AA
Rheumatol Int 2023 Sep;43(9):1583-1595. Epub 2023 Jun 20 doi: 10.1007/s00296-023-05373-8. PMID: 37338665Free 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
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
Sonoda K, Yamamoto T, Motomura G, Yamaguchi R, Karasuyama K, Iwamoto Y
J Orthop Sci 2015 Jul;20(4):772-5. Epub 2014 Feb 10 doi: 10.1007/s00776-014-0541-3. PMID: 24510362
Babis GC, Sakellariou V, Parvizi J, Soucacos P
Orthopedics 2011 Jan;34(1):39. doi: 10.3928/01477447-20101123-19. PMID: 21210589

Prognosis

Luo D, Gao X, Zhu X, Wu J, Yang Q, Xu Y, Huang Y, He X, Li Y, Gao P
BMC Musculoskelet Disord 2024 Jul 29;25(1):596. doi: 10.1186/s12891-024-07707-4. PMID: 39069636Free PMC Article
Kellam P, Ostrum RF
J Orthop Trauma 2016 Jan;30(1):10-6. doi: 10.1097/BOT.0000000000000419. PMID: 26849386
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
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
Zabihi T, Kohanim M, Amir-Jahed AK
J Bone Joint Surg Am 1973 Jan;55(1):129-36. PMID: 4691651

Clinical prediction guides

Tan H, Tang P, Chai H, Ma W, Cao Y, Lin B, Zhu Y, Xiao W, Wen T, Li Y
Int J Surg 2025 Jan 1;111(1):1144-1153. doi: 10.1097/JS9.0000000000001836. PMID: 38896858Free PMC Article
Moon JK, Park J, Yoo Y, Yoon JY, Lee S, Yoon PW
Sci Rep 2024 Feb 20;14(1):4140. doi: 10.1038/s41598-024-54685-7. PMID: 38374383Free 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
Rajan R, Chandrasenan J, Price K, Konstantoulakis C, Metcalfe J, Jones S
J Pediatr Orthop 2013 Mar;33(2):120-3. doi: 10.1097/BPO.0b013e318277d047. PMID: 23389563
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

Tan H, Tang P, Chai H, Ma W, Cao Y, Lin B, Zhu Y, Xiao W, Wen T, Li Y
Int J Surg 2025 Jan 1;111(1):1144-1153. doi: 10.1097/JS9.0000000000001836. PMID: 38896858Free PMC Article
Wang X, Hu L, Wei B, Wang J, Hou D, Deng X
Stem Cell Res Ther 2024 Jan 25;15(1):21. doi: 10.1186/s13287-024-03635-1. PMID: 38273397Free 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
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
Bimmel R, Bakker A, Bosma B, Michielsen J
Acta Orthop Belg 2010 Feb;76(1):7-13. PMID: 20306957

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