Which of the three major causes of femoral head necrosis is what many people are doing?

Xu Ming is 46 years old and now runs a bar in Beijing. He came to Beijing to work hard after graduating from high school. As a drifter in the north, entertainment and drinking along the way are essential.

He also gradually fell in love with drinking. In order to expand the scale of the bar, he began to contact investors frequently. When eating, it is always inevitable to invite investors to drink. Basically, he will get drunk once every 2 to 3 days.

After an accidental fall, his legs and hips were seriously injured and he had to stay in bed. However, long-term bed rest did not improve his condition, but his leg pain became worse and worse. His wife sought medical advice everywhere and tried all kinds of internal and external use, but the situation did not change.

In the end, he was diagnosed as "femoral head necrosis" in the hospital, which made the family fall into despair. Not yet middle-aged. Do you want to be a wheelchair companion all your life?

What is femoral head necrosis?

Femoral head is the most important bone in human body. People rely on it for walking, sitting and working, but it is also the most vulnerable part.

Necrosis of femoral head, also known as avascular necrosis of femoral head, is a pathological evolution process, which first occurred in the weight-bearing area of femoral head. Under the action of stress, the trabecular structure of necrotic bone is destroyed, that is, micro-fracture and subsequent repair process of damaged bone tissue.

Femoral head is a part of human body with congenital blood supply deficiency. Long-term heavy drinking will increase the number and volume of fat cells in the femoral head, further increase the pressure and reduce the blood supply in a narrow space. In addition, excessive drinking will lead to blood stasis, further reducing the blood supply to the femoral head, which will lead to alcoholic femoral head necrosis over time. Femoral head necrosis caused by long-term alcoholism is on the rise.

There are three main causes of alcoholic femoral head necrosis in clinic: alcohol, hormone and trauma.

What are the symptoms of femoral head necrosis?

1, pain

The most common symptom is pain, which is located in the hip joint and proximal thigh and can radiate to the knee. Pain can be caused by inflammatory lesions repaired by necrotic tissue or high pressure in inflammatory lesions, which is manifested as local swelling and pain.

2. Hip movement is limited

In particular, limited rotation, such as daily bending, squatting, walking, standing and other processes, feels inconvenient joint activities, which is a signal that will appear in the early stage of femoral head necrosis.

Step 3 limp

This may also be caused by the necrosis of the femoral head, which will lead to pain-resistant gait of the affected limb, that is, the affected limb gently touches the ground and the toes touch the ground for a short time, while the healthy limb touches the ground for a long time and the load increases rapidly, resulting in short and unstable gait of the patient, who is afraid to walk with the load because of pain, resulting in limping.

How to detect femoral head necrosis by yourself?

Dr. Mo tells you a method: four-word experiment.

Patients with avascular necrosis of the femoral head are often positive for the "4" test (that is, they bend their knees, bend their hips, abduct and rotate outward, and form a "4" shape on the opposite straight lower limb, and press the opposite iliac crest with one hand and the inner side of the knee with the other hand at the same time, causing hip and hip joint pain).

How to prevent femoral head necrosis?

1, do not drink

Try not to drink heavily for a long time and try not to use glucocorticoids.

Step 2 get more sunshine

More sun exposure can effectively prevent femoral head necrosis. Vitamin D3 (cholecalciferol) is mainly synthesized by the human body itself. Human skin contains cholesterol, which becomes vitamin D3 after exposure to the sun, also known as sunshine vitamin. It can improve the absorption of calcium and phosphorus by human body, and promote growth and bone calcification.