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Osteonecrosis of the femoral head in a recreational diver: Case report

Inklebarger, J and Taylor, M and Griffin, M (2016) 'Osteonecrosis of the femoral head in a recreational diver: Case report.' International Musculoskeletal Medicine, 38 (1). 17 - 20. ISSN 1753-6146

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Abstract

© 2016 Taylor & Francis and the British Institute of Musculoskeletal Medicine. Objectives: Osteonecrosis of the hip joint (ONHJ) is a known sequella of dysbaric events in professional divers. Its occurrence in sport divers has been rarely reported in the literature. Such a circumstance may represent a diagnostic challenge to clinicians as a potential dysbaric event may be long forgotten, and ONHJ is not typically associated with sports divers. Methods: This case study identifies the occurrence of osteonecrosis of the hip in a recreational diver, which may be related to a dysbaric event several years prior to the onset of hip joint pain and loss of function. Discussion: Advances in recreational diving gear (technical diving) have allowed for greater depths and dive duration. However, these technological developments may have outpaced awareness of the significantly increased risks of permanent illness. A review of the literature also indicates that there may be inaccuracies in some decompression tables which could unknowingly predispose dysbaric events. As ONHJ carries a high rate of morbidity and may have a variable and delayed presentation, it is recommended that clinicians recognize this differential in recreational divers presenting with joint pain.

Item Type: Article
Subjects: R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Faculty of Science and Health > Sport, Rehabilitation and Exercise Sciences, School of
Depositing User: Jim Jamieson
Date Deposited: 20 Apr 2016 11:11
Last Modified: 23 Jan 2019 00:17
URI: http://repository.essex.ac.uk/id/eprint/16478

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