RISK-FACTORS, PATHOGENESIS, AND PHARMACEUTICAL APPROACHES FOR TREATMENT OF STEROID-INDUCED BONE INFARCTION OF FEMORAL HEAD

Acta Pol Pharm. 2016 May-Jun;73(3):557-63.

Abstract

During first year of steroid usage, osteocyte necrosis and blood vessel blockage may occur, which subsequently may produce steroid-induced bone infarction (SIBI) resulting in painful movement of patient. For treatment of SIBI, pharmaceutical strategy is the basic approach. It involves the use of various pharmacologically active compounds including bisphosphonates, hyperbaric oxygen (HBO), coenzyme Q10, erythropoietin, antihyperlipidemics, anticoagulants, antioxidants, and tissue repair protein. Out of these, there is no pharmaceutical agent that may completely treat this disease because many factors are found to be responsible for SIBI development; therefore, there are multiple biomarkers of this disease. This situation argues for need of new therapeutic agents for SIEB1.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / adverse effects*
  • Bone Diseases / chemically induced*
  • Bone Diseases / drug therapy*
  • Bone Diseases / pathology
  • Femur Head / blood supply*
  • Femur Head Necrosis / pathology
  • Humans
  • Infarction / chemically induced*
  • Infarction / drug therapy*
  • Infarction / pathology
  • Regional Blood Flow
  • Risk Factors
  • Steroids / adverse effects*

Substances

  • Anti-Inflammatory Agents
  • Steroids