Skip to main content

Alcohol

  • Chapter
  • First Online:
Osteonecrosis
  • 2103 Accesses

Abstract

Osteonecrosis is a condition of bone death leading to joint pain, bone destruction, and loss of function. Nontraumatic osteonecrosis, a disease entity in which the underlying etiology and pathogenesis have not been fully elucidated, commonly involves the femoral heads. Although a wide spectrum of conditions, including systemic steroid administration, that are potentially related to nontraumatic osteonecrosis of the femoral head (ONFH) have been reported so far, alcohol consumption continues to be important as an environmental factor. In this chapter, we present a summary of the descriptive and analytic epidemiology regarding alcohol-induced ONFH, as well as related issues including potential mechanisms for disease etiology and influences of alcohol-associated factors.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Notes

  1. 1.

    Note: If patients with posttraumatic osteonecrosis of the femoral head were included in the study, the authors excluded the subjects and recalculated the proportion of alcohol-induced ONFH patients (hips) among all patients (hips).

References

  1. Chang CC, Greenspan A, Gershwin ME. Osteonecrosis: current perspectives on pathogenesis and treatment. Semin Arthritis Rheum. 1993;23(1):47–69.

    Article  CAS  PubMed  Google Scholar 

  2. Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am. 1995;77(3):459–74.

    CAS  PubMed  Google Scholar 

  3. Lavernia CJ, Sierra RJ, Grieco FR. Osteonecrosis of the femoral head. J Am Acad Orthop Surg. 1999;7(4):250–61.

    CAS  PubMed  Google Scholar 

  4. Assouline-Dayan Y, Chang C, Greenspan A, Shoenfeld Y, Gershwin ME. Pathogenesis and natural history of osteonecrosis. Semin Arthritis Rheum. 2002;32(2):94–124.

    Article  PubMed  Google Scholar 

  5. Mont MA, Jones LC, Hungerford DS. Nontraumatic osteonecrosis of the femoral head: ten years later. J Bone Joint Surg Am. 2006;88(5):1117–32.

    Article  PubMed  Google Scholar 

  6. Gold EW, Cangemi PJ. Incidence and pathogenesis of alcohol-induced osteonecrosis of the femoral head. Clin Orthop Relat Res. 1979;143:222–6.

    PubMed  Google Scholar 

  7. Orlić D, Jovanović S, Anticević D, Zecević J. Frequency of idiopathic aseptic necrosis in medically treated alcoholics. Int Orthop. 1990;14(4):383–6.

    Article  PubMed  Google Scholar 

  8. Fukushima W, Fujioka M, Kubo T, Tamakoshi A, Nagai M, Hirota Y. Nationwide epidemiologic survey of idiopathic osteonecrosis of the femoral head. Clin Orthop Relat Res. 2010;468(10):2715–24.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Kang JS, Park S, Song JH, Jung YY, Cho MR, Rhyu KH. Prevalence of osteonecrosis of the femoral head: a nationwide epidemiologic analysis in Korea. J Arthroplasty. 2009;24(8):1178–83.

    Article  PubMed  Google Scholar 

  10. Chen CH, Chang JK, Lai KA, Hou SM, Chang CH, Wang GJ. Alendronate in the prevention of collapse of the femoral head in nontraumatic osteonecrosis: a two-year multicenter, prospective, randomized, double-blind, placebo-controlled study. Arthritis Rheum. 2012;64(5):1572–8.

    Article  CAS  PubMed  Google Scholar 

  11. Sen RK, Tripathy SK, Aggarwal S, Marwaha N, Sharma RR, Khandelwal N. Early results of core decompression and autologous bone marrow mononuclear cells instillation in femoral head osteonecrosis: a randomized control study. J Arthroplasty. 2012;27(5):679–86.

    Article  PubMed  Google Scholar 

  12. Ito H, Tanino H, Yamanaka Y, Nakamura T, Takahashi D, Minami A, Matsuno T. Long-term results of conventional varus half-wedge proximal femoral osteotomy for the treatment of osteonecrosis of the femoral head. J Bone Joint Surg Br. 2012;94(3):308–14.

    Article  CAS  PubMed  Google Scholar 

  13. Zhao D, Cui D, Wang B, Tian F, Guo L, Yang L, Liu B, Yu X. Treatment of early stage osteonecrosis of the femoral head with autologous implantation of bone marrow-derived and cultured mesenchymal stem cells. Bone. 2012;50(1):325–30.

    Article  PubMed  Google Scholar 

  14. Gangji V, De Maertelaer V, Hauzeur JP. Autologous bone marrow cell implantation in the treatment of non-traumatic osteonecrosis of the femoral head: five year follow-up of a prospective controlled study. Bone. 2011;49(5):1005–9.

    Article  PubMed  Google Scholar 

  15. Ha YC, Kim HJ, Kim SY, Kim KC, Lee YK, Koo KH. Effects of age and body mass index on the results of transtrochanteric rotational osteotomy for femoral head osteonecrosis. J Bone Joint Surg Am. 2010;92(2):314–21.

    Article  PubMed  Google Scholar 

  16. Chen CC, Lin CL, Chen WC, Shih HN, Ueng SW, Lee MS. Vascularized iliac bone-grafting for osteonecrosis with segmental collapse of the femoral head. J Bone Joint Surg Am. 2009;91(10):2390–4.

    Article  PubMed  Google Scholar 

  17. Zhao G, Yamamoto T, Ikemura S, Motomura G, Iwasaki K, Yamaguchi R, Nakashima Y, Mawatari T, Iwamoto Y. Clinico-radiological factors affecting the joint space narrowing after transtrochanteric anterior rotational osteotomy for osteonecrosis of the femoral head. J Orthop Sci. 2012;17(4):390–6.

    Article  PubMed  Google Scholar 

  18. Zhao G, Yamamoto T, Ikemura S, Motomura G, Mawatari T, Nakashima Y, Iwamoto Y. Radiological outcome analysis of transtrochanteric curved varus osteotomy for osteonecrosis of the femoral head at a mean follow-up of 12.4 years. J Bone Joint Surg Br. 2010;92(6):781–6.

    Article  CAS  PubMed  Google Scholar 

  19. Matsuo K, Hirohata T, Sugioka Y, Ikeda M, Fukuda A. Influence of alcohol intake, cigarette smoking, and occupational status on idiopathic osteonecrosis of the femoral head. Clin Orthop Relat Res. 1988;234:115–23.

    PubMed  Google Scholar 

  20. Hirota Y, Hirohata T, Fukuda K, Mori M, Yanagawa H, Ohno Y, Sugioka Y. Association of alcohol intake, cigarette smoking, and occupational status with the risk of idiopathic osteonecrosis of the femoral head. Am J Epidemiol. 1993;137(5):530–8.

    CAS  PubMed  Google Scholar 

  21. Shibata A, Fukuda K, Inoue A, Higuchi F, Miyake H, Nishi M, Mori M, Ishii S, Nagao M, Yanagawa H. Flushing pattern and idiopathic avascular necrosis of the femoral head. J Epidemiol. 1996;6(1):37–43.

    Article  CAS  PubMed  Google Scholar 

  22. Sakata R. A case-control study of association between life-style, alcohol dehydrogenase 2 and aldehyde dehydrogenase 2 genotype and idiopathic osteonecrosis of the femoral head. Kurume Med J. 2003;50(3–4):121–30.

    Article  PubMed  Google Scholar 

  23. Wang Y, Li Y, Mao K, Li J, Cui Q, Wang GJ. Alcohol-induced adipogenesis in bone and marrow: a possible mechanism for osteonecrosis. Clin Orthop Relat Res. 2003;410:213–24.

    Article  PubMed  Google Scholar 

  24. Shih CH, Yang WE, Lee ZL, Kao YL, Hsueh S, Wei JS. Effect of long-term alcohol ingestion on the femoral head of rabbit. J Formos Med Assoc. 1991;90(5):443–7.

    CAS  PubMed  Google Scholar 

  25. Ikemura S, Yamamoto T, Motomura G, Iwasaki K, Yamaguchi R, Zhao G, Iwamoto Y. Lipid metabolism abnormalities in alcohol-treated rabbits: a morphometric and haematologic study comparing high and low alcohol doses. Int J Exp Pathol. 2011;92(4):290–5.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  26. Rico H, Gomez-Castresana F, Cabranes JA, Almoguera I, Lopez Duran L, Matute JA. Increased blood cortisol in alcoholic patients with aseptic necrosis of the femoral head. Calcif Tissue Int. 1985;37(6):585–7.

    Article  CAS  PubMed  Google Scholar 

  27. Calder JD, Buttery L, Revell PA, Pearse M, Polak JM. Apoptosis–a significant cause of bone cell death in osteonecrosis of the femoral head. J Bone Joint Surg Br. 2004;86(8):1209–13.

    Article  CAS  PubMed  Google Scholar 

  28. Suh KT, Kim SW, Roh HL, Youn MS, Jung JS. Decreased osteogenic differentiation of mesenchymal stem cells in alcohol-induced osteonecrosis. Clin Orthop Relat Res. 2005;431:220–5.

    Article  PubMed  Google Scholar 

  29. Fukushima W, Yamamoto T, Takahashi S, Sakaguchi M, Kubo T, Iwamoto Y, Hirota Y. The effect of alcohol intake and the use of oral corticosteroids on the risk of idiopathic osteonecrosis of the femoral head: a case-control study in Japan. Bone Joint J. 2013;95-B(3):320–5.

    Article  CAS  PubMed  Google Scholar 

  30. Rothman KJ. Epidemiology. An introduction. New York: Oxford University Press; 2002.

    Google Scholar 

  31. Takahashi S, Fukushima W, Kubo T, Iwamoto Y, Hirota Y, Nakamura H. Pronounced risk of nontraumatic osteonecrosis of the femoral head among cigarette smokers who have never used oral corticosteroids: a multicenter case-control study in Japan. J Orthop Sci. 2012;17(6):730–6.

    Article  PubMed  Google Scholar 

  32. Goedde HW, Agarwal DP, Fritze G, Meier-Tackmann D, Singh S, Beckmann G, Bhatia K, Chen LZ, Fang B, Lisker R, et al. Distribution of ADH2 and ALDH2 genotypes in different populations. Hum Genet. 1992;88(3):344–6.

    Article  CAS  PubMed  Google Scholar 

  33. Harada S, Agarwal DP, Goedde HW. Aldehyde dehydrogenase deficiency as cause of facial flushing reaction to alcohol in Japanese. Lancet. 1981;2(8253):982.

    Article  CAS  PubMed  Google Scholar 

  34. Higuchi S, Muramatsu T, Shigemori K, Saito M, Kono H, Dufour MC, Harford TC. The relationship between low Km aldehyde dehydrogenase phenotype and drinking behavior in Japanese. J Stud Alcohol. 1992;53(2):170–5.

    CAS  PubMed  Google Scholar 

  35. Tanaka F, Shiratori Y, Yokosuka O, Imazeki F, Tsukada Y, Omata M. Polymorphism of alcohol-metabolizing genes affects drinking behavior and alcoholic liver disease in Japanese men. Alcohol Clin Exp Res. 1997;21(4):596–601.

    Article  CAS  PubMed  Google Scholar 

  36. Suzuki K, Matsushita S, Ishii T. Relationship between the flushing response and drinking behavior among Japanese high school students. Alcohol Clin Exp Res. 1997;21(9):1726–9.

    Article  CAS  PubMed  Google Scholar 

  37. Sakaguchi M, Tanaka T, Fukushima W, Kubo T, Hirota Y, Idiopathic ONF Multicenter Case-Control Study Group. Impact of oral corticosteroid use for idiopathic osteonecrosis of the femoral head: a nationwide multicenter case-control study in Japan. J Orthop Sci. 2010;15(2):185–91.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wakaba Fukushima .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Fukushima, W., Hirota, Y. (2014). Alcohol. In: Koo, KH., Mont, M., Jones, L. (eds) Osteonecrosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35767-1_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-35767-1_13

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35766-4

  • Online ISBN: 978-3-642-35767-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics