Powell, C., Chang, C., Naguwa, S.M., Cheema, G. and Gershwin, M.E. (2010) Steroid induced osteonecrosis: An analysis of steroid dosing risk. Autoimmunity Reviews, 9, 721-743. doi:10.1016/j.autrev.2010.06.007
ABSTRACT: Non-traumatic osteonecrosis is a cause of joint pain and deformity, not uncommonly caused by corticosteroid use. Despite this, corticosteroid induced osteonecrosis is poorly represented in the literature. We performed a detailed review of corticosteroid induced osteonecrosis, including aetiology, prevention, screening, clinical presentation, investigations, staging systems and treatment. We present this in the context of a patient at our institution who developed bilateral hip, shoulder and knee osteonecrosis following high dose corticosteroid therapy for dermatomyositis.