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Living with Familial avascular necrosis of the femoral head

A hip condition in which the top of the thigh bone breaks down due to poor blood supply, causing pain and limping.

Understanding Familial avascular necrosis of the femoral head

Avascular necrosis of the femoral head (ANFH) is a condition in which the upper end of the thigh bone breaks down because of poor blood supply and bone repair.

It can cause pain, limping, hip collapse, and legs of different lengths. It mainly affects young, active adults but can occur in children, where it is called Legg-Calve-Perthes disease. Causes include steroid use, alcohol, smoking, autoimmune disorders, and hip injury. Most people have no family history, though rare inherited forms exist.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Hip pain
  • Groin pain
  • Limited hip movement
  • Limping or a short, shuffling walk
  • Legs of different lengths
  • Hip arthritis

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include autoimmune and inflammatory disease specialists, bone and joint specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which imaging, like an X-ray or MRI, is best to follow my hip?
What treatments can protect my hip and ease pain?
Which specialist, such as an orthopedic doctor, should follow me?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant

Changes in genes cause the rare inherited forms, which are autosomal dominant. In most people, other factors are linked, such as steroid use, alcohol, smoking, or injury.

Genetic

Also known as: aseptic necrosis of femoral head; aseptic necrosis of head of femur; familial avascular necrosis of femoral head; familial avascular necrosis of head of femur; familial osteonecrosis of the femoral head

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Familial avascular necrosis of the femoral headGARD ID 10914 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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