Chelsfield Park Hospital 01689 877855 Blackheath Hospital 020 8003 6148 KIMS Hospital 01622 237500 Sevenoaks Medical Centre 01732 775 800 alison.hagerty@hotmail.com

Rarer but important causes include loss of blood supply of the ball which can happen suddenly sometimes with no obvious cause. It is called Avascular Necrosis and requires urgent treatment.

Other rarer conditions include cancer (tumours), inflammation(synovitis), PVNS, Rheumatoid arthritis and infection.

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