International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Call for Paper Volume 8, Issue 1 (January-February 2026) Submit your research before last 3 days of February to publish your research paper in the issue of January-February.
Submit Research Paper Join as a Reviewer

Plagiarism is checked by the leading plagiarism checker TurnItIn

Call for Paper

Volume 8 Issue 1
January-February 2026

Submit your research paper

Indexing Partners
Academia Advanced Sciences Index Bielefeld Academic Search Engine CiteSeer DRJI Google Scholar Independent Search Engine & Directory Network ISI (International Scientific Indexing) Issuu Mendeley Research Networks
RefSeek ResearcherId - Thomson Reuters ResearchGate Scirus Scribd Semantic Scholar UTeM - Universiti Teknikal Malaysia Melaka Wiki for Call for Papers WorldCat Zenodo

Hyperbaric Osteonecrosis in Divers and Compressed-Air Workers: A Narrative Review

Author(s) Dr. Ishaan Bakshi, Ms. Khushi Rijhwani, Mr. Anshu Antony, Ms. Lakkshaya K G
Country India
Abstract Dysbaric or hyperbaric osteonecrosis (HBON) is a chronic skeletal complication resulting from repeated exposure to elevated ambient pressure followed by decompression, most commonly affecting divers and compressed-air workers. Despite long-standing recognition, the condition remains underdiagnosed due to its frequently asymptomatic early stages, delayed radiographic findings, and absence of standardized screening and management protocols. This narrative review synthesizes current evidence on the epidemiology, pathophysiology, clinical manifestations, diagnostic approaches, management strategies, prognosis, and emerging advancements in HBON. A comprehensive literature search of PubMed, Embase, and Scopus databases was conducted for studies published up to July 2025, supplemented by manual reference screening of relevant reviews and authoritative texts in diving medicine. The pathogenesis of HBON involves gas and lipid micro embolism, endothelial injury, and impaired intraosseous microcirculation, leading to ischemic bone damage, particularly in weight-bearing joints. Magnetic resonance imaging remains the gold standard for early detection, enabling identification of subclinical lesions and informed risk stratification. Management is stage-dependent, ranging from conservative monitoring and exposure modification in early disease to surgical interventions, including core decompression and joint arthroplasty in advanced stages. Prognosis is strongly influenced by lesion location and timing of diagnosis, with early detection associated with improved outcomes. Emerging advances in imaging techniques, regenerative therapies, and individualized decompression monitoring hold promise but require robust clinical validation. Greater awareness, early diagnosis, and multidisciplinary research efforts are essential to reduce long-term morbidity and occupational disability associated with hyperbaric osteonecrosis.
Field Medical / Pharmacy
Published In Volume 8, Issue 1, January-February 2026
Published On 2026-01-25
DOI https://doi.org/10.36948/ijfmr.2026.v08i01.67362
View / Download PDF File

Share this



E-ISSN 2582-2160
CrossRef

CrossRef DOI is assigned to each research paper published in our journal.

IJFMR DOI prefix is
10.36948/ijfmr

Downloads
Research Paper Format Copyright Permission Form and Undertaking Form Cover Page Vol 8 Isu 1Cover Page Vol 7 Isu 6Cover Page Vol 7 Isu 5

All research papers published on this website are licensed under Creative Commons Attribution-ShareAlike 4.0 International License, and all rights belong to their respective authors/researchers.

CC-BY-SA Open Access

About IJFMR
Fees & Payment
Current Issue
Publication Archive 		Submit Research Paper
Track Submission Status
Publication Guidelines
Publication Ethics
Peer Review & Plagiarism 		Join as a Reviewer
Editors & Reviewers
Reviewer Referral Program
Get Reviewer Membership Certi. 		Website/Journal Policies
Usage Policy
Content Policies
Privacy Policy
Contact Us +91-9687-828-838 editor@ijfmr.com