The process of bone cells dying in mass. Dysbaric — Changes in structure of bone in which the relative density of the affected bone is increased by sclerosis (hardening). Observed changes are the result of a healing process following insult (trauma). Found in caisson workers and more recently in divers, and probably due to inadequate decompression. Synonymous with aseptic bone necrosis and avascular bone necrosis. Juxta-articular — Osteonecrosis occurring near the joint articulation, usually hip or shoulder. May lead to collapse of the joint, together with pain and dysfunction. Medullary — Osteonecrosis occurring in the shaft of the bone, usually symptomless and detected by x-ray.