Imaging evaluation of patients with osteonecrosis of the femoral head

被引：39

作者：

Pierce T.P. ^{[1
]}

Jauregui J.J. ^{[1
]}

Cherian J.J. ^{[1
]}

Elmallah R.K. ^{[1
]}

Mont M.A. ^{[1
]}

机构：

[1] Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, 21215, MD

来源：

Current Reviews in Musculoskeletal Medicine | 2015年 / 8卷 / 3期

基金：

美国国家卫生研究院;

关键词：

Diagnosis; Disease staging; Osteonecrosis of hip; Radiograph;

D O I：

10.1007/s12178-015-9279-6

中图分类号：

学科分类号：

摘要：

Imaging modalities for the diagnosis of osteonecrosis (ON) of the femoral head have been studied extensively, but there have been few reports strictly addressing radiographic evaluation. The purpose of this report is to examine the use and role of (1) plain radiographs, (2) magnetic resonance imaging (MRI), (3) computerized tomography (CT), (4) bone scanning, and (5) positron emission topography (PET) for the diagnostic evaluation of ON. Plain radiographs are a mainstay in diagnosis but have very low sensitivity for early ON. MRI is the gold standard for diagnostic evaluation but may not identify subchondral fractures on collapse as well as CT scan or tomogram. Bone scanning should not be used for diagnosis due to its low sensitivity. PET scanning does not have a definitive role in diagnosis yet. Future research should focus on the role of new imaging technologies in evaluation. © 2015, Springer Science+Business Media New York.

引用

页码：221 / 227

页数：6

共 51 条

[1]

Arlet J., Ficat P., Non-traumatic avascular femur head necrosis. New methods of examination and new concepts, Chir Narzadow Ruchu Ortop Pol, 42, 3, (1977)

[2]

Steinberg M.E., Hayken G.D., Steinberg D.R., A quantitative system for staging avascular necrosis, J Bone Joint Surg Br, 77, 1, (1995)

[3]

Lieberman J.R., Berry D.J., Mont M.A., Aaron R.K., Callaghan J.J., Rajadhyaksha A.D., Et al., Osteonecrosis of the hip: Management in the 21st century, Instr Course Lect, 52, (2003)

[4]

Pivec R., Johnson A.J., Harwin S.F., Mont M.A., Differentiation, diagnosis, and treatment of osteoarthritis, osteonecrosis, and rapidly progressive osteoarthritis, Orthopedics, 36, 2, (2013)

[5]

Zalavras C.G., Lieberman J.R., Osteonecrosis of the femoral head: Evaluation and treatment, J Am Acad Orthop Surg, 22, 7, (2014)

[6]

Zhao D.W., Hu Y.C., Chinese experts' consensus on the diagnosis and treatment of osteonecrosis of the femoral head in adults, Orthop Surg, 4, 3, (2012)

[7]

Nelson F.R., Bhandarkar V.S., Woods T.A., Using hip measures to avoid misdiagnosing early rapid onset osteoarthritis for osteonecrosis, J Arthroplast, 29, 6, (2014)

[8]

Hou C.H., Shih T.T., Liu C.Y., Li Y.D., Enright T., Proton MR spectroscopy of the femoral head—evaluation of patients at risk for avascular necrosis, J Magn Reson Imaging : JMRI, 24, 2, (2006)

[9]

Ikemura S., Yamamoto T., Motomura G., Nakashima Y., Mawatari T., Iwamoto Y., MRI evaluation of collapsed femoral heads in patients 60 years old or older: Differentiation of subchondral insufficiency fracture from osteonecrosis of the femoral head, AJR Am J Roentgenol, 195, 1, (2010)

[10]

Oner A.Y., Aggunlu L., Akpek S., Celik A., Le Roux P., Tali T., Et al., Staging of hip avascular necrosis: Is there a need for DWI?, Acta Radiol, 52, 1, (2011)

← 1 2 3 4 5 6 →