Skip to main content

Advertisement

SpringerLink
Log in

Osteonecrosis of the femoral head extending into the femoral neck

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Osteonecrosis of the femoral head (ONFH) is an ischemic disorder that can lead to femoral head collapse and secondary osteoarthritis. Although the condition is usually limited to the femoral head, we report a rare case of biopsy-proven ONFH extending into the femoral neck, which required hip replacement surgery. We emphasize the imaging features of this condition and briefly discuss its potential relevance.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

References

  1. Mankin HJ. Nontraumatic necrosis of bone (osteonecrosis). N Engl J Med. 1992;326:1473–9.

    Article  PubMed  CAS  Google Scholar 

  2. Atsumi T, Kuroki Y. Role of impairment of blood supply of the femoral head in the pathogenesis of idiopathic osteonecrosis. Clin Orthop Relat Res. 1992;277:22–30.

    PubMed  Google Scholar 

  3. Ohzono K, Takaoka K, Saito S, Saito M, Matsui M, Ono K. Intraosseous arterial architecture in nontraumatic avascular necrosis of the femoral head. Microangiographic and histologic study. Clin Orthop Relat Res. 1992;277:79–88.

    PubMed  Google Scholar 

  4. Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am. 1995;77A:459–74.

    Google Scholar 

  5. Bullough PG, DiCarlo EF. Subchondral avascular necrosis: a common cause of arthritis. Ann Rheum Dis. 1990;49:412–20.

    Article  PubMed  CAS  Google Scholar 

  6. Richard JP, William HB, David CD. Idiopathic avascular necrosis of the head of the femur: a study of 52 cases. J Bone Joint Surg Am. 1964;46(2):267–400.

    Google Scholar 

  7. Merle d’Aubigné R, Postel M, Mazabraud A, Massias P, Gueguen J. Idiopathic necrosis of the femoral head in adults. J Bone Joint Surg Br. 1965;47B:612–33.

    Google Scholar 

  8. Sugioka Y, Hotokebuchi T, Tsutsui H. Transtrochanteric anterior rotational osteotomy for idiopathic and steroid-induced necrosis of the femoral head. Indications and long-term results. Clin Orthop Relat Res. 1992;277:111–20.

    PubMed  Google Scholar 

  9. Tucker FR. Arterial supply at the femoral head and its clinical importance. J Bone Joint Surg Br. 1949;31B:82–93.

    PubMed  CAS  Google Scholar 

  10. Judet J, Judet R, Lagrange J, Dunoyer J. A study of the arterial vascularization of the femoral neck in adult. J Bone Joint Surg Am. 1955;37A:663–80.

    Google Scholar 

  11. Trueta J, Harrison MHM. The normal vascular anatomy of the femoral head in adult man. J Bone Joint Surg Br. 1953;35B::442–61.

    Google Scholar 

  12. Theodorou DJ, Theodorou SJ, Haghighi P, Resnick D. Distinct focal lesions of the femoral head: imaging features suggesting an atypical and minimal form of bone necrosis. Skeletal Radiol. 2002;31(8):435–44.

    Article  PubMed  Google Scholar 

  13. LaPorte DM, Mont MA, Mohan V, Jones LC, Hungerford DS. Multifocal osteonecrosis. J Rheumatol. 1998;25:1968–74.

    PubMed  CAS  Google Scholar 

  14. Mont MA, Jones LC, LaPorte DM, Collaborative Osteonecrosis Group. Symptomatic multifocal osteonecrosis. A multicenter study. Clin Orthop Relat Res. 1999;369:312–26.

    Article  Google Scholar 

  15. Sakai T, Sugano N, Nishii T, Haraguchi K, Yoshikawa H, Ohzono K. Bone scintigraphy for osteonecrosis of the knee in patients with non-traumatic osteonecrosis of the femoral head: comparison with magnetic resonance imaging. Ann Rheum Dis. 2001;60:14–20.

    Article  PubMed  CAS  Google Scholar 

  16. Mont MA, Marulanda GA, Jones LC, Saleh KJ, Gordon N, Hungerford DS, et al. Systematic analysis of classifications systems for osteonecrosis of the femoral head. J Bone Joinnt Surg Am. 2006;88A:16–26.

    Article  Google Scholar 

  17. Ficat RP. Idiopathic bone necrosis of the femoral head: early diagnosis and treatment. J Bone Joint Surg Br. 1985;67(1):3–9.

    PubMed  CAS  Google Scholar 

  18. Steinberg ME, Hayken GD, Steinberg DR. A quantitative system for staging avascular necrosis. J Bone Joint Surg Br. 1995;77B::34–41.

    Google Scholar 

  19. Gardeniers JWM. Report of the committee of staging and nomenclature. ARCO News Lett. 1993;5:79–82.

    Google Scholar 

  20. Sugano N, Atsumi T, Ohzono K, Kubo T, Hotokebuchi T, Takaoka K. The 2001 revised criteria for diagnosis, classification, and staging of idiopathic osteonecrosis of the femoral head. J Orthop Sci. 2002;7(5):601–5.

    Article  PubMed  Google Scholar 

  21. Vande Berg BE, Malghem JJ, Labaisse MA, Noel HM, Maldague BE. MR imaging of avascular necrosis and transient marrow edema of the femoral head. Radiographics. 1993;13(3):501–20.

    PubMed  CAS  Google Scholar 

  22. Vande Berg BC, Malghem JJ, Lecouvet FE, Jamart J, Maldague BE. Idiopathic bone marrow edema lesions of the femoral head: predictive value of MR imaging findings. Radiology. 1999;212(2):527–35.

    PubMed  CAS  Google Scholar 

  23. Kubo T, Yamamoto T, Inoue S, Horii M, Ueshima K, Iwamoto Y, et al. Histological findings of bone marrow edema pattern on MRI in osteonecrosis of the femoral head. J Orthop Sci. 2000;5:520–3.

    Article  PubMed  CAS  Google Scholar 

  24. Yamamoto T, DiCarlo EF, Bullough PG. The prevalence and clinicopathological appearance of extension of osteonecrosis in the femoral head. J Bone Joint Surg. 1999;81B:328–32.

    Google Scholar 

Download references

Acknowledgements

This work was supported in part by a Research Grant for Intractable Diseases from the Ministry of Health, Labour and Welfare of Japan, and a grant for osteoporosis foundation.

Conflict of interest

The authors declare that they have no conflicts of interest.

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Yuma Sakamoto, Takuaki Yamamoto, Goro Motomura, Akio Sakamoto, Ryosuke Yamaguchi, Kenyu Iwasaki, Garida Zhao, Kazuyuki Karasuyama & Yukihide Iwamoto

Authors
  1. Yuma Sakamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Takuaki Yamamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Goro Motomura
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Akio Sakamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ryosuke Yamaguchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kenyu Iwasaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Garida Zhao
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Kazuyuki Karasuyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Yukihide Iwamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Takuaki Yamamoto.

Additional information

Investigation performed at the Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sakamoto, Y., Yamamoto, T., Motomura, G. et al. Osteonecrosis of the femoral head extending into the femoral neck. Skeletal Radiol 42, 433–436 (2013). https://doi.org/10.1007/s00256-012-1525-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-012-1525-z

Keywords

Search

Navigation