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Hüftkopfnekrose

Femoral head necrosis

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Zusammenfassung

Bei der avaskulären Femurkopfnekrose handelt es sich um ein Krankheitsbild, dessen Ursachen noch immer nicht vollständig geklärt sind. Da die Erkrankung stadienhaft verläuft und über einen längeren Zeitraum betrachtet nahezu immer in einem prothetischen Hüftersatz mündet, ist eine genaue radiologische Abklärung für die Behandlung von enormer Bedeutung. Um Langzeiterfolge verschiedener Therapiekonzepte vergleichen zu können, sind eine exakte Beschreibung und darauf basierend die Verwendung einer einheitlichen Stadieneinteilung wünschenswert. In der vorliegenden Arbeit wird die ARCO-Stadieneinteilung im Detail beschrieben, die alle bildgebenden Methoden berücksichtigt und histopathologische Veränderungen mit einbezieht.

Abstract

The epidemiology and pathohistogenesis of avascular femoral head necrosis has still not been clarified in detail. Because the course of the disease runs in stages and over a long time period nearly always culminates in the necessity for a total hip prosthesis, an exact radiological evaluation is of paramount importance for the treatment. There is a need for a common staging system to enable comparison of different therapy concepts and especially their long-term results. In this article the ARCO staging system is described in full detail, which includes all radiological modalities as well as histopathological alterations.

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Authors and Affiliations

  1. Röntgeninstitut am Schillerpark, Rainerstr. 6-8, A-4020, Linz, Österreich

    J. Kramer, G. Scheurecker, A. Scheurecker, A. Stöger & A. Huber

  2. Orthopädisches Landeskrankenhaus Stolzalpe Steiermark – Österreich, Steiermark, Österreich

    S. Hofmann

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  1. J. Kramer
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  2. G. Scheurecker
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  3. A. Scheurecker
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  4. A. Stöger
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  5. A. Huber
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  6. S. Hofmann
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Correspondence to J. Kramer.

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Kramer, J., Scheurecker, G., Scheurecker, A. et al. Hüftkopfnekrose. Radiologe 49, 410–418 (2009). https://doi.org/10.1007/s00117-009-1831-1

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