Comparison of Imaging Modalities in Femoral Head Necrosis

  • M. Heller
  • M. Richartz-Heller
  • H.-H. Jend
Conference paper
Part of the Radiology Today book series (RADIOL.TODAY, volume 4)


The diagnosis of femoral head necrosis (FHN) remains a challenge for the radiologist and the diagnostic methods at his disposal.


Femoral Head Femoral Head Necrosis Subchondral Fracture Crescent Sign Planar Bone Scintigraphy 
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  1. 1.
    Cann, CE, Heller M, Skinner HB (1984) A functional presentation format for 3-D bone imaging. Radiology 153: 311Google Scholar
  2. 2.
    Catto M (1965) A histological study of avascular necrosis of the femoral head after transcervical fracture. J Bone Joint Surg 47-B: 749–776Google Scholar
  3. 3.
    Collier BD, Carrera GF, Johnson RP, Isitman AT, Hellman RS, Knobel J, Finger WA, Gonyo JE, Malloy PJ (1985) Detection of femoral head avascular necrosis in adults by SPECT. J Nucl Med 26: 979–987PubMedGoogle Scholar
  4. 4.
    Davidson JK (ed) (1976) Aseptic necrosis of bone. Excerpta Medica, AmsterdamGoogle Scholar
  5. 5.
    Dihlmann W (1982) Analysis of the upper end of the femur: The asterisk sign and ischaemic bone necrosis of the femoral head. Skeletal Radiol 8: 251–258PubMedCrossRefGoogle Scholar
  6. 6.
    Dihlmann W, Heller M (1985) Asterisk-Zeichen und adulte ischamische Femurkopfnekrose. ROEFO 142: 430–435CrossRefGoogle Scholar
  7. 7.
    Ficat RP, Arlet J (1980) Ischemia and necroses of bone. Williams and Wilkins, BaltimoreGoogle Scholar
  8. 8.
    Frahm J, Haase A, Haenicke W, Matthaei D, Bomsdorf H, Helzel I (1985) Chemical shift selective MR imaging using a whole-body magnet. Radiology 156: 441–444PubMedGoogle Scholar
  9. 9.
    Glimcher MJ, Kenzora JE ( 1979 a) The biology of osteonecrosis of the human femoral head and its clinical implications: I. Tissue biology. Clin Orthop 138: 284–309Google Scholar
  10. 10.
    Glimcher MJ, Kenzora JE ( 1979 b) The biology of osteonecrosis of the human femoral head and its clinical implications: II. The pathological changes in the femoral head as an organ and in the hip joint. Clin Orthop 139: 283–312Google Scholar
  11. 11.
    Glimcher MJ, Kenzora JE ( 1979 c) The biology of osteonecrosis of the human femoral head and its clinical implications: III. Discussion of the etiology and genesis and the pathological sequelae. Comments on treatment. Clin Orthop 140: 273–312Google Scholar
  12. 12.
    Heller M (1985) Digitale radiologische Schnittbild- diagnostik der Femurkopfosteonekrose: Computer-tomographic und Magnet Resonanz Tomographic. Habilitationsschrift.Google Scholar
  13. 13.
    Heller M, Moon KI, Helms CA, Schild H, Chafetz NI, Rodrigo JJ, Jergesen HE, Genant HK (1983) NMR imaging of femoral head necrosis. Second SMRM, San Francisco, Aug. 16–19, 1983Google Scholar
  14. 14.
    Heller M, Jergesen HE, Genant HK, Cann CE, Murray WR (1984) Morphologic analysis of femoral head specimens. Radiology 153: 138Google Scholar
  15. 15.
    Heuck FHW, Treugut H (1984) Die “Hiiftkopf-nekrose” bei metabolischen und hormonellen Osteopathien — eine radiologisch-morphologische Analyse. Radiologe 24: 319–337PubMedGoogle Scholar
  16. 16.
    Hungerford DS (1980) Knochenmarksdruck, Venographie und zentrale Knochenmarksentlastung bei ischamischer Nekrose des Hiiftkopfes. Orthopade 9: 245–254Google Scholar
  17. 17.
    Jakobs B (1978) Epidemiology of traumatic and non¬traumatic osteonecrosis. Clin Orthop 130: 51–67Google Scholar
  18. 18.
    Jergesen HE, Heller M, Genant HK (1985) Magnetic resonance imaging in osteonecrosis of the femoral head. Orthop Clin North Am 16: 705–716PubMedGoogle Scholar
  19. 19.
    Margolis RN (1979) The dying hip in the healthy patient: diagnostic problems and therapeutic misadventures. Conn Med 43: 10–13PubMedGoogle Scholar
  20. 20.
    Moon KL, Genant HK, Helms CA, Chafetz NI, Crooks LE, Kaufman L (1983) Musculoskeletal applications of nuclear magnetic resonance. Radiology 147: 161–171PubMedGoogle Scholar
  21. 21.
    Rupp N, Reiser M, Hipp E, Heller H, Lukas P, Allgayer B, Hawe W (1985) Diagnostik der Knochen- nekrose durch magnetische Resonanz-(MR-)Tomo- graphie. ROEFO 142: 131–137CrossRefGoogle Scholar
  22. 22.
    Totty WG, Murpy WA, Ganz WI, Kumar B, Daum WJ, Siegel B (1984) Magnetic resonance imaging of the normal and ischemic femoral head. AJR: 1273–1280Google Scholar
  23. 23.
    Trueta J, Harrison MHM (1953) The normal vascular anatomy of the femoral head in adult man. J Bone Joint Surg 35 B: 442–461Google Scholar

Copyright information

© Springer-Verlag Berlin, Heidelberg 1987

Authors and Affiliations

  • M. Heller
  • M. Richartz-Heller
  • H.-H. Jend

There are no affiliations available

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