Abstract
Avascular necrosis (AVN) or osteonecrosis of the femoral head is a term broadly applied to ischaemic marrow lesions resulting from a wide range of conditions ranging from systemic causes and post-traumatic sequelae to a significant proportion of idiopathic cases. The imaging features reflect underlying pathophysiology of reduced femoral head perfusion and resultant infarction. The purpose of this chapter is to provide an insight into the radiological features of femoral head AVN, how various radiological findings correlate with underlying histopathological marrow changes and which findings are pertinent to prognostication and clinical management.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Murphey MD, Foreman KL, Klassen-Fischer MK, et al. From the radiologic pathology archives imaging of osteonecrosis: radiologic-pathologic correlation. Radiographics. 2014;34:1003–28.
Pierce TP, Jauregui JJ, Cherian JJ, et al. Imaging evaluation of patients with osteonecrosis of the femoral head. Curr Rev Musculoskelet Med. 2015;8:221–7.
Hines JT, Jo WL, Cui Q, et al. Osteonecrosis of the femoral head: an updated review of ARCO on pathogenesis, staging and treatment. J Korean Med Sci. 2021;36(24):e177.
Kerboul M, Thomine J, Postel M, Merle d’Aubigné R. The conservative surgical treatment of idiopathic aseptic necrosis of the femoral head. J Bone Joint Surg Br. 1974;56-B(2):291–6.
Shimizu K, Moriya H, Akita T, et al. Prediction of collapse with magnetic resonance imaging of avascular necrosis of the femoral head. J Bone Joint Surg Am. 1994;76:215–23.
Nishii T, Sugano N, Ohzono K, et al. Significance of lesion size and location in the prediction of collapse of osteonecrosis of the femoral head: a new three-dimensional quantification using magnetic resonance imaging. J Orthop Res. 2002;20:130–6.
Ha YC, Jung WH, Kim JR, et al. Prediction of collapse in femoral head osteonecrosis: a modified Kerboul method with use of magnetic resonance images. J Bone Joint Surg Am. 2006;88:35–40.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Sharma, S., Sharma, S. (2023). AVN Hip: Radiology. In: Kumar, P., Aggarwal, S., Kumar, V. (eds) Insights into Avascular Necrosis of the Femoral Head . Springer, Singapore. https://doi.org/10.1007/978-981-99-1346-6_7
Download citation
DOI: https://doi.org/10.1007/978-981-99-1346-6_7
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-99-1345-9
Online ISBN: 978-981-99-1346-6
eBook Packages: MedicineMedicine (R0)