The pattern of bone marrow oedema on MRI in osteonecrosis of the femoral head

被引:69
作者
Kim, YM [1 ]
Oh, HC [1 ]
Kim, HJ [1 ]
机构
[1] Seoul Natl Univ, Coll Med, Dept Orthopaed Surg, Seoul 110744, South Korea
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2000年 / 82B卷 / 06期
关键词
D O I
10.1302/0301-620X.82B6.10740
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
has been suggested that transient osteoporosis or the bone marrow oedema syndrome (BROS) may be the initial phase of osteonecrosis of the femoral head (ONFH) and that there may be a common pathophysiology. In this study, we have assessed the MR images of 200 consecutive patients with ONFH in respect of the BMO pattern in order to test this hypothesis. This pattern was not observed in the early stage of ONFH. The initial abnormal finding detected on the MR images was an abnormal band of intensity at the junction between the necrotic area and the normal bone. Structural damage of the head seems to result in the appearance of the BMO pattern and the development of pain in ONFH. There was no finding to support the existence of a continuum between BMOS and ONFH.
引用
收藏
页码:837 / 841
页数:5
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