DIAGNOSING OSTEONECROSE OF THE HIP JOINT IN THE EARLY STAGES USING LIGHT DIAGNOSTIC METHODS: OPPORTUNITIES AND DISADVANTAGES
Keywords:
osteonecrosis of the hip joint, diagnosis, radiography, magnetic resonance imaging, computer tomography.Abstract
Diagnosing osteonecrosis of hip-pelvic joint in the early precollapsing stages is very important for determining tactics and determining the prognosis of the disease. In most cases, the diagnosis is determined only at the stage when the method of treatment is endoprosthesis. This article presents modern approaches to early diagnosis of osteonecrosis of the hip joint in adults using radiography, magnetic resonance imaging, and X-ray computed tomography, and analyzes the advantages and disadvantages of radiological diagnostic methods, magnetic resonance imaging protocol for this category of patients. is described. Based on the analysis of the instrumental examination data of 52 patients, the radiographic "billiard ball symptom" is described, which allows to detect osteonecrosis in the early stages using the information provided by the radiological diagnostic methods. The recommendations proposed in the article, timely treatment for the purpose of starting, it can be used in practical work to diagnose osteonecrosis of the hip joint in the early stages.
References
Ахтямов, И. Ф. Современные методы визуализации в диагностике остеонекроза головки бедренной кости / И. Ф. Ахтямов, Р. Х. Закиров, В. В. Лобашов // Вестник современной клинической медицины. – 2014. – № 7 (2). – С. 29–39.
Брюханов, А. В. Магнитно-резонансная томография в диагностике асептического остеонекроза головки бедренной кости (лекция) / А. В. Брюханов // Радиология: практика. – 2014. –№ 1. – С. 38–47.
Остеонекроз. Часть 2. Клиника и диагностика аваскулярного некроза / В. Г. Барскова [и др.] // Современная ревматология. – 2013. – № 2. – С. 32–36.
Патоморфологияголовки бедренной кости при асептическом некрозе / М. Т. Мохаммади, Л. А. Пашкевич, О. Л. Эйсмонт, А. Э. Мурзич // Международный научно-практический журнал «Хирургия восточная Европа». Приложение. – 2017. – С. 148–156.
Саутина, О. П. МРТ-диагностика ранних стадий асептического некроза головок бедренных костей / О. П. Саутина, П. Д. Хазов // Российский медико-биологический вестник имени академика И. П. Павлова. – 2008. – № 1. – С. 50–56.
ARCO (Association Research Circulation Osseous): committee on terminology and classification / ARCO News. – 1992. – № 4. –P. 41–46.
Avascular necrosis of the femoral head: MR imaging with radiological and histological correlation / Z. Wu [et al.] // Chin. Med. J. (Engl.). – 1998. – Vol. 111(7). – P. 599–602.
Femoral head avascular necrosis: correlation of MR imaging, radiographic staging, radionuclide imaging and clinical findings / D. G. Mitchell [et al.] // Radiology. – 1987. – Vol. 162(3). – P. 709–715.
Femoral head avascular necrosis: MR imaging with clinical – pathologic and radionuclide correlation / J. Beltran [et al.] // Radiology. – 1988. – Vol. 166. – P. 215–220.
Karantanas, A. N. The role of MR imaging in avascular necrosis of the femoral head / A. N. Karantanas, E. E. Drakonaki // Semin. Musculoskelet. Radiol. – 2011. – Vol. 15(3). – P. 281–300.
Koo, K. H. Quantifying the extent of osteonecrosis of the femoral head. A new method using MRI / K. H. Koo, R. Kim // J. Bone Joint Surg. Br. – 1995. – Vol. 77, № 6. – P. 875–880.
Macroscopic and microscopic findings in avascular necrosis of the femoral head / D. Kamal [et al.] // Rom. J. Morphol. Embryol. – 2012. – Vol. 53. – Р. 557–561.
Mont, M. A. Nontraumatic osteonecrosis of the femoral head: Ten years later / M. A. Mont, L. C. Jones, D. S. Hungerford // J. Bone Joint. Surg. Am. – 2006. – Vol. 88. – P. 1117–32.
MRI-Essentials. com. An illustrated Atlas of orthopedic MRI / W. Fischer [et al.]. – mr-verlag, 2014. – 640 p.
MRI from Picture to Proton // Donald W. McRobbie [et al.]. – New York, 2006. – 393 p.
MR imaging of bone marrow edema and joint effusion in patients with osteonecrosis of the femoral head: relationship to pain / G. S. Huang [et al.] // Am. J. Roentgenol. – 2003. – Vol. 181(2). – P. 545–549.
Sweet, D. E., Madewell J. E. Osteonecrosis pathogenesis. In: Resnick D. K., editor. Diagnosis of bone and joint disorders. 3rd edition. – Philadelphia: WB Saunders, 1994.
The conservative surgical treatment of idiopathic aseptic necrosis of the femoral head / Kerboul M. [et al.] // J. Bone Joint Surg. Br. – 1974. – Vol. 56, № 2. – P. 291–296.
