Article Sidebar

PDF
Date Published: 24/03/2023
Abstract Views: 200
Views PDF: 122
DOI: https://doi.org/10.51298/vmj.v524i1B.4725
Issue
Vol. 524 No. 1B (2023)
Section
Các bài báo
How to Cite
Lê, T. D. ., Lưu , T. B. ., & Nguyễn, M. N. . (2023). RELATIONSHIP BETWEEN THE LESION IMAGE ON THE MAGNETIC RESONANCE OF NECROTIC FEMORAL HEAD AND LEVEL OF PAIN AND DISEASE STAGE. Vietnam Medical Journal, 524(1B). https://doi.org/10.51298/vmj.v524i1B.4725

RELATIONSHIP BETWEEN THE LESION IMAGE ON THE MAGNETIC RESONANCE OF NECROTIC FEMORAL HEAD AND LEVEL OF PAIN AND DISEASE STAGE

Thùy Dương Lê1,, Thị Bình Lưu 2, Minh Núi Nguyễn3
1 HaiPhong Medical College
2 Thai Nguyen Department of health
3 Vietnam Military Medical Academy

Main Article Content

Abstract

Objective: To determine the relationship between the lesion characteristics on magnetic resonance image with pain level and disease stage of patients with aseptic necrosis of the femoral head. Subjects and Methods: A cross-sectional descriptive study on 245 patients (416 femoral heads) with aseptic necrosis of the femoral head at Viet Duc, Bach Mai, E and Thai Nguyen National Hospitals from Jan 2017 to May 2022. Results: Double line signs were most common in stage II (92.4%), bone marrow edema was most often seen in stage III (89.0%). 54.5% of femoral head stage I have necrosis area less than 15% of femoral head area, 43.5% of femoral head stage II have necrosis area of ​​more than 30% of femoral head area. Mild subchondral fractures and femoral head collapse (<15%) were most common in stage III of the disease with rates of 26.5% and 60.2%; Severe subchondral fractures and femoral fractures (>30%) in stage IV accounted for the highest rates of 24.2% and 46.2%. The rate of femoral head bone marrow edema and hip effusion increased gradually with pain (p<0.001). The rate of hip with clinically severe pain was found in 89.2% of femoral head with signs of bone marrow edema and 84.2% of hip with effusion on magnetic resonance imaging. The proportion of femoral head with double line image on magnetic resonance decreased gradually with the degree of hip pain (p<0.005). Conclusion: Magnetic resonance imaging of necrotic femoral head is related to pain level and disease stage.

Article Details

Keywords

Aseptic necrosis of the femoral head, avascular necrosis of the femoral head, magnetic resonance, hip pain.

References

1. Hines, J. T., et al. (2021), "Osteonecrosis of the Femoral Head: an Updated Review of ARCO on Pathogenesis, Staging and Treatment", J Korean Med Sci. 36(24), p. e177.
2. Ikeuchi, K., et al. (2015), "Epidemiology of nontraumatic osteonecrosis of the femoral head in Japan", Mod Rheumatol. 25(2), pp. 278-81.
3. Vardhan, H., et al. (2018), "Epidemiological Profile of Femoral Head Osteonecrosis in the Nort Indian Population", Indian J Orthop. 52(2), pp. 140-146.
4. Lưu Thị Bình (2011), Nghiên cứu lâm sàng và chẩn đoán hoại tử vô khuẩn chỏm xương đùi ở người lớn, Luận án tiến sĩ Y học, Học viện Quân YV.
5. Tan, B., et al. (2021), "Epidemiological Study Based on China Osteonecrosis of the Femoral Head Database", Orthop Surg. 13(1), pp. 153-160.
6. Huang, G. S., et al. (2003), "MR imaging of bone marrow edema and joint effusion in patients with osteonecrosis of the femoral head: relationship to pain", AJR Am J Roentgenol. 181(2), pp. 545-9.
7. Hatanaka, H., et al. (2019), "Differences in magnetic resonance findings between symptomatic and asymptomatic pre-collapse osteonecrosis of the femoral head", Eur J Radiol. 112, pp. 1-6.
8. Belmar, C. J., Steinberg, M. E., and Hartman-Sloan, K. M. (2004), "Does pain predict outcome in hips with osteonecrosis?", Clin Orthop Relat Res(425), pp. 158-62.