[The early radiological findings of idiopathic necrosis of the femoral head in adults (author's transl)].
Idiopathic necrosis of the femoral head in adults occurs in about 2 to 3% of all cases of degenerative hip disease. Advanced necrosis with collapse of the head offers a difficult therapeutic problem in younger patients. Early radiological diagnosis is therefore important. The typical, early radiological findings were studied in a hundred patients with idiopathic necrosis of the femoral head. They consist of an area of sclerosis at the junction of the head and neck, with a periosteal response on the inferior margin of the neck. The relationship of these changes with mechanical stress and defective blood supply is discussed. Signs of more advanced necrosis are band-like sclerosis at the point of demarkation and sub-chondral decalcification of the femoral head. Recognition of the early radiological features improves the chances of successful treatment, particularly in the lower age group.
D000328:Adult; D000368:Aged; D003649:Decalcification, Pathologic / Q000150:complications; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging*; D006615:Hip / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D010026:Osteosclerosis / Q000150:complications / Q000000981:diagnostic imaging; D011859:Radiography; D013314:Stress, Mechanical; D013997:Time Factors
Röntgenologische Frühsymptome der idiopathischen Hüftkopfnekrose Erwachsener.