Degeneration of articular cartilage in osteonecrosis of the femoral head begins at the necrotic region after collapse: a preliminary study using T1 rho MRI.

Objective: The purpose of this study is to evaluate the role of collapse on the degeneration of articular cartilage in patients with osteonecrosis of the femoral head (ONFH).Materials and Methods: Sixteen hips in 12 patients (four men, eight women; mean age, 34.8 years) with a history of systemic co...

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Publicado en:Skeletal Radiology Vol. 46; no. 4; pp. 463 - 468
Autores principales: Sonoda, Kazuhiko, Motomura, Goro, Kawanami, Satoshi, Takayama, Yukihisa, Honda, Hiroshi, Yamamoto, Takuaki, Nakashima, Yasuharu
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Apr2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00256-017-2567-z
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        atl: Degeneration of articular cartilage in osteonecrosis of the femoral head begins at the necrotic region after collapse: a preliminary study using T1 rho MRI.
      aug:
        au:
          Sonoda, Kazuhiko
          Motomura, Goro
          Kawanami, Satoshi
          Takayama, Yukihisa
          Honda, Hiroshi
          Yamamoto, Takuaki
          Nakashima, Yasuharu
        affil: Department of Orthopaedic Surgery, Graduate School of Medical Sciences , Kyushu University , 3-1-1 Maidashi Higashi-ku Japan
      sug:
        subj:
          Cartilage, Articular
          Osteonecrosis
          Magnetic Resonance Imaging Methods
          Male
          Adult
          Reproducibility of Results
          Middle Age
          Female
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objective: The purpose of this study is to evaluate the role of collapse on the degeneration of articular cartilage in patients with osteonecrosis of the femoral head (ONFH).Materials and Methods: Sixteen hips in 12 patients (four men, eight women; mean age, 34.8 years) with a history of systemic corticosteroid treatment were studied using T1 rho magnetic resonance imaging (MRI). Six hips had collapsed ONFH, five had non-collapsed ONFH, and five had no osteonecrosis (controls). Using oblique coronal images, we divided the articular surface of necrotic femoral heads into a region just above the necrotic bone (necrotic zone) and another above the living bone (living zone). T1 rho value was evaluated for each zone.Results: The mean T1 rho value in the necrotic zone was significantly higher in the collapsed ONFH group (48.4 ± 2.7 ms) than in the non-collapsed ONFH group (41.0 ± 0.9 ms). In the collapsed ONFH group, the mean T1 rho value was significantly higher in the necrotic zone (48.4 ± 2.7 ms) than in the living zone (43.5 ± 2.5 ms). In the non-collapsed ONFH group, there was no significant difference between the mean T1 rho values of the necrotic and living zones. In the collapsed ONFH group, the mean T1 rho value of the necrotic zone and the interval from pain onset to the MRI examination were positively correlated.Conclusions: The current T1 rho MRI study suggested that the degeneration of articular cartilage in ONFH begins at the necrotic region after collapse.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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