Abstract:
OBJECTIVE:To document the imaging findings observed in patients with an unusual pattern of abnormality of the femoral head, most likely representing osteonecrosis. DESIGN AND PATIENTS:The imaging findings in 11 patients (10 men, 1 woman; age range 32-55 years) with a distinct lesion of the femoral head were reviewed with particular attention to the morphologic appearance, location, and extent of the lesion(s) in the proximal femur. RESULTS:The 16 lesions identified in these patients extended to the subchondral area. Articular collapse was not evident in any hip. Radiography and CT showed areas of mixed bone sclerosis and osteolysis surrounded by sclerotic margins. On MR imaging, the signal intensity characteristics of the osseous lesion(s) were most commonly similar to those of fluid. Histopathologic findings, available in two hips, were typical of osteonecrosis. There was evidence of correlation of the site of the lesion with the known general distribution and anastomoses of arteries supplying the femoral head. CONCLUSION:A distinct, focal lesion of the femoral head is believed to represent an atypical form of bone necrosis. Its restriction to a small portion of the femoral head may relate to localized vascular anatomy. Recognition of the quite characteristic imaging findings can prevent misdiagnosis and may have implications for the prediction of the natural course of the disease.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Theodorou DJ,Theodorou SJ,Haghighi P,Resnick Ddoi
10.1007/s00256-002-0503-2keywords:
subject
Has Abstractpub_date
2002-08-01 00:00:00pages
435-44issue
8eissn
0364-2348issn
1432-2161journal_volume
31pub_type
杂志文章abstract::Primary neoplastic vascular lesions of bone are rare, and include haemangiomas, haemangioendothelioma, epithelioid haemangioendothelioma and angiosarcoma. These lesions may be multicentric, and when they involve bone are typically intraosseous and lytic. Radiological findings are not always specific. We report a case ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-005-0060-6
更新日期:2006-10-01 00:00:00
abstract::There is a large variety of conditions that can result in 'bone marrow edema' or 'bone marrow lesions' (BML) in the wrist on magnetic resonance imaging (MRI). The combination of clinical history and the distribution of the BML can serve as a valuable clue to a specific diagnosis. This article illustrates the different...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-019-03204-1
更新日期:2019-10-01 00:00:00
abstract::A case of sclerosing epithelioid fibrosarcoma and its appearance on MRI is presented. The tumor showed a zonal architecture on MRI with a large central core of very low signal intensity and a peripheral rim of intermediate to high signal intensity on T1- and T2-weighted spin echo pulse sequences. The core showed decre...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050297
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVE:To assess the diagnostic performance of quantitative and qualitative image parameters in cone-beam computed tomography (CBCT) for diagnosis of bisphosphonate-related osteonecrosis of the jaw (BRONJ). MATERIALS AND METHODS:A BRONJ (22 patients, mean age 70.0 years) group was age and gender matched to a health...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-1951-1
更新日期:2014-12-01 00:00:00
abstract::Well differentiated (low grade) osteosarcomas are often unrecognized and inadequately treated. We report on a patient with a well differentiated osteosarcoma of the tibia that radiographically presented with two strikingly dissimilar appearing juxtaposed lesions. Proximally, the lesion was sclerotic, and distally, ost...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0534-8
更新日期:2002-08-01 00:00:00
abstract::In a collection of 101 anatomical preparations of the human pelvis, ossification of the sacrotuberous ligament was found in 8 cases. In 7 of these, the ossification showed a characteristic intraligamentous morphology, with a broad-based origin at the ischial tuberosity and tapering off craniomedially. The length varie...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00197139
更新日期:1993-11-01 00:00:00
abstract::Radial wrist pain is a common clinical complaint. The relatively complex anatomy in this region, combined with the small size of the anatomical structures and occasionally subtle imaging findings, can pose problems when trying to localize the exact cause of pain. To fully comprehend the underlying pathology, one needs...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-014-1840-7
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:(1) To determine the accuracy of computed tomography (CT) in the evaluation of ligament tear and avulsion in patients with tibial plateau fracture. (2) To evaluate whether the presence or severity of fracture gap and articular depression can predict meniscal injury. DESIGN AND PATIENTS:A fellowship-trained m...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-006-0216-z
更新日期:2007-02-01 00:00:00
abstract::Lipomatosis of nerve is a rare benign tumor-like process characterized by infiltration of the epineurium by adipose and fibrous tissue leading to nerve enlargement. We describe a case of lipomatosis of the sciatic nerve compressed by an adjacent desmoid tumor. This case supports the hypothesis that lipomatosis of nerv...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1671-y
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:The aims of this study were to compare the ultrasound thickness of the affected axillary recess capsule (ARC) with that of the unaffected ARC in patients with frozen shoulder (FS), to analyze whether the ultrasound measurements of the ARC thickness correlate with those obtained using MRI, and to assess whethe...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-018-2959-8
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to evaluate the effects of continuous leg traction on contrast-enhanced MR imaging of the hip joint and to determine whether MR imaging under these conditions is useful for demonstrating acetabular labral tears. DESIGN AND PATIENTS:Nineteen hips underwent MR imaging with a T1-...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050094
更新日期:1996-05-01 00:00:00
abstract::A small spur seen at the edge of an open epiphyseal line indicates the presence of an open epiphysis when this is not clear radiographically. In addition, the spur should not be mistaken for an avulsion fracture. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00347260
更新日期:1980-01-01 00:00:00
abstract::We present a case of a hibernoma arising from the left axilla in a 24-year-old woman. The imaging characteristics on both contrast-enhanced CT (attenuation similar to surrounding skeletal muscle) and T1-weighted MR imaging (signal intensity intermediate between those of skeletal muscle and subcutaneous fat) were incon...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0533-9
更新日期:2003-05-01 00:00:00
abstract::Post menopausal osteoporotic fractures are a major public health concern worldwide with oral bisphosphonates favored for their prevention and treatment. Recent interest has centered on clinically observed, unusually sited femoral diaphyseal fractures, particularly attributed to alendronate. Their imaging presentations...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1130-6
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:The objective was to retrospectively record the CT and MRI features and healing patterns of acute, incomplete stress fractures of the pars interarticularis. METHOD:The CT scans of 156 adolescents referred with suspected pars interarticularis stress fractures were reviewed. Patients with incomplete (grade 2) ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-008-0449-0
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:The objectives of the current study were (1) to quantify the incidence of increased T2 signal in the distal clavicle and (2) to assess the clinical significance of this finding in patients with chronic acromioclavicular (AC) joint pain. DESIGN AND PATIENTS:Eight patients (five male and three female, 15-41 ye...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560000284
更新日期:2000-12-01 00:00:00
abstract::Magnetic resonance imaging (MRI) findings of a rare complication of posterior glenohumeral dislocation are described in two patients which led to shoulder dysfunction caused by interposition of rotator cuff tendon(s) into the glenohumeral joint. Both patients underwent successful surgical fixation and now have returne...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-012-1478-2
更新日期:2013-01-01 00:00:00
abstract::Most authorities favor the hypothesis of an acquired etiology of os odontoideum. We present the cases of identical twin sisters with os odontoideum in association with a congenital partial fusion of the posterior elements of the second and third cervical vertebrae, and discuss the implications. We believe that this is...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00209102
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVE:To compare fat-suppressed fast spin-echo (FSE) T2-weighted images with gradient-recalled echo (GRE) T2*-weighted images in the evaluation of anteroinferior labral tears. DESIGN:MR images were retrospectively reviewed by two radiologists masked to the history and arthroscopic findings. They separately interpr...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050238
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVE:Burnout is a job-related psychological syndrome with three aspects: emotional exhaustion, depersonalization, and perceived lack of personal accomplishment. Burnout is associated with deleterious effects on both workers and their work. When burnout affects physicians, their well-being, longevity, and care of p...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-017-2578-9
更新日期:2017-04-01 00:00:00
abstract::Osseous metastases to the hand and wrist are uncommon. Most cases represent the manifestation of known malignancy with disseminated disease. Less commonly, acrometastases are the initial presentation of malignancy. In both instances, diagnosis of malignancy is frequently not considered either clinically or radiographi...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00198077
更新日期:1995-02-01 00:00:00
abstract::The radiological diagnosis of Paget's disease of bone is usually straightforward because most cases conform to well-established classic descriptions. Diagnosis becomes more difficult, however, when radiological appearances are not typical or other disease processes mask or alter the behavior of Paget's disease. Exampl...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF02412358
更新日期:1994-05-01 00:00:00
abstract:OBJECTIVE:To determine the ultrasonographic changes after steroid injection in carpal tunnel syndrome (CTS) and to evaluate the diagnostic value of ultrasound in post-treatment examination with clinical correlation. MATERIALS AND METHODS:Twenty-seven wrists with idiopathic CTS after a single injection of 40 mg of pred...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-017-2738-y
更新日期:2017-11-01 00:00:00
abstract::The weight of the head and trunk is transferred to the lower extremities through that segment of the spine articulating either directly or indirectly with the ilii. When a lumbosacral transitional vertebra is present the position of the weight-bearing platform usually changes. A bony entity is formed delineated superi...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00349578
更新日期:1982-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to describe the elastographic appearance of the Achilles tendon in healthy subjects and patients with surgically repaired complete ruptures. MATERIALS AND METHODS:Nineteen Achilles tendons of 16 amateur footballers with surgically repaired complete ruptures and their contralatera...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1339-4
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:To delineate the spectrum of knee injuries associated with sprains and tears of the distal iliotibial band (ITB). MATERIALS AND METHODS:A retrospective review of 200 random MRI scans undertaken for acute knee trauma was performed. Scans were excluded if there was a history of injury over 4 weeks from the tim...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-1918-2
更新日期:2014-10-01 00:00:00
abstract::COVID-19 has presented with a variety of manifestations including peripheral neurological symptoms. The most commonly associated peripheral neuropathies described with COVID-19 are Guillain-Barre syndrome and its variants as well as critical illness polyneuropathy. We report in this paper the distinct MRI findings of ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-021-03721-y
更新日期:2021-01-31 00:00:00
abstract:AIM:To evaluate the use of ultrasonography (US) in the diagnosis of gluteal muscle contracture (GMC) by analysis of its imaging characteristics. MATERIALS AND METHODS:Thirty-nine patients suspected of having GMC due to abnormal gait underwent pre-operative US. RESULTS:The diagnosis of GMC was confirmed by surgery in ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-009-0869-5
更新日期:2011-02-01 00:00:00
abstract::In a review of 42 cases of degenerative arthritis of the cervical spine and 22 cases of cervical spine trauma with an observed anterior slippage (spondylolisthesis) or posterior slippage (retrolisthesis) of the vertebral bodies of 2 mm or more, characteristic features were observed which allowed distinction between de...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00355101
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVE:We demonstrate the clinical use of an MR angiography sequence performed with sparse k-space sampling (MRA), as a method for dynamic contrast-enhanced (DCE)-MRI, and apply it to the assessment of sarcomas for treatment response. MATERIALS AND METHODS:Three subjects with sarcomas (2 with osteosarcoma, 1 with h...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1604-9
更新日期:2013-07-01 00:00:00