Abstract:
OBJECTIVES:Management of patients with osteonecrosis of the hip remains controversial and challenging. Because the prognosis and treatment are determined in large part by the stage and extent of the disease, it is important to use a reliable and efficient method for evaluation and staging. The objective of this study was to determine how musculoskeletal (MSK) radiologists evaluate osteonecrosis and whether this evaluation is adequate. MATERIALS AND METHODS:A 12-part questionnaire was designed to determine how MSK radiologists evaluate patients with osteonecrosis of the femoral head (ONFH). This was sent to 888 members of the Society of Skeletal Radiology. RESULTS:One hundred and twenty-one members responded to essentially all questions. Patients were evaluated using plain radiographs and MRI. All agreed that it is clinically important to determine the extent of necrosis and joint involvement, and 115 (95 %) stated that this should be part of the radiologists' evaluation. However, only 55 (46 %) said that in practice they used a specific system of classification, and most of these used the Ficat and Arlet classification, which does not indicate the extent of involvement. One hundred and seven (88 %) respondents included a simple visual estimate of the extent of involvement, and a small number added a specific measurement of lesion size. The majority indicated that they were infrequently consulted about which imaging studies should be obtained. CONCLUSIONS:Although radiologists recognize the clinical importance of determining the extent of necrosis and joint involvement in patients with ONFH, in practice the methods used to evaluate these patients often do not accomplish this satisfactorily. The use of an effective classification, which includes both stage and extent of involvement, should be stressed, as it will lead to improved treatment of patients with ON. Physicians who order imaging studies for patients with ON should be encouraged to consult routinely with their radiology colleagues regarding which studies to request, as well as on the interpretation of these studies.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Lee GC,Khoury V,Steinberg D,Kim W,Dalinka M,Steinberg Mdoi
10.1007/s00256-013-1803-4subject
Has Abstractpub_date
2014-05-01 00:00:00pages
607-14issue
5eissn
0364-2348issn
1432-2161journal_volume
43pub_type
杂志文章abstract::We report a case of a metastatic bone tumor that mimicked spontaneous osteonecrosis of the medial condyle of the femur on magnetic resonance imaging. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050610
更新日期:2000-05-01 00:00:00
abstract::With the growing number of orthopedic reconstructive spinal procedures, the use of bone grafting has steadily increased in the past decade. An understanding of the biology of bone grafting is essential for both the clinician and radiologist. Despite the advent of computed tomography and magnetic resonance imaging, con...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00241813
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVE:This study assessed the CT and MRI findings of solitary nevus lipomatosus cutaneous superficialis (NLCS). MATERIALS AND METHODS:Eleven patients with histopathologically and clinically confirmed solitary NLCS who underwent CT and/or MRI were enrolled. Radiological and histopathological findings of elevated le...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-019-03269-y
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate differences in parameters of diffusion kurtosis imaging (DKI) and minimum apparent diffusion coefficient (ADCmin) between benign and malignant musculoskeletal tumors. MATERIALS AND METHODS:In this prospective study, 43 patients were scanned using a DKI protocol on a ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-018-2946-0
更新日期:2019-02-01 00:00:00
abstract::Focal myositis is a pseudotumor of soft tissue that typically occurs in the deep soft tissue of the extremities, and is a relatively rare lesion. There is a wide clinical spectrum, with approximately one-third of patients with focal myositis subsequently developing polymyositis, and clinical symptoms of generalized we...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050382
更新日期:1998-05-01 00:00:00
abstract::Radiographs of the hand in a group of 40 patients with the Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome were studied. Most of the patients had the following abnormalities: brachymesophalangy of digits 2-5 (22/39 patients), small distal phalanx of digit 1 (22/39 patients), long proximal phalanx of digits 3-4 (19/39 p...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00356958
更新日期:1987-01-01 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::Mesenchymal chondrosarcoma of bone is a rare high-grade variant of chondrosarcoma, which typically has central intramedullary location. The tumor is characterized by admixture of highly anaplastic small round malignant cells and islands of mineralized low-grade hyaline cartilage. It is most unusual for this tumor to a...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-017-2626-5
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the impact of radiation dose reduction on image quality in patients with metal-on-metal total hip arthroplasties (THAs) using model-based iterative reconstruction (MBIR) combined with orthopaedic metal artefact reduction (O-MAR). MATERIALS AND METHODS:Patients with metal-on-metal THAs received a ...
journal_title:Skeletal radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00256-019-03206-z
更新日期:2019-11-01 00:00:00
abstract::A case of OS of the T6 vertebra in a 58-year-old man is presented. Diagnosis was obtained by an open biopsy. The clinical and radiographic findings were described. The topic of vertebral OS was discussed at length. We emphasize the fact that OS of the spine is rare and that those cases not associated with Paget's dise...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00243074
更新日期:1992-01-01 00:00:00
abstract::Peripheral nerves often traverse confined fibro-osseous and fibro-muscular tunnels in the extremities, where they are particularly vulnerable to entrapment and compressive neuropathy. This gives rise to various tunnel syndromes, characterized by distinct patterns of muscular weakness and sensory deficits. This article...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-011-1143-1
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:To describe the characteristics of neurogenic heterotopic ossification (NHO) based on clinical tests, electroneuromyography (ENMG) and CT in a database of patients with lesions of the central nervous system who required sciatic nerve neurolysis along with posterior hip NHO resection, and to determine the resp...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-2003-6
更新日期:2015-02-01 00:00:00
abstract::The Morel-Lavallee lesion is a serous collection in the region of the greater trochanter, resulting from a closed degloving injury at the deep fascial interface. Imaging demonstrates characteristic appearance in relation to this lesion, differentiating it from other mass lesions. We report a case of Morel-Lavallee les...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-006-0122-4
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE:The present study aims to provide orientation for clinicians and radiologists to recognize the most prevalent findings leading to diagnosis in mucolipidosis from a description of the natural history of five Brazilian cases. MATERIALS AND METHODS:We conducted an observational and retrospective study of five p...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-019-3159-x
更新日期:2019-08-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to describe a variety of non-neoplastic causes of high-signal-intensity areas seen on T2-weighted magnetic resonance (MR) images obtained after treatment for malignant musculoskeletal neoplasm. DESIGN:MR examinations obtained after treatment for malignant musculoskeletal neopl...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00228920
更新日期:1995-04-01 00:00:00
abstract::We report the development of isolated lower extremity metastases, in a child, 9 years after her initial diagnosis and treatment of bilateral infantile retinoblastomas. The radiographic, scintigraphic, computed tomographic, and magnetic resonance imaging findings are discussed. The dominant metastatic focus was blastic...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-005-0916-9
更新日期:2006-10-01 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::A case of Petriellidium boydii (synonym: Allescheria boydii) infection of the knee joint is described. It followed a penetrating soft tissue injury with a pitchfork. Such infections are rare in this country and bone involvement has not been recorded previously except in maduramycosis contracted in tropical areas. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00360494
更新日期:1982-01-01 00:00:00
abstract:OBJECTIVE:The flexor digitorum accessorius longus muscle (FDAL), an anomalous muscle about the ankle, has recently been implicated in tarsal tunnel syndrome. The purpose of this study is to document the prevalence of the FDAL, its MR appearance and its relation to the neurovascular bundle in the tarsal tunnel. DESIGN ...
journal_title:Skeletal radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s002560050489
更新日期:1999-03-01 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:OBJECTIVE:Pathological rotation of the leg is a well-known problem in paediatric orthopaedics. In this study the normal development of tibial torsion during growth was evaluated by computed tomography (CT). DESIGN:Seventy-eight normal individuals (52 children, 26 adults) aged 3-51 years were examined with CT. In axial...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560100388
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:To clarify the phenotype in a bone dysplasia termed "spondyloepiphyseal dysplasia with accumulation of glycoprotein in the chondrocytes" by Stanescu et al. DESIGN AND PATIENTS:Subjects comprised two definitive cases of one family and one probable case of another family. Histologic examination in one patient ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050363
更新日期:1998-04-01 00:00:00
abstract::This report describes the early magnetic resonance imaging (MRI) findings and long-term follow-up results of albendazole treatment in a 16-year-old girl with primary hydatid disease of the femur diagnosed incidentally during the course of a post-traumatic knee infection. As far as we know, this is the first report of ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560100393
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVE:A prospective study was conducted to determine the accuracy of routine magnetic resonance (MR) imaging in correctly identifying subchondral fracture in avascular necrosis of the femoral head without apparent focal collapse on standard radiographs. MATERIALS AND METHODS:Spiral computed tomography (CT) with co...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-009-0659-0
更新日期:2009-06-01 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::Myoepitheliomas (MEs) are uncommon tumours of the soft tissue with an intermediate biological behaviour and uncertain differentiation. Primary intra-osseous MEs are rare and occur predominantly in the axial and proximal appendicular skeleton in middle-aged patients. The morphological variation of the tumour cells and ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-016-2452-1
更新日期:2016-10-01 00:00:00
abstract:OBJECTIVE:To determine the accessibility of the coracohumeral ligament (CHL) by ultrasound (US) and to determine CHL thickness in adhesive capsulitis of the shoulder. DESIGN AND PATIENTS:US examinations were carried out in 498 consecutive shoulders of 306 individuals (194 women and 112 men), mean age 47.4 years (range...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-006-0136-y
更新日期:2006-09-01 00:00:00
abstract::Gorham-Stout disease (also known as "disappearing bone disease") was first described by Jackson in 1838, but was properly defined by Gorham and Stout in a series of 24 patients in 1954-1955. It is a rare disease of unknown etiology (about 200 cases reported in the literature) characterized by spontaneous progressive r...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-010-1051-9
更新日期:2011-11-01 00:00:00
abstract::Part II of this comprehensive review on magnetic resonance imaging of the elbow discusses the role of magnetic resonance imaging in evaluating patients with abnormalities of the ligaments, tendons, and nerves of the elbow. Magnetic resonance imaging can yield high-quality multiplanar images which are useful in evaluat...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-004-0854-y
更新日期:2005-01-01 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