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Review
. 2021 Jun;105(349):85-93.
doi: 10.1016/j.morpho.2020.12.001. Epub 2021 Jan 5.

Avascular osteonecrosis of the hip: The vision of the radiologist (radiology, MRI, CT and scintigraphy)

J-P Tasu  1 , P-O Duboe  2 , N Florez  2 , G Herpe  2
Affiliations
Review

Avascular osteonecrosis of the hip: The vision of the radiologist (radiology, MRI, CT and scintigraphy)

J-P Tasu et al. Morphologie. 2021 Jun.

Abstract

Hip osteonecrosis is a localization at the hip of aseptic osteonecrosis, a disease characterized by bone infarction. Face to a painful hip, the first examination to carry out should be a standard radiograph examination. At an early stage, the radiographs remain strictly normal MRI remains the reference examination with a sensitivity of 71-100% and specificity of 94-100%. On T2 weighting-imaging, a hyperintense line between the normal and ischemic marrow is sometimes visible; this sign is pathognomonic of bone necrosis and is known as the "double line sign". This article reviews imaging features of standard radiographs, computed tomography and MRI and addresses the role of imaging in this pathology.

Keywords: Aseptic osteonecrosis; CT; Hip; Imaging; MRI.

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