Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2010-7-2
pubmed:abstractText
The purpose of this study was to evaluate retrospectively the progression of reparative changes in osteonecrosis of the femoral head over a long period of time, using both serial plain films and magnetic resonance (MR) images. The subjects were 25 patients with 33 hips affected by osteonecrosis, followed conservatively for more than 10 years (mean, 14.1; range, 10 to 23.4). At the latest follow-up examination, there were 11 hips at the non-collapse stage, 17 hips at the collapse stage where collapse has ceased, and five hips at the osteoarthritic stage. An increase in radiographic sclerosis of the lesion area was seen in 14 of 17 hips which showed cessation of collapse, 13 of which showed an intralesional area with intermediate signal intensity on fat suppression MR images. Four of five hips at the osteoarthritic stage also showed an intralesional area with intermediate signal intensity on fat suppression MR images. Ten of 11 hips at the non-collapse stage showed a normal fat signal intensity area demarcated with a low-signal-intensity band on T1-weighted MR images. In the 24 hips followed for more than 5 years with MR imaging (mean, 9.2; range, 5.9 to 13.8), changes of lesion size of abnormal signal intensity on T1-weighted MR images were not observed. In conclusion, reparative process was limited to the periphery of osteonecrosis over a long period of time unless collapse had occurred. If collapse had ceased minimally, the reconstructive repair process could be facilitated.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
1434-9949
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
29
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
841-8
pubmed:meshHeading
pubmed:year
2010
pubmed:articleTitle
Repair in osteonecrosis of the femoral head: MR imaging features at long-term follow-up.
pubmed:affiliation
Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita 565-0871 Osaka, Japan. masaki-tko@umin.ac.jp
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't