mrjСовременная ревматологияModern Rheumatology Journal1996-70122310-158XIMA-PRESS, LLC10.14412/1996-7012-2024-6-107-113mrj-1674Research ArticleОБЗОРЫREVIEWSСовременные возможности инструментальной диагностики ранних стадий аваскулярного остеонекрозаModern possibilities of instrumental diagnostics of early stages of avascular osteonecrosishttps://orcid.org/0000-0002-3745-0924БяликВ. Е.BialikV. E.

Валерий Евгеньевич Бялик

115522, Москва, Каширское шоссе, 34А

Valery Evgenievich Bjalik

34A, Kashirskoe Shosse, Moscow 115522

DoctorBjalik@yandex.ruhttps://orcid.org/0000-0002-5626-7404МакаровМ. А.MakarovM. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0001-7938-1536БяликЕ. И.BialikE. I.

115522, Москва, Каширское шоссе, 34А; 125993, Москва, ул. Баррикадная, 2/1, стр. 1

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0001-8563-0631МакаровС. А.MakarovS. А.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0002-1391-0711КаратеевА. Е.KarateevA. E.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0002-6068-3080ЛилаА. М.LilaA. M.

115522, Москва, Каширское шоссе, 34А; 125993, Москва, ул. Баррикадная, 2/1, стр. 1

34A, Kashirskoe Shosse, Moscow 115522; 2/1, Barrikadnaya Street, Build. 1, Moscow 125993

https://orcid.org/0000-0002-7179-8174НестеренкоВ. А.NesterenkoV. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0002-5256-7346БяликА. А.BialikA. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0002-0454-0974КапитоновД. В.KapitonovD. V.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0009-0009-5068-3536ГореловаА. И.GorelovaA. I.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian FederationФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»; кафедра ревматологии ФГБОУ ДПО «Российская медицинская академия непрерывного профессиональногообразования» Минздрава РоссиРоссияV.A. Nasonova Research Institute of RheumatologyRussian FederationФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»; кафедра ревматологии ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияV.A. Nasonova Research Institute of Rheumatology; Department of Rheumatology Russian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaRussian Federation202414122024186107113Copyright © Бялик В.Е., Макаров М.А., Бялик Е.И., Макаров С.А., Каратеев А.Е., Лила А.М., Нестеренко В.А., Бялик А.А., Капитонов Д.В., Горелова А.И., 20242024Бялик В.Е., Макаров М.А., Бялик Е.И., Макаров С.А., Каратеев А.Е., Лила А.М., Нестеренко В.А., Бялик А.А., Капитонов Д.В., Горелова А.И.Bialik V.E., Makarov M.A., Bialik E.I., Makarov S.А., Karateev A.E., Lila A.M., Nesterenko V.A., Bialik A.A., Kapitonov D.V., Gorelova A.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://mrj.ima-press.net/mrj/article/view/1674

Аваскулярный остеонекроз (АОН) – распространенная патология, которая может развиваться в любом возрасте, чаще у молодых и трудоспособных людей. Заболевание приводит к быстрому разрушению и коллапсу субхондральной кости с последующим формированием вторичного остеоартрита пораженного сустава. В обзоре представлены современные методы инструментальной диагностики АОН. Особое внимание уделено выявлению I стадии АОН. Обсуждается подход к ранней диагностике АОН, который может изменить ошибочное представление об отеке костной ткани как признаке, характерном только для АОН, улучшить дифференциацию заболевания с другими состояниями и результаты лечения.

Avascular osteonecrosis (AON) is a common condition that can occur at any age, but more often in young and able-bodied people. The disease leads to rapid destruction and collapse of the subchondral bone with subsequent formation of secondary osteoarthritis of the affected joint. The review presents modern methods of instrumental diagnostics of AON. Particular attention is paid to the detection of stage I AON. An approach to early diagnosis of AON is discussed that may change the misconception of viewing bone tissue edema as a sign characteristic only of AON and may improve differential diagnosis of the disease from other conditions and treatment outcomes.

аваскулярный остеонекрозотек костной тканидинамическая магнитно-резонансная перфузионная визуализация с контрастным усилением гадолиниемavascular osteonecrosisbone tissue edemadynamic magnetic resonance perfusion imaging with gadolinium contrast enhancementИсследование не имело спонсорской поддержки.The investigation has not been sponsored.ReferencesBergman J, Nordstrцm A, Nordstrцm P. Epidemiology of osteonecrosis among older adults in Sweden. Osteoporos Int. 2019 May; 30(5):965-973. doi: 10.1007/s00198-018-04826-2. Epub 2019 Jan 9.Bergman J, Nordstrцm A, Nordstrцm P. Epidemiology of osteonecrosis among older adults in Sweden. Osteoporos Int. 2019 May; 30(5):965-973. doi: 10.1007/s00198-018-04826-2. Epub 2019 Jan 9.Lee MJ, Corrigan J, Stack JP, Ennis JT. A comparison of modern imaging modalities in osteonecrosis of the femoral head. Clin Radiol. 1990 Dec;42(6):427-32. doi: 10.1016/s0009-9260(05)80900-6.Lee MJ, Corrigan J, Stack JP, Ennis JT. 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The authors declare that there are no conflicts of interest present.