mrjСовременная ревматологияModern Rheumatology Journal1996-70122310-158XIMA-PRESS, LLC10.14412/1996-7012-2013-2378mrj-476Research ArticleСтатьиArticlesОстеонекроз. Часть 2. Клиника и диагностика аваскулярного некрозаOsteonecrosis. Part 2. The clinical picture and diagnosis of avascular necrosisБарсковаВ. Г.BarskovaV G-IlyinykhEkaterina ValeriyevnaIlyinykhEkaterina Valeriyevnakater1104@yahoo.comСмирновА. В.SmirnovA V-ВладимировС. А.VladimirovS A-МировичО. В.MirovichO V-БожьеваЛ. А.BozhyevaL A-НасоновЕвгений ЛьвовичNasonovE L-20131506201372№2 (2013)3236Copyright © Барскова В.Г., Ilyinykh E.V., Смирнов А.В., Владимиров С.А., Мирович О.В., Божьева Л.А., Насонов Е.Л., 20132013Барскова В.Г., Ilyinykh E.V., Смирнов А.В., Владимиров С.А., Мирович О.В., Божьева Л.А., Насонов Е.Л.Barskova V.G., Ilyinykh E.V., Smirnov A.V., Vladimirov S.A., Mirovich O.V., Bozhyeva L.A., Nasonov E.L.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/476

В статье описаны основные клинические проявления остеонекроза (ОН), рассмотрены методы его лучевой диагностики и охарактеризованы изменения в зависимости от стадии процесса. Представлены различные классификации ОН.

The paper describes the major clinical manifestations of osteonecrosis (ON), considers methods for its radiodiagnosis, and characterizes changes depending on the stage of ON. Different classifications of this process are presented.

остеонекрозаваскулярный некрозклинические проявления остеонекрозастадии остеонекрозаметоды диагностикимагнитно-резонансная томографияosteonecrosisavascular necrosisclinical manifestations of osteonecrosisstages of osteonecrosisdiagnostic methodsmagnetic resonance tomographyReferences<div><p>Насонова В.А. Остеонекроз тазобедренного сустава. Cons med 2003;5: 8.</p><p>Mont M., Jones L., Hungerford D. Nontraumatic osteonecrosis of the femoral head: Ten years later. J Bone Joint Surg Am 2006;88:1117-32.</p><p>Inoue S., Horii M., Asano T. et al. Risk factors for nontraumatic osteonecrosis of the femoral head after renal transplantation. J Orthop Sci 2003;8:751-6.</p><p>Yamamoto T. Subchondral insufficiency fractures of the femoral head. Clin orthoped surg 2012;4:173-80.</p><p>Da Silva Jr G.B., Daher E.F., da Rocha F.A. Osteoarticular involvement in sickle cell disease. Rev Bras Hematol Hemoter 2012;34(2):156—64.</p><p>James C.C.M. Late bone lesions in Caisson disease: three cases in submarine personnel. Lancet 1945;2:6-8.</p><p>Aseptic bone necrosis in commercial divers. A report from the decompression sick ness central registry and radiological panel. Lancet 1981:384-8.</p><p>Bolte H., Koch A., Tetzlaff K. et al. Detection of dysbaric osteonecrosis in military divers using magnetic resonance imaging. Eur Radiol 2005;15:368-75.</p><p>Glickstein M.F., Burk D.L., Shiebler M.L. et al. Avascular necrosis versus orther diseases of the hip: sensitivity of MR imaging. Radiology1988; 169:213-5.</p><p>Sweet D.E., Madewell J.E. Osteonecrosis pathogenesis. In: Diagnosis of bone and joint disorders. D.K. Resnick (ed.). Philadelphia:Saunders, 1994;3445—94.</p><p>Yamamoto T., di Carlo E.F., Bullough P.G. The prevalence and clinico-pathological appearance of extension of osteonecrosis in the femoral head. J Bone Joint Surg Br 1999;81:328-32.</p><p>Shimizu K., Moriya H., Akita T. et al. Prediction of collapse with magnetic resonance imaging of avascular necrosis of the femoral head. J Bone Joint Surg Am 1994;76:215-23.</p><p>Sugano N., Takaoka K., Ohzono K. еt al. Prognostication of nontraumatic avascular necrosis of the femoral head. Significance of location and size of the necrotic lesion. Clin Orthop Relat Res 1994;(303):155-64.</p><p>Sugano N., Kubo T., Takaoka K. et al. Diagnostic criteria for non-traumatic osteonecrosis of the femoral head, A multicentre study. J Bone Joint Surg Br 1999;81(4):590-5.</p><p>Ficat R.P., Arlet J. Functional investigation of bone under normal conditions. In: Ischemia and necrosis of bone. Hungerford D.S. (ed.). Baltimore: Williams and Wilkins, 1980;29-52.</p><p>Kay R.M., Lieberman J.R., Dorey F.J., Seeger L.L. Inter- and intraobserver variation in staging patients with proven avascular necrosis of the hip. Clin Orthop 1994;307:124-9.</p><p>Smith S.W., Meyer R.A., Connor P.M. et al. Interobserver reliability and intraobserver variability of the modified Ficat classification system of osteonecrosis of the femoral head. J Bone Joint Surg Br 1996;78:1702-6.</p><p>Mont M.A., Hungerford D.S. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am 1995;77(3):459-74.</p><p>Huang G.S., Chan W.P., Chang Y.C. et al. MR imaging of bone marrow edema and joint effusion in patients with osteonecrosis of the femoral head: relationship to pain. AJR 2003;181(2):545-9.</p><p>Mitchell D.G., Kressel H.Y., Arger P.H. et al. Avascular necrosis of the femoral head: morphologic assessment by MR imaging, with CT correlation. Radiology 1986;161:739-42.</p><p>Mitchell D.G., Steinberg M.E., Dalinka M.K. et al. Magnetic resonance imaging of the ischemic hip. Alterations within the osteonecrotic, viable, and reactive zones. Clin Orthop Relat Res 1989; 244:60-77.</p><p>Hofmann S., Kramer J., Plenk H. Osteonecrosis of the hip in adults. Orthopade 2005;34:171-83.</p></div><br /><div><p>Насонова В.А. Остеонекроз тазобедренного сустава. Cons med 2003;5: 8.</p><p>Mont M., Jones L., Hungerford D. Nontraumatic osteonecrosis of the femoral head: Ten years later. J Bone Joint Surg Am 2006;88:1117-32.</p><p>Inoue S., Horii M., Asano T. et al. Risk factors for nontraumatic osteonecrosis of the femoral head after renal transplantation. J Orthop Sci 2003;8:751-6.</p><p>Yamamoto T. Subchondral insufficiency fractures of the femoral head. Clin orthoped surg 2012;4:173-80.</p><p>Da Silva Jr G.B., Daher E.F., da Rocha F.A. Osteoarticular involvement in sickle cell disease. Rev Bras Hematol Hemoter 2012;34(2):156—64.</p><p>James C.C.M. Late bone lesions in Caisson disease: three cases in submarine personnel. Lancet 1945;2:6-8.</p><p>Aseptic bone necrosis in commercial divers. A report from the decompression sick ness central registry and radiological panel. Lancet 1981:384-8.</p><p>Bolte H., Koch A., Tetzlaff K. et al. Detection of dysbaric osteonecrosis in military divers using magnetic resonance imaging. Eur Radiol 2005;15:368-75.</p><p>Glickstein M.F., Burk D.L., Shiebler M.L. et al. Avascular necrosis versus orther diseases of the hip: sensitivity of MR imaging. Radiology1988; 169:213-5.</p><p>Sweet D.E., Madewell J.E. Osteonecrosis pathogenesis. In: Diagnosis of bone and joint disorders. D.K. Resnick (ed.). Philadelphia:Saunders, 1994;3445—94.</p><p>Yamamoto T., di Carlo E.F., Bullough P.G. The prevalence and clinico-pathological appearance of extension of osteonecrosis in the femoral head. J Bone Joint Surg Br 1999;81:328-32.</p><p>Shimizu K., Moriya H., Akita T. et al. Prediction of collapse with magnetic resonance imaging of avascular necrosis of the femoral head. J Bone Joint Surg Am 1994;76:215-23.</p><p>Sugano N., Takaoka K., Ohzono K. еt al. Prognostication of nontraumatic avascular necrosis of the femoral head. Significance of location and size of the necrotic lesion. Clin Orthop Relat Res 1994;(303):155-64.</p><p>Sugano N., Kubo T., Takaoka K. et al. Diagnostic criteria for non-traumatic osteonecrosis of the femoral head, A multicentre study. J Bone Joint Surg Br 1999;81(4):590-5.</p><p>Ficat R.P., Arlet J. Functional investigation of bone under normal conditions. In: Ischemia and necrosis of bone. Hungerford D.S. (ed.). Baltimore: Williams and Wilkins, 1980;29-52.</p><p>Kay R.M., Lieberman J.R., Dorey F.J., Seeger L.L. Inter- and intraobserver variation in staging patients with proven avascular necrosis of the hip. Clin Orthop 1994;307:124-9.</p><p>Smith S.W., Meyer R.A., Connor P.M. et al. Interobserver reliability and intraobserver variability of the modified Ficat classification system of osteonecrosis of the femoral head. J Bone Joint Surg Br 1996;78:1702-6.</p><p>Mont M.A., Hungerford D.S. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am 1995;77(3):459-74.</p><p>Huang G.S., Chan W.P., Chang Y.C. et al. MR imaging of bone marrow edema and joint effusion in patients with osteonecrosis of the femoral head: relationship to pain. AJR 2003;181(2):545-9.</p><p>Mitchell D.G., Kressel H.Y., Arger P.H. et al. Avascular necrosis of the femoral head: morphologic assessment by MR imaging, with CT correlation. Radiology 1986;161:739-42.</p><p>Mitchell D.G., Steinberg M.E., Dalinka M.K. et al. Magnetic resonance imaging of the ischemic hip. Alterations within the osteonecrotic, viable, and reactive zones. Clin Orthop Relat Res 1989; 244:60-77.</p><p>Hofmann S., Kramer J., Plenk H. Osteonecrosis of the hip in adults. Orthopade 2005;34:171-83.</p></div><br />

The authors declare that there are no conflicts of interest present.