Modern possibilities of instrumental diagnostics of early stages of avascular osteonecrosis
V. E. Bialik,
M. A. Makarov,
E. I. Bialik,
S. А. Makarov,
A. E. Karateev,
A. M. Lila,
V. A. Nesterenko,
A. A. Bialik,
D. V. Kapitonov,
A. I. Gorelova https://doi.org/10.14412/1996-7012-2024-6-107-113
Abstract
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.
Keywords
avascular osteonecrosis,
bone tissue edema,
dynamic magnetic resonance perfusion imaging with gadolinium contrast enhancement
Supporting agencies: The investigation has not been sponsored.
About the Authors
V. E. Bialik
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
Valery Evgenievich Bjalik
34A, Kashirskoe Shosse, Moscow 115522
M. A. Makarov
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
E. I. Bialik
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
S. А. Makarov
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
A. E. Karateev
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
A. M. Lila
V.A. Nasonova Research Institute of Rheumatology; Department of Rheumatology Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522; 2/1, Barrikadnaya Street, Build. 1, Moscow 125993
V. A. Nesterenko
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
A. A. Bialik
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
D. V. Kapitonov
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
A. I. Gorelova
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
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For citations:
Bialik VE, Makarov MA, Bialik EI, Makarov SА, Karateev AE, Lila AM, Nesterenko VA, Bialik AA, Kapitonov DV, Gorelova AI. Modern possibilities of instrumental diagnostics of early stages of avascular osteonecrosis. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2024;18(6):107-113. (In Russ.) https://doi.org/10.14412/1996-7012-2024-6-107-113
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