课件：股骨头坏死的影像学表现.ppt

后面内容直接删除就行 资料可以编辑修改使用 资料可以编辑修改使用 资料仅供参考，实际情况实际分析 * * MRI Evaluation of Collapsed Femoral Heads in Patients 60 Years Old or Older: Differentiation of Subchondral Insufficiency Fracture From Osteonecrosis of the Femoral Head 2011.4.17 From AJR:195, July 2010 Words Subchondral Insufficiency Fracture：软骨下不全骨折 Osteonecrosis of the Femoral Head：股骨头坏死 Convex 凸 ncavity 凹 软骨下不全骨折（Subchondral insufficiency fracture,简称SIFs） 1、软骨下机能不全性骨折是非外伤性的一种骨折。 2、最常见的病因：骨质疏松，不常见的病因是骨质软化症或骨不全症、甲状旁腺功能亢进和类风湿性关节炎等。 3、发病原理：正常软骨可忍受正常的生物机械应力，当由于上述病因变得软弱时，可出现软骨下骨折，并发展为软骨下萎陷，为此需认识此病作出早期诊断，多数患者经保守治疗后可自愈。 OBJECTIVE The purpose of this article is to verify the hypothesis that osteonecrosis and subchondral insufficiency fracture of the femoral head can be differentiated on the basis of their appearance on MRI. SUBJECTS AND METHODS 1 Between May 1998 and February 2009, we reviewed 30 consecutive hips in 30 patients, 60 years old or older at the time of onset of hip pain, with radiologic evidence of subchondral collapse of the femoral head and with both MR images and histologic results available. SUBJECTS AND METHODS 2 The patients were divided into two group according to the shape of low-intensity bands on T1-weighted images. The first group showed concavity of the articular surface, which is characteristic of osteonecrosis, and the second group showed an irregular convexity of the articular surface, which is characteristic of subchondral insufficiency fracture. A In osteonecrosis, low-intensity band is smooth, concave to articular surface, and circumscribes all of necrotic segments. B In subchondral insufficiency fracture, low-intensity band is irregular, convex to articular surface, and discontinuous. RESULTS Sixteen hips (53.3%) showed evidence of osteonecrosis, and 14 (46.7%) showed evidence of subchondral insufficiency fracture, which was consistent with the corresponding histopathologic diagnoses. In a