Grimm E S, Blend M J, Anderson T M
Chicago College of Osteopathic Medicine, Ill.
J Am Osteopath Assoc. 1992 Jun;92(6):766-70, 775-6.
Avascular necrosis of the hip is a serious clinical problem encountered by primary care physicians. It requires early detection for proper management and treatment. The clinician should be aware of the imaging modalities available for evaluation of patients with suspected avascular necrosis. Traditional studies include plain-film radiography, computed tomography, and planar bone scintigraphy. Magnetic resonance imaging and single-photon emission computed tomography bone scanning have been developed to such an extent that they are now the most sensitive indicators of early avascular necrosis. The authors review currently available imaging modalities and provide a practical approach to the assessment of patients with suspected avascular necrosis of the hip.
髋关节缺血性坏死是基层医疗医生面临的一个严重临床问题。它需要早期检测以便进行适当的管理和治疗。临床医生应了解可用于评估疑似缺血性坏死患者的成像方式。传统的检查包括X线平片、计算机断层扫描和平面骨闪烁显像。磁共振成像和单光子发射计算机断层扫描骨扫描已发展到目前成为早期缺血性坏死最敏感的指标。作者回顾了目前可用的成像方式，并提供了一种评估疑似髋关节缺血性坏死患者的实用方法。
