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Progress in imaging diagnosis of osteonecrosis of the femoral head after developmental dysplasia of the hip
ZHOU Hua-dong  MENG Yan  LU Zhao  PAN Shi-nong 

DOI:10.12015/issn.1674-8034.2018.09.013.


[Abstract] Developmental dysplasia of the hip is one of the most common extremity abnormalities in pediatric orthopedics. Closed reduction is the most common way of the treatment. Ischemic necrosis of the epiphysis of the femoral head is one of the most serious iatrogenic complications after closed reduction of developmental dislocation of the hip joint. MR perfusion imaging can be used to detect the symptoms of femoral head ischemia early. Serious consequences caused by untimely discovery could be avoided. This article will discuss the causes of avascular necrosis of the femoral head after developmental dysplasia of the hip and the development of imaging diagnosis of the necrosis of the femoral head.
[Keywords] Femur head necrosis；Hip dislocation, congenital；Diagnostic imaging；Magnetic resonance imaging

ZHOU Hua-dong Department of Radiology, Shengjing hospital of China Medical University Shenyang 110000 China

MENG Yan Department of Radiology, Shengjing hospital of China Medical University Shenyang 110000 China

LU Zhao Department of Radiology, Shengjing hospital of China Medical University Shenyang 110000 China

PAN Shi-nong* Department of Radiology, Shengjing hospital of China Medical University Shenyang 110000 China

*Corresponding to: Pan SN, E-mail: cjr.panshinong@vip.163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This paper is funded by the National Key Research and Development Program Digital Diagnosis and Treatment Equipment Research No. 2016YFC0107102
Received  2018-05-07
Accepted  2018-07-20
DOI: 10.12015/issn.1674-8034.2018.09.013
DOI:10.12015/issn.1674-8034.2018.09.013.

[1]
Li L, Wang X, Zhao Q et al. CX3CR1 polymorphisms associated with an increased risk of developmental dysplasia of the hip in human. J Orthop Res, 2017, 35(2): 377-380.
[2]
Pollet V, Percy V, Prior HJ. Relative risk and incidence for developmental dysplasia of the hip. J Pediatr, 2017, 181: 202-207.
[3]
Studer K, Williams N, Studer P, et al. Obstacles to reduction in infantile developmental dysplasia of the hip. J Child Orthop, 2017, 11(5): 358-366.
[4]
Sankar WN, Gornitzky AL, Clarke NM, et al. Closed reduction for developmental dysplasia of the hip: early-term results from a prospective, multicenter cohort. J Pediatr Orthop, 2016. DOI:
[5]
Schur MD, Lee C, Arkader A, et al. Arkader A Risk factors for avascular necrosis after closed reduction for developmental dysplasia of the hip. J Child Orthop, 2016, 10(3): 185-192.
[6]
Wang BL, Sun W, Shi ZC, et al. Treatment of nontraumatic osteonecrosis of the femoral head using bone impaction grafting through a femoral neck window. Int Orthop, 2010, 34(5): 635-639.
[7]
Vandergugten S, Traore SY, Docquier PL. Risk factors for avascular necrosis after closed reduction for developmental dysplasia of the hip. Acta Orthop Belg, 2016, 82(4): 787-796.
[8]
Zlotorowicz M, Szczodry M, Czubak J et al. Ciszek Anatomy of the medial femoral circumflex artery with respect to the vascularity of the femoral head. J Bone Joint Surg Br, 2011, 93(11): 1471-1474.
[9]
Russell ME, Shivanna KH, Grosland NM, et al. Cartilage contact pressure elevations in dysplastic hips: a chronic overload model. J Orthop Surg Res, 2006, 1(1) :1-6.
[10]
Chen GX, Yang L, Li K, et al. A three-dimensional finite element model for biomenchanical analysis of the hip. Cell Biochem Biophys, 2013, 67(2): 803-808.
[11]
Connolly P, Weinstein SL. The course and treatment of avascular necrosis of the femoral head in developmental dysplasia of the hip. Acta Orthop Traumatol Turc, 2007, 41 (2Suppl 1): 54-59.
[12]
李锐博，黄强，杨静，等．成人非创伤性股骨头坏死与髋关节发育不良相关性的影像学研究．中国骨与关节杂志, 2016, 5(7): 511-515.
[13]
Wingstrand H, wingstrand A. Biomechanics of the hip joint capsule: a mathematical model and clinical implications. Clin Biomech (Bristol, Avon). 1997, 12(5): 273-280.
[14]
Jaramillo D, Villegas-Medina OL, Doty DK, et al. Gadolinium-enhanced MR imaging demonstrated abduction-caused hip ischemia and its reversal in piglets. AJR Am J Roentgenol, 1996, 166(4): 879-887.
[15]
Kalamchi A, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am, 1980, 62(6): 876-888.
[16]
Schmitt-Sody M, Kirchhoff C, Mayer W, et a1. Avascular necrosis of the femoral head: inter-and intraobserver variations of Ficat and ARCO classifications. Int Orthop, 2008, 32(3): 283-287.
[17]
Wang C, Meng H, Wang Y, et al. Analysis of early stage osteonecrosis of the human femoral head and the mechanism of femoral head collapse. Int J Biol Sci, 2018, 14(2): 156-164.
[18]
闫燃，张雪哲．磁共振灌注成像诊断在股骨头缺血性坏死的初步应用．中华医学杂志, 2008, 88(16): 1107-1110.
[19]
Sandrasegaran K. Functional MR imaging of the abdomen. Radiol Clin North Am, 2014, 52(4): 883-903.
[20]
牛金亮，王峻，李文晋，等．激素治疗风湿病患者股骨头骨坏死风险评估的MRI研究．中国医学影像学杂志, 2012, 20(1): 5-8.
[21]
O'Connor JP, Jackson A, Parker GJ, et al. DCE-MRI biomarkers in the clinical evaluation of antiangiogenic and vascular disrupting agents. Br J Cancer, 2007, 96(2): 189-195.
[22]
Leach MO, Brindle KM, Evelhoch JL, et al. The assessment of antiangiogenic and antivascular therapies in early-stage clinical trials using magnetic resonance imaging: issues and recommendations. Br J Cancer, 2005, 92(9): 1599-1610.
[23]
Akisik MF, Sandrasegaran K, Bu G, et al. Pancreatic cancer: utility of dynamic contrast-enhanced MR imaging in assessment of antiangiogenic therapy. Radiology, 2010, 256(2): 441-449
[24]
姚秀忠，曾蒙苏．胰腺癌磁共振功能成像的最新进展．中国临床医学影像杂志, 2011, 22(4): 258-261.
[25]
韩鸿宾．应用磁共振成像技术定量测量活体大鼠脑细胞外间隙的扩散参数．北京大学学报（医学版）, 2012, 44 (5): 770-775.
[26]
Kupprsamy K, Lin W, Cizek G, et al. In vivo regional cerebral blood volume：quantitative assessment with 3D T1-weighted pre- and postcontrast MR imaging. Radiology, 1996, 201(1): 106-112.
[27]
Lin W, Celik A, Paczynski RP. Regional cerebral blood volume: a comparison of the dynamic imaging and the steady state methods. J Magn Reson Imaging, 1999, 9(1): 44-52.
[28]
Tanabel JL, Yongbi M, Branch C, et al. MR perfusion imaging in human brain using the UNFAIR technique. Un-inverted flow-sensitive alternating inversion recovery. J Magn Reson Imaging, 1999, 9(6): 761-767.
[29]
郭媛，罗柏宁．血氧水平依赖功能磁共振成像的临床应用．现代医学仪器与应用, 2006, 11(4): 57-59.
[30]
闫燃，张雪哲.皮质类固醇致股骨头缺血性坏死的磁共振成像早期改变的实验研究．中日友好医院学报, 2007, 21(1): 28-31.
[31]
Menezes NM, Connolly SA, Shapiro F, et al. Early ischemia in growing piglet skelet on: MR diffusion and perfusion imaging. Radiology, 2007, 242(1): 129-136.
[32]
龙从杰，丁仁义，许新复，等．股骨头缺血坏死MRI动态增强的实验研究．西南国防医药, 2003, 13(1): 17-21.
[33]
李小明，漆剑频，王仁法，等．动态Gd增强MR成像在诊断超早期股骨头骨骺缺血和观察骨骺血供特征研究中的运用．中国临床医学影像杂志, 2007, 18(2): 136-139.
[34]
吴勇，谭志红，张萍妹．动态增强MRI评估髋关节脱位手法复位发生股骨头缺血性坏死几率．现代医用影像学, 2016, 25(2): 305-306.
[35]
张海平，敖国昆，袁小东，等．股骨头坏死磁共振灌注参数与ARCO分期的相关性．中国医学影像学杂志, 2016, 24(4): 316-320.
[36]
蔡敏，李宏宇．股骨头微循环检测方法的研究进展．医学综述, 2013, 19(10): 1835-1838.

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