JRM
Journal of Radiology in Medicine

Journal of Radiology in Medicine is an international journal that published original research and articles in all areas of radiology. Its publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

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Original Article
Evaluation of hip angles with magnetic resonance imaging in early stage femoral head osteonecrosis
Abstract
Aims: It was aimed to evaluate the alpha and Wiberg angles of patients with clinical and radiological diagnosis of idiopathic femoral head osteonecrosis (FHO) in comparison with the control group.
Methods: Routine hip MRI (Magnetic resonance imaging) s between January 2022 and May 2024 were examined retrospectively. MRI images diagnosed with early stage (Stage I, II according to Ficat and Arlet classification), idiopathic femoral head osteonecrosis were recorded. A control group matched in age and gender was created. Alpha angle was measured as the angle between the parallel line drawn from the center of the femoral head to the femoral neck in axial MRIs and the line drawn from the transition point between the femoral head and neck in the anterior to the center of the femoral head. Wiberg's central corner angle was measured as the angle between the perpendicular line drawn from the center of the femoral head to the acetabulum and the line connecting the outermost point of the acetabulum in coronal images. Measurements were compared statistically in both groups. P<0.05 was considered statistically significant.
Results: A total of 70 hips were examined, including 35 FHO (13 unilateral and 11 bilateral hips) and 35 control groups (3 unilateral and 16 bilateral hips). There was no difference between the groups in terms of age and gender (P>0.05). We found statistically significant differences in alpha and Wiberg angles between the FHO and control groups (P=0.04, P=0.025, respectively). There was no statistically significant difference between stages I and II in terms of alpha and Wiberg angles (P= 0.376, P= 0.078, respectively).
Conclusion: These changes in hip angle measurements in this study may explain the cause of idiopathic FHO. We can predict femoral head osteonecrosis early.

Keywords : Hip, femur head, femur head necrosis, MRI, asetabulum

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1. Crim J, Layfield LJ, Stensby JD, Schmidt RL. Comparison ofradiographic and pathologic diagnosis of osteonecrosis of the femoralhead. AJR Am J Roentgenol. 2021;216(4):1014-1021.
2. Klein M, Bonar S, Freemont T, Vinh T, Lopez-Ben R, Siegel H.Traumatic and circulatory alterations of bone. Atlas of non-tumourpathology, non-neoplastic diseases of bones and joints: AmericanRegistry of pathology and armed forces institute of pathology.Washington DC. 2011;1:299-354.
3. Glickstein MF, Burk D, Schiebler M, et al. Avascular necrosis versusother diseases of the hip: sensitivity of MR imaging. Radiology.1988;169(1):213-215.
4. Stoica Z, Dumitrescu D, Popescu M, Gheonea I, Gabor M, Bogdan N.Imaging of avascular necrosis of femoral head: familiar methods andnewer trends. Curr Health Sci J. 2009;35(1):23.
5. Jawad MU, Haleem AA, Scully SP. In brief: ficat classification: avascularnecrosis of the femoral head. Clin Orthop Relat Res. 2012;470(9):2636-2639.
6. Ficat RP. Necrosis of the femoral head. Ischemia and necross of bone.1980;17:171-182.
7. N&ouml;tzli H, Wyss T, Stoecklin C, Schmid M, Treiber K, Hodler J. Thecontour of the femoral head-neck junction as a predictor for the risk ofanterior impingement. J Bone Joint Surg Br. 2002;84(4):556-560.
8. Matcuk Jr GR, Price SE, Patel DB, White EA, Cen S. Acetabular labraltear description and measures of pincer and cam-type femoroacetabularimpingement and interobserver variability on 3 T MR arthrograms.Clin Imaging. 2018;50:194-200.
9. G&uuml;nay C, &Ouml;z&ccedil;elik A. Is Stage 2 idiopathic osteonecrosis of the hip jointassociated with version angles on imaging methods? Jt Dis Relat Surg.2021;32(3):611.
10. K&uuml;lt&uuml;r T, İnal M. Evaluation of hip angles with magnetic resonanceimaging in femoroacetabular impingement syndrome. N Engl J Med.2020;3(3):225-230.
11. Mitchell D, Rao VM, Dalinka MK, Spritzer C, Alavi A, Steinberg M,et al. Femoral head avascular necrosis: correlation of MR imaging,radiographic staging, radionuclide imaging, and clinical findings.Radiology. 1987;162(3):709-715.
12. Keogh MJ, Batt ME. A review of femoroacetabular impingement inathletes. Sports Med. 2008;38:863-878.
13. Aldridge JM, Urbaniak JR. Avascular necrosis of the femoral head:etiology, pathophysiology, classification, and current treatmentguidelines. Am J Orthop. 2004;33(7):327-332.
14. Zeng J, Zeng Y, Wu Y, Liu Y, Xie H, Shen B. Acetabular anatomicalparameters in patients with idiopathic osteonecrosis of the femoralhead. J Arthroplasty. 2020;35(2):331-334.
15. Allen D, Beaul&eacute; P, Ramadan O, Doucette S. Prevalence of associateddeformities and hip pain in patients with cam-type femoroacetabularimpingement. J Bone Joint Surg Br. 2009;91(5):589-594.
16. Hatakeyama A, Utsunomiya H, Nishikino S, et al. Predictors of poorclinical outcome after arthroscopic labral preservation, capsularplication, and cam osteoplasty in the setting of borderline hip dysplasia.Am J Sports Med. 2018;46(1):135-143.
Article available in :
Volume 1, Issue 3, 2024
Page : 46-49
https://doi.org/10.51271/JRM-0013
Article Information
Received : 01 Tem 2024
Accepted : 26 Tem 2024
Published : 29 Tem 2024
Corresponding Author :

Mehmet Hamdi Şahan: Department of Radiology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkiye

[email protected]
Citation : Şahan MH, Mete D. Evaluation of hip angles with magnetic resonance imaging in early stage femoral head osteonecrosis. J Radiol Med. 2024;1(3):46-49.

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