Study on correlation between bone marrow edema, stage of necrosis and area ratio of necrosis with the hip pain grading in nontraumatic osteonecrosis of the femoral head

Wang Jianchuan 1 , Yang Lei 1 , Wang Benjie 1 , and Zhao Dewei 1
  • 1 Zhongshan Hospital of Dalian University Orthopaedic Laboratory, Dalian, Liaoning Province, China, 116001

Abstract

The objective of this study was to explore the correlation between bone marrow edema, stage of necrosis, and area ratio of necrosis with the hip pain grading in non-traumatic osteonecrosis of the femoral head. Bone marrow edema grading at all levels and the hip pain grade differences were statistically significant (P < 0.001). Bone marrow edema grading increased by levels of 0, 1, and 2, whereas average pain rating increased as well to 40.73, 104.66 and 143.49. I ~ III period stage of necrosis and the hip pain grade difference was statistically significant (P < 0.001), with the average grade progress pain stage by the death of a rank gradually increased, I period, II period, III period was 57.00, 88.58 and 120.62, respectively. Area ratio of necrosis between 0 ~ 3 were positively correlated with pain, compared the two was statistically significant (P < 0.001), and with the degree of pathological changes is aggravating, increase the average rank of levels of pain. 0, 1, 2 and 3 are 36.88, 98.03, 123.87 and 151.93 respectively. We can choose the treatment method and evaluate treatment effect by considering a patients’ degree of bone marrow edema, stage of necrosis and area ratio of necrosis.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • [1] Weidauer S., Ge B., Xu I.K., Practical science, Bone Beijing, People’s military medical press, 2012, 1857-1880

  • [2] International association for the study of pain, Pain terms, A current list with definitions and notes on usage, Pain, 1986, 3, 5216-5221

  • [3] Merboth M.k., Barnason S., Managing pain the fifth vital sign, J. Nurs. Clin. North Am., 2000, 35(2), 375-383

  • [4] He W., Zhang Q., Non traumatic femoral head necrosis of bone marrow edema and pain grading and staging of necrosis, Reconstruction China repair correlation surg., 2008, 22 (3), 7

  • [5] Zhao F., Li Z., Nianfei Z., Chao M., Chuanzhi X., Proportion of necrotic area in the predictive value of femoral head collapse, Chinese Journal of Department of Orthopedics, 2005, 5 (9), 783

  • [6] Lu Y., Science joint, Beijing, People’s Medical Publishing House, 2002, 18-20

  • [7] ARCO (Association Research Circulation Osseous), Committee on Terminology and Classification,ARCO News, 1992, 4, 41-46

  • [8] Kubo T.,Yamamoto T., Inoue S., et a1., Histological findings of bone marrow edema pattern on MRI in osteonecrosis of the femoral head, I. Orthop. Sci., 2000, 5(5), 520-523

  • [9] Ito H., Matsuno T., Kaneda K., Prognosis of early stage a vascular necrosis of the femoral head, Clin. Orthop. Relat. Res., 1999, (358), 149-157

  • [10] Koo K.H., Ahn I.O., Kim R., et a1., Bone marrow edema and associated pain in early stage osteonecrosis of the femoral head, prospective study with serial MR images, Radiology, 1999, 213(3), 715-722

  • [11] Fengzhao Z., Zirong L., Bailiang W., et al., Study on the correlation between bone marrow edema and collapse of the femoral head and the pain of the Department of orthopedics, Magazine, 2008, 28 (8)

  • [12] Sower M.F., Hayes C., Jamadar D., et al., Magnetic resonancedetected subchondral bone marrow and cartilage defect characteristic associated with pain and X-ray-defined knee osteoarthritis, Osteoarthritis Cartilage, 2003, 11(6), 387-393

  • [13] Xiaopeng G., Baicheng C., Xia W., et al., Radiological study of bone marrow edema and pain in knee osteoarthritis cartilage, The correlation of Department of orthopedics magazine, 2005, 25 (11), 682-686

  • [14] Peirong Z., Qixin Z., Ruihua Q., et al., MRI of a vascular necrosis of the femoral head bone marrow edema, Journal of Radiology, 2006, 22 (7), 835-837, 853

  • [15] Piplani M.A., Disler D.G., McCauley T.R., et al., Articular cartilage volume in the knee, semiautomated determination from three dimensional reformations of MR images, Radiology, 1996, 198(3), 855-859

OPEN ACCESS

Journal + Issues

Search