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Classification of Avascular Necrosis of the Hip

Stages

  1. Normal hip with contralateral disease
  2. Normal radiographic appearance diagnosided on MRI or bone scan
  3. Radiographic changes with no collapse & spherical head
  4. Wedged shaped ↑ density, mottled osteoporosis, subchondral lucency / fracture, collapse, head no longer spherical
  5. Marked changes with secondary degeneration & collapse of subchondral bone
  6. Secondary acetabular degeneration