Table 2.

ONFH progression to collapse

StageCriteria for stagingNo. of hips
At initial visitAt final follow-up
Hip at risk with normal X-ray and MRI findings 56 
Abnormal MRI findings, normal X-ray findings 42 
II Abnormal X-rays with sclerotic or cystic changes in the femoral head but no crescent line 23 18 
III Abnormal X-rays with a crescent sign and femoral head flattening ≤1 mm 
IV Collapse of the femoral head ≥1 mm without joint space narrowing 
Joint space narrowing 49 
VI Advanced degenerative changes 42 
StageCriteria for stagingNo. of hips
At initial visitAt final follow-up
Hip at risk with normal X-ray and MRI findings 56 
Abnormal MRI findings, normal X-ray findings 42 
II Abnormal X-rays with sclerotic or cystic changes in the femoral head but no crescent line 23 18 
III Abnormal X-rays with a crescent sign and femoral head flattening ≤1 mm 
IV Collapse of the femoral head ≥1 mm without joint space narrowing 
Joint space narrowing 49 
VI Advanced degenerative changes 42 

X-ray indicates plain radiographic imaging. Reprinted from Hernigou et al21  with permission.

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