MRI spectrum of avascular necrosis of femoral head in patients treated for COVID-19.

IF 1.3 4区 医学 Q3 ORTHOPEDICS
HIP International Pub Date : 2024-07-01 Epub Date: 2024-03-08 DOI:10.1177/11207000241233906
Khan Akhtar Ali, Lingxiao He, Jianwen Li, Weikai Zhang, Bahebieergan Tasiken, Hui Huang
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引用次数: 0

Abstract

Background and purpose: This prospective observational study aimed to investigate the occurrence of avascular necrosis (AVN) of the femoral head in COVID-19 patients through MRI scans. The study examined the patterns of AVN in 110 individuals who had undergone conventional COVID-19 therapy and reported hip discomfort. This study highlights the importance of considering AVN as a potential complication of COVID-19 therapy, particularly in younger patients who experience hip discomfort.

Methods: Individuals who had corticosteroid treatment for COVID-19 and experienced hip discomfort during 6 months between January 2022 and August 2022 were included in this study, and an MRI scan was done to observe changes in the hip joint.

Results: The results were classified using the Ficat and Arlet classification system. The analysis revealed that AVN was not present in 91.81% of cases. However, Stage I AVN was detected in 4.54% of cases, Stage II AVN in 2.72% of cases, and Stage III AVN in 1.1% of cases. No cases of Stage IV AVN were observed.

Conclusions: The study concludes that AVN occurred in 6% of individuals who underwent conventional therapy for COVID-19 and experienced hip discomfort. In these settings (post COVID-19), normal MRI results were more typical, and mild AVN (Stage I) was a frequent finding in MRI scans that were positive.

接受 COVID-19 治疗的患者股骨头血管性坏死的 MRI 图谱。
背景和目的:这项前瞻性观察研究旨在通过磁共振成像扫描调查 COVID-19 患者股骨头血管性坏死(AVN)的发生情况。研究对 110 名接受过 COVID-19 常规治疗并报告髋部不适的患者进行了 AVN 模式检查。这项研究强调了将 AVN 视为 COVID-19 疗法潜在并发症的重要性,尤其是对于出现髋部不适的年轻患者:方法:将接受皮质类固醇治疗 COVID-19,并在 2022 年 1 月至 2022 年 8 月的 6 个月期间出现髋部不适的患者纳入本研究,并进行核磁共振成像扫描以观察髋关节的变化:结果:采用 Ficat 和 Arlet 分类系统对结果进行分类。分析结果显示,91.81%的病例不存在 AVN。然而,4.54%的病例发现了Ⅰ期 AVN,2.72%的病例发现了Ⅱ期 AVN,1.1%的病例发现了Ⅲ期 AVN。没有发现 IV 期 AVN:研究得出结论,在接受 COVID-19 传统疗法并出现髋部不适的患者中,有 6% 的人出现了 AVN。在这些情况下(COVID-19 后),正常的 MRI 结果更为典型,而轻度 AVN(I 期)是 MRI 扫描呈阳性的常见结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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