Verification of the diagnosis of transient osteoporosis and aseptic necrosis: a comparative analysis of the possibilities of modern methods of radiation diagnosis
https://doi.org/10.58708/2074-2088.2026-1(37)-104-111
Abstract
There are two types of pathology in which the clinical picture and magnetic resonance semiotics are similar in the early stages of the disease, but it is important to distinguish them. Aseptic, also known as avascular necrosis, is a severe degenerative-dystrophic disease that eventually leads to osteoarthritis and disability. Transient osteoporosis is an independent temporary clinical condition of unknown etiology, which is usually resolved by conservative therapy. In the early stages, avascular necrosis is diagnosed using a modern imaging method — magnetic resonance imaging (MRI), in the later stages radiography and computed tomography (CT) are used, whereas transient osteoporosis is usually diagnosed only using MRI, radiography and osteodensitometry can sometimes be informative in the later stages. A correct diagnosis affects the prognosis of the disease, as well as the choice of treatment tactics.
About the Authors
A. V. Domantsevich
ГУ «РНПЦ радиационной медицины и экологии человека»
Belarus
Belarus
E. V. Davydova
ГУ «РНПЦ радиационной медицины и экологии человека»
Belarus
Belarus
V. A. Domantsevich
ГУ «РНПЦ радиационной медицины и экологии человека»
Belarus
Belarus
References
1. Матвеев, Р. П. Аваскулярный некроз головки бедренной кости (обзор литературы) / Р. П. Матвеев, С. В. Брагина // Экология человека. – 2018. – № 3. – С. 58–64.
2. Asadipooya, K. Transient osteoporosis of the hip: review of the literature / K. Asadipooya, L. Graves, L.W. Greene // Osteoporos Int. – 2017. – Vol. 28, №6. – Р. 1805–1816. – DOI: 10.1007/s00198-017-3952-0.
3. Matthews, A.H. Avascular Necrosis / A.H. Matthews, D.D. Davis, M.J. Fish, D. Stitson // StatPearls Publishing, Treasure Island – URL: https://www.ncbi.nlm.nih.gov/books/NBK537007 (дата обращения: 10.12.2025).
4. Эранов, Н.Ф. Современный взгляд на диагностику и лечение аваскулярного некроза головки бедренной кости / Н.Ф. Эранов, Ш.Н. Эранов, А.М. Нуралиев // Международный журнал систем здравоохранения и медицинских наук. – 2022. – Т. 1, №5. – С. 277–280. – DOI: https://doi.org/10.51699/ijhsms.v1i5.485.
5. Антонов, А.В. Асептический некроз головки бедренной кости: этиопатогенез, ранняя диагностика и лечение / А.В. Антонов, В.Е. Воловик // Acta biomedica scientifica. – 2019. – Т. 4, №6. – С. 60–67. – DOI: 10.29413/ABS.2019-4.6.9.
6. Gold, M. Anatomy, Bony Pelvis and Lower Limb, Hip Joint / M. Gold, A. Munjal, M.A. Varacallo // StatPearls Publishing; Treasure Island – URL: https://www.ncbi.nlm.nih.gov/books/NBK470555 (дата обращения 10.12.2025).
7. Baig S.A. Osteonecrosis of the Femoral Head: Etiology, Investigations, and Management / S.A. Baig, M.N. // Cureus. – 2018. – Vol. 10, №8. – Р. 3171. – DOI: 10.7759/cureus.3171.
8. Barney, J. Femoral Head Avascular Necrosis / J. Barney, N. S. Piuzzi, H. Akhondi // StatPearls Publishing; Treasure Island – URL: https://www.ncbi.nlm.nih.gov/books/NBK546658 (дата обращения 10.12.2025).
9. Leo, M. Biophysical stimulation in osteo necrosis of the femoral head / M. Leo, F. Milena, C. Ruggero // Indian J. Orthop. – 2009. – Vol. 43, №1. – P. 17–21.
10. Transient osteoporosis of the hip / F. Gaillard, D. Bell, M. Klontzas [et al.] // Radiopaedia – URL: https://radiopaedia.org/articles/transient-osteoporosisof-the-hip-1 (дата обращения 11.12.2025).
11. Arbab, D. Atraumatic Femoral Head Necrosis in Adults / D. Arbab, D.P. König // Dtsch Arztebl Int. – 2016. – Vol. 113, №3. – Р. 31–38.
12. Osteonecrosis of the femoral head / F. Gaillard, B. Rasuli, D. Bell [et al] // Radiopaedia – URL: https://radiopaedia.org/articles/osteonecrosis-of-thefemoral-head?case_id=avascular-necrosis-of-the-hip-2 (дата обращения 11.12.2025).
Review
For citations:
Domantsevich A.V., Davydova E.V., Domantsevich V.A. Verification of the diagnosis of transient osteoporosis and aseptic necrosis: a comparative analysis of the possibilities of modern methods of radiation diagnosis. Medical and Biological Problems of Life Activity. 2026;(1):104-111. (In Russ.) https://doi.org/10.58708/2074-2088.2026-1(37)-104-111
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