PMID: 8614770Jan 1, 1996Paper

Magnetic resonance imaging of the femoral head to detect avascular necrosis in active rheumatoid arthritis treated with methylprednisolone pulse therapy

Scandinavian Journal of Rheumatology
R M van VugtJ W Bijlsma

Abstract

Efficacious management of patients with avascular necrosis of bone (AVN) necessitates the identification of patients with a high risk of collapse of the femoral head. In this prospective study we imaged both hips of 10 patients with active rheumatoid arthritis, who were treated with methylprednisolone pulse therapy. MRI and conventional radiography were performed before MP-pulse therapy and 6 and 12 months thereafter. Two patients showed unilateral changes, compatible with AVN. One patient became symptomatic and revealed characteristic radiographic abnormalities. The other patient remained asymptomatic and the MRI appearance returned to normal after 6 months.

References

Nov 1, 1985·The American Journal of Medicine·T M ZizicM B Stevens
Dec 1, 1993·Seminars in Arthritis and Rheumatism·B L WeustenJ W Bijlsma
Aug 1, 1993·Seminars in Arthritis and Rheumatism·C C ChangM E Gershwin
May 1, 1993·The Journal of Bone and Joint Surgery. British Volume·M J Fordyce, L Solomon

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Citations

Jan 1, 1986·Skeletal Radiology·D ThickmanM Dalinka
Mar 11, 2000·European Journal of Radiology·S Lamer, G H Sebag
Jan 18, 2007·Pediatric Emergency Care·Bridgette GuthrieSally L Reynolds
Aug 2, 2006·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Pinar CeGulriz Ozbek
Aug 8, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Lei YangMary V Relling
Aug 16, 2000·Dermatologic Clinics·S Sabir, V P Werth
Jul 24, 2004·The Orthopedic Clinics of North America·Maria G Tektonidou, Haralampos M Moutsopoulos
Nov 14, 2002·Seminars in Arthritis and Rheumatism·Yehudith Assouline-DayanM Eric Gershwin
Feb 21, 2002·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Takashi NishiiHideki Yoshikawa

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