Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
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Avascular Necrosis (AVN) Hip — Ficat & ARCO

AVN = ischemic necrosis of femoral head → collapse and arthritis. Risk factors: steroids, alcohol, trauma, sickle cell, Gaucher’s, idiopathic. Ficat staging I–IV; ARCO integrates imaging and lesion size/location. MRI is most sensitive investigation (double-line sign). Management: early—bisphosphonates, core decompression; late—osteotomy, resurfacing, THA.

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AVN = ischemic necrosis of femoral head → collapse and arthritis. Risk factors: steroids, alcohol, trauma, sickle cell, Gaucher’s, idiopathic. Ficat staging I–IV; ARCO integrates imaging and lesion size/location. MRI is most sensitive investigation (double-line sign). Management: early—bisphosphonates, core decompression; late—osteotomy, resurfacing, THA.
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Question 1

What is the most sensitive imaging modality for diagnosing Avascular Necrosis (AVN) of the hip?

Question 2

Which of the following risk factors is the most common non-traumatic cause of Avascular Necrosis of the hip?

Question 3

In the Ficat classification of Avascular Necrosis, which stage is characterized by a normal X-ray but abnormal MRI findings?

Question 4

What is the characteristic radiological finding in Stage III of the ARCO classification for AVN?

Question 5

Which of the following treatments is considered early management for Avascular Necrosis of the hip?

Question 6

In the ARCO classification, what does Stage IV indicate?

Question 7

Which segment of the femoral head is most commonly affected by Avascular Necrosis?

Question 8

What is the hallmark MRI finding in Stage I AVN according to the ARCO classification?

Question 9

In which stage of the Ficat classification does the femoral head begin to show sclerosis and cystic changes?

Question 10

What is a common late-stage treatment option for patients with Avascular Necrosis of the hip?