Osteonecrosis of the hip in adults

Lynne C Jones, Aaron J. Johnson, Michael A. Mont, Christopher R. Costa

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Atraumatic osteonecrosis in adults most commonly presents in the hip. The specific etiology and pathogenesis is often uncertain, and we will review some of the specific theories regarding the development of this disease. The utility of radiographs and magnetic resonance imaging in the diagnosis and staging of osteonecrosis will also be presented. We include a summary of the different non-surgical and surgical treatment options. Early, pre-collapse, disease often has a better prognosis with head-sparing treatment options available such as core decompression and bone grafting. More advanced disease may require total hip or resurfacing arthroplasty.

Original languageEnglish (US)
Pages (from-to)13-22
Number of pages10
JournalClinical Reviews in Bone and Mineral Metabolism
Issue number1
StatePublished - 2011


  • Avascular necrosis
  • AVN
  • Core decompression
  • Diagnosis of osteonecrosis
  • Non-vascularized bone grafting
  • Osteonecrosis
  • Pathophysiology
  • Resurfacing
  • Total hip arthroplasty
  • Treatment
  • Vascularized bone grafting

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Orthopedics and Sports Medicine
  • Endocrinology


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