Meeting Banner
Abstract #1679

Assessment of Osteonecrosis Following Instrumentation for Femoral Neck Fracture Using Contrast Enhanced MAVRIC Sequences

Nadja Alexandra Farshad-Amacker1, Matthew F. Koff2, Jonathan P. Dyke3, Lionel E. Lazaro4, Dean Lorich4, Hollis G. Potter2

1MRI Research Laboratory, Hospital for Special Surgery, New York, NY , United States; 2MRI Research Laboratory, Hospital for Special Surgery, New York, NY, United States; 3Department of Radiology, Weill Cornell Medical College, New York, NY, United States; 4Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, United States

Standardized radiographs markedly underestimate the incidence of osteonecrosis (ON) after fixation of femoral neck fractures. ON was identified using MAVRIC sequence in 75% of the patients, in 60% using FSE images and <1% using conventional radiographs. There was a significant underestimation of the identified ON volume using FSE compared to MAVRIC sequence (p=0.001).

Keywords

ability acquisition addition allow approved around arrow aspect assessment audience bone calculations cartilage cause clinical collapse college combination contrast corrected cortical dean defined detected detecting detection determine disparity early efficacious enhanced enhancement estimating evaluate evaluated evaluating examples fast feasibility feasible female femoral femur fibular fixation fracture gold head hospital identified ilium implants improved incidence indirect injury instrumentation integrity intensity king laboratory larger lesion local located male markedly marrow measure measured medical metallic miller month months near neck operative operatively pain paired patients percentage perfusion placement post postoperative potter predicting presence prognosis proportion prove radiologists radiology reduction repetition require semiquantitative shah sought special spin square stainless standardized steel structures student successful superior surgeons surgery surgical target treatment underestimated undiagnosed unexplained uptake variable versus visualization visualize volume volumes