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. 2024 Sep 7;16(9):e68888. doi: 10.7759/cureus.68888

Table 5. Correlation of MRI features (ARCO staging system) and combined plain X-ray + MRI features (Ficat and Arlet classification).

AVN, avascular necrosis; ARCO, Association Research Circulation Osseous; MRI, magnetic resonance imaging

Stages of AVN of the hip Percentage (%) and number of hips (n)
  ARCO staging system Ficat and Arlet classification
Stage I 4.4% (n = 2) 4.4% (n = 2)
Stage II 28.9% (n = 13) 28.9% (n = 13)
Stage III, early (flattening of the femoral head) Early IIIA, 4.4% (n = 2) 51.1% (n = 23)
Early IIIB, 8.9% (n = 4)
Early IIIC, 13.3% (n = 6)
Stage III, late (flattening with eventual femoral head collapse) Late IIIA, 4.4% (n = 2)  
Late IIIB, 13.3% (n = 6)
Late IIIC, 6.7% (n = 3)
Stage IV 15.6% (n = 7) 15.6% (n = 7)