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. 2009 Sep 18;468(7):1809–1816. doi: 10.1007/s11999-009-1094-1

Table 2.

Stage of ON at initial visit and at final followup

Stage Criteria for staging Number of shoulders
At initial visit At final followup
No necrosis Normal radiograph and MRI 0 10
Stage I Abnormal MRI, normal radiograph 120 14
Stage II Abnormal radiograph with sclerotic or cystic changes in the humeral head but no crescent line 95 52
Stage III Abnormal radiograph with a crescent sign with humeral head flattening ≤ 1 mm 0 0
Stage IV Collapse of the humeral head > 1 mm without joint space narrowing 0 51
Stage V Joint space narrowing 0 38
Stage VI Advanced degenerative changes 0 50