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. Author manuscript; available in PMC: 2013 Jul 16.
Published in final edited form as: Endocrine. 2011 Dec 15;41(2):183–190. doi: 10.1007/s12020-011-9580-0

Table 3.

Staging of osteonecrosis

Modified classification
Stage 0 Known involvement of one hip and suspected in the other
Stage 1 Pain and limited movement with normal X-ray and positive MRI
Stage 2 Sclerosis of the femoral head
Stage 3 Subchondral fracture and flattening of the femoral head
Stage 4 End-stage osteonecrosis with loss of the articular space and osteophyte formation