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. 2013;21(5):276–280. doi: 10.1590/S1413-78522013000500007

Table 5. Bucholz - Ogden classification system of avn of the proximal femur.

Type Description
I Irregular ossification of the femoral head with no abnormalities of ossification of the metaphysis is the hallmark of type I AVN.
II Lateral metaphysis shows evidence of injury; femoral head grows into valgus deformity following premature lateral epiphyseal closure; relative overgrowth of greater trochanter
III Entire metaphysis affected; femoral neck extremely short, with marked trochanteric overgrowth
IV Lucent defect along medial metaphysis indicates growth disturbance of medial growth plate, which causes femoral head to grow into varus deformity; relative overgrowth of greater trochanter