Table 3.
Steinberg staging system
Stage | Features |
0 | Normal radiograph, bone scan and magnetic resonance imaging |
I | Normal radiograph, abnormal bone scan and or magnetic resonance imaging |
IA Mild (involves < 15% of femoral head) | |
IB Moderate (involves 15% to 30% of femoral head) | |
IC Severe (involves > 30% of femoral head) | |
II | Cystic and sclerotic changes in the femoral head |
IIA Mild (involves < 15% of femoral head) | |
IIB Moderate (involves 15% to 30% of femoral head) | |
IIC Severe (involves > 30% of femoral head) | |
III | Subchondral collapse (crescent sign) without flattening of the femoral head |
IIIA Mild (involves < 15% of femoral head) | |
IIIB Moderate (involves 15% to 30% of femoral head) | |
IIIC Severe (involves > 30% of femoral head) | |
IV | Flattening of the femoral head/femoral head collapse |
IVA Mild (involves < 15% of femoral head) | |
IVB Moderate (involves 15% to 30% of femoral head) | |
IVC Severe (involves > 30% of femoral head) | |
V | Joint space narrowing and/or acetabular changes |
VA Mild | |
VB Moderate | |
VC Severe | |
VI | Advance degenerative joint disease |