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. 2018 Feb 2;13:25. doi: 10.1186/s13018-017-0705-x

Table 1.

Association Research Circulation Osseous classification of osteonecrosis [14, 15]

Stage Findings Subclassification Quantitation
0 All present techniques normal No No
I Radiography and computed tomography normal; at least one of the other techniques is positive Location of lesion
Medial
Central
Lateral
Area of involvement (%)
A: < 15%
B: 15 to 30%
C: > 30%
Length of crescent
A: < 15%
B: 15% to 30%
C: > 30%
Surface collapse and dome depression
A: < 15% and < 2 mm
B: 15% to 30% and 2 mm to 4 mm
C: > 30% and > 4 mm
II No crescent sign;
Sclerosis, osteolysis, focal porosis
III Crescent sign and/or flattening of articular surface
IV Osteoarthritis, joint space narrowing, acetabular changes, joint destruction No No