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Table 1 Clinical characteristics of multifocal and oligofocal osteonecrosis (ON) in 254 patients with ON

From: Clinical characteristics and role of whole-body bone scan in multifocal osteonecrosis

 

Multifocal ON

(n = 26)

Oligofocal ON

(n = 228)

Any ON

(N = 254)

p-value

Age (years)

42.8 ± 14.3

50.9 ± 15.4

50.0 ± 15.4

0.011

Sex (M/F)

15 (57.7)/11 (42.3)

137 (60.1)/91 (39.9)

152 (59.8)/102 (40.2)

0.835

Smoking (yes)

7 (26.9)

94 (41.2)

101 (39.8)

0.205

Alcohol use (excessive)

10 (38.5)

104 (45.6)

114 (44.9)

0.538

Diabetes mellitus

3 (11.5)

11 (4.8)

14 (5.5)

0.162

Hypertension

10 (38.5)

54 (23.7)

64 (25.2)

0.150

Trauma

1 (3.8)

37 (16.2)

38 (15.0)

0.007

Symptom sites (n)

1.92 ± 1.26

1.26 ± 0.44

1.33 ± 0.61

0.014

Symptom duration (months)

7.0 ± 9.3

7.5 ± 13.7

7.4 ± 13.3

0.855

Comorbidity

18 (69.2)

91 (39.9)

109 (42.9)

0.006

Comorbidity duration (years)

6.37 ± 6.77

6.74 ± 6.80

6.68 ± 6.77

0.833

Use of CS

16 (61.5)

50 (21.9)

66 (26.0)

< 0.001

Maximal dose of CS

284.4 ± 427.3

154.0 ± 317.0

185.6 ± 347.9

0.273

Cumulative dose of CS

5310.7 ± 5359.6

5704.8 ± 7664.7

5612.8 ± 7153.0

0.859

Use of immunosuppressive agents

11 (42.3)

40 (17.5)

51 (20.1)

0.007

Osteoporosis

1 (3.8)

12 (5.3)

13 (5.1)

>  0.999

Use of BP

1 (3.8)

10 (4.4)

11 (4.3)

>  0.999

BP duration (months)

24

49.7 ± 18.5

47.4 ± 19.2

 

ON sites confirmed by X-ray and MRI

3.04 ± 1.42

1.52 ± 0.53

1.68 ± 0.81

< 0.001

ON sites confirmed by bone scan

4.15 ± 2.05

1.27 ± 0.53

1.57 ± 1.20

< 0.001

  1. ON osteonecrosis, CS corticosteroid, BP bisphosphonate, MRI magnetic resonance imaging. All values are presented as numbers (%) or means ± SD. Independent Student’s t-test was used to compare continuous variables, and Pearson’s chi square test was used to compare categorical variables between multifocal and oligofocal ON