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Osteonecrosis (ON) of the femoral head is a potentially disabling condition affecting primarily young active adults. We can alter the course of the disease by early recognition, diagnosis and targeted treatment. There are different systems of diagnosis and classification of femoral head ON and different courses of treatment have been developed for each stage with variable success. Any attempt to depict an osteonecrotic lesion should use magnetic resonance imaging with adequate fat suppression.doi:10.14800/pm.868 fatcat:2oag72nhdva3tf6xydpd7zlfli