98 cases of femur head necrosis with age of 16 ~ 50 years underwent ultrasonography in this study. Through coronal and sagittal profiles, we analyzed the imaging characteristics of the structures of normal and abnormal hip joints and the blood flow of ischemic femur head necrosis. Doppler ultrasound could be used to undergo non - invasive and repeated observation on the structure of hip joints. So it has clinically applicable value for the diagnosis, treatment, prognosis and follow - up of ischemic femur head necrosis.