Objective To improve the recognition of avascular necrosis of the femoral head.Methods X-ray fingings of the adults avascular necrosis of femoral head in 10 cases were analyzed retrospectively.Results Avascular necrosis of the femoral head was 10 cases,3 cases of stage I,2 cases of stage Ⅱ,4 cases of stage Ⅲ,1 cases of stage Ⅳ.In followed up period,all cases were checked up by X-ray film,it was seen that the femoral head deformate and joint hyperplasing sclerosis.Conclusion X-ray plain film is the important role in detecting avascular necrosis of the femral head and can clearly demonstrates the anatomic and pathologic details of the femoral head ,such as the size 、location、extent、density、sclerosis and necrosis.so X-ray plain film is of valuable in diagnosis of avascular necrosis of the femoral head.