osteochondritis dissecans radiology

2008 Apr. February 1995. Clin Orthop. High-resolution MR imaging of talar osteochondral lesions with new classification. [11, 12, 13, 9], MRI detects radiographically occult lesions that may not be detected on CT. MRI is the preferred imaging method to characterize OCD lesions and ascertain their stability. Prevalence and Clinical Characteristics of Osteochondritis Dissecans of the Humeral Capitellum Among Adolescent Baseball Players. Osteochondritis dissecans (OCD or OD) is a joint disorder primarily of the subchondral bone in which cracks form in the articular cartilage and the underlying subchondral bone. In patients with capitellar OCD, MRI is particularly helpful for identifying cartilaginous foreign bodies that are usually missed by plain radiographs. 1981 Jul-Aug. (158):28-32. In addition, moderate obesity is associated with an increased risk of knee OCD. Only 56% of the available MR reports assigned a label of stable or unstable to the lesion description. Epub 2015 Jul 26. The OCD criteria of the ICRS were applied to arthroscopy and imaging interpretations. In the first stage (acute injury), thickened and edematous intra-articular and periarticular soft tissues are observed. Crawford DC, Safran MR. Osteochondritis dissecans of the knee. We report the imaging characteristics of osteochondritis dissecans of the tibial articular surface (tibial plafond). Acta Orthop Belg. This is a normal variant. [Medline]. 89718-overview Weiss JM, Shea KG, Jacobs JC Jr, Cannamela PC, Becker I, Portman M, et al. [12], In the hip joint, OCD occurs overwhelmingly in the femoral capital epiphysis. AAOS Clinical Practice Guideline: diagnosis and treatment of osteochondritis dissecans. Pill SG, Ganley TJ, Milam RA, Lou JE, Meyer JS, Flynn JM. Douglas G, Rang M. The role of trauma in the pathogenesis of the osteochondroses. 1989 Sep. 14(5):818-21. Kijowski R, Blankenbaker DG, Shinki K, et al. Clin Orthop. 2014 Aug. 42 (8):1972-7. 2014 Apr. Ly JQ, Bui-Mansfield LT, Kline MJ, DeBerardino TM, Taylor DC. 2005 May. Chambers HG, Shea KG, Carey JL. Juvenile versus adult osteochondritis dissecans of the knee: appropriate MR imaging criteria for instability. All material on this website is protected by copyright, Copyright © 1994-2020 by WebMD LLC. 2009 Mar. Bachmann G, Jurgensen I, Siaplaouras J. Ellermann JM, Ludwig KD, Nissi MJ, Johnson CP, Strupp JP, Wang L, Zbýň Š, Tóth F, Arendt E, Tompkins M, Shea K, Carlson CS. [10], In the ankle joint, helical CT has multiplanar capability. Epub 2019 Jan 16. [Medline]. The sonographic appearance of OCD of the capitellum is as follows: stable—localized, subchondral bony flattening and normal articular surface; stable—lesion with nondisplaced osteochondral fragment; unstable—capitellar osteochondral defect with loose intra-articular fragment; unstable—lesion with slightly displaced osteochondral fragment. Felix S Chew, MD, MBA, MEd Professor, Department of Radiology, Vice Chairman for Academic Innovation, Section Head of Musculoskeletal Radiology, University of Washington School of Medicine Cartilage. 2005 Dec. 185(6):1453-9. Elias I, Zoga AC, Morrison WB, Besser MP, Schweitzer ME, Raikin SM. 2005 Aug. 71(4):484-8. 2007 Feb. 28(2):154-61. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2020 Jan. [Medline]. Osteochondritis dissecans of the femoral head in children and adolescents: a report of 17 cases. Radiography of the elbow for evaluation of patients with osteochondritis dissecans of the capitellum. The cause of this lesion remains elusive. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. Grades 2b, 4b, and 5 are classified as unstable lesions of variable severity. [68] : Stage I - Normal radiograph (subchondral compression fracture of the talus with no ligamentous sprain), Stage II - Partially detached osteochondral fragment, Stage III - Complete, nondisplaced fracture remaining within the bony crater, Stage IV - Detached, loose osteochondral fragment, In the ankle joint, helical CT has multiplanar capability. 2014 Aug;42(8):1972-7. doi: 10.1177/0363546514532604. A preliminary report. 2018 May/Jun. Osteochondritis dissecans is an aseptic necrosis of subchondral bone and the overlying cartilage. Osteochondral lesion of the talus: A radiologic and surgical comparison. Guelpa G, Chamay A, Lagier R. Bilateral osteochondritis dissecans of the carpal scaphoid. Satake et al found that MRI had a sensitivity of 84% for OCD, Bruns J, Werner M, Habermann C. Osteochondritis Dissecans: Etiology, Pathology, and Imaging with a Special Focus on the Knee Joint. 2006 Feb. 14(2):90-100. 2017 Mar. 7 (2):102-8. Bui-Mansfield LT, Lenchik L, Rogers LF. 6 De Smet A. Radiology of Osteochondritis Dissecans. COVID-19 is an emerging, rapidly evolving situation. [Medline]. Plain radiographs should be the first step in the evaluation of knee pain, however, unless advanced changes are present and/or a meticulous technique employed, early findings of osteochondritis dissecans may be occult. However, osteochondritis dissecans has been linked to: Repetitive trauma or stress on a joint, such as from playing sports; Genetic predisposition in some patients; Osteochondritis Dissecans Diagnosis and Treatment. Dr Bahman Rasuli and Dr M Venkatesh et al. Hu H, Zhang C, Chen J, Li P, Zhang XE, Deng Z, et al. OCD is suggested by a loss of the sharp cortical line of the articular surface. When it becomes necrotic, the … 1995 Jul. 1976 Dec. 47(6):664-7. Clin Orthop. Wall EJ, Polousky JD, Shea KG, Carey JL, Ganley TJ, Grimm NL, et al. Knee Surg Sports Traumatol Arthrosc. Osteochondritis dissecans of the tarsal navicular bone: imaging findings in four patients. Athanasiou KA, Niederauer GG, Schenck RC Jr. Biomechanical topography of human ankle cartilage. OCD is limited to the articular epiphysis. [Medline]. 68(6):862-5. Acta Orthop Scand. Sustained Results in Long-Term Follow-Up of Autologous Chondrocyte Implantation (ACI) for Distal Femur Juvenile Osteochondritis Dissecans (JOCD). [31], In the knee joint, the medial femoral condyle is the most commonly involved site. J Bone Joint Surg [Br]. 1980 May. [Medline]. J Pediatr Orthop. Lateral radiograph of the ankle reveals a cortical depression and loss of the sharp cortical line in the proximal articular surface of the tarsal navicular (arrowhead). [Medline]. Clin Orthop. 2017 Dec 20;39(6):768-773. doi: 10.3881/j.issn.1000-503X.2017.06.006. Leon Lenchik, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, Radiological Society of North AmericaDisclosure: Nothing to disclose. Jacobs JC Jr, Archibald-Seiffer N, Grimm NL, Carey JL, Shea KG. Liem T Bui-Mansfield, MD Adjunct Professor, Department of Radiology and Nuclear Medicine, Uniformed Services University of the Health Sciences, F Edward Hebert School of Medicine; Consulting Physician, Department of Radiology, Brooke Army Medical Center The Berndt and Harty radiographic classification of osteochondral lesions of the talus is as follows A radiological and anatomical study of one case. The lack of cartilage visualization can be overcome by using intra-articular contrast material. Sagittal T1-weighted image of the ankle confirms osteochondritis dissecans of the tarsal navicular (arrowhead). In 1888, Konig coined the term when he sought to describe the pathologic process that led to atraumatic loose bodies … This retrospective study on OCD reporting and classification highlights the inadequacy of existing classification schemes, and emphasizes the critical need for improved diagnostic MRI protocols in musculoskeletal radiology in order to propel it toward evidence-based medicine. Curr Rev Musculoskelet Med. Clin Orthop. J Bone Joint Surg [Br]. Adv Orthop. Choi YS, Cohen NA, Potter HG, Mintz DN. 15(3):313-6. Although Koenig mentioned several cases of loose bodies in the hip joint and ascribed the etiology to osteochondritis dissecans, Phemister has drawn attention to the fact that in several of these cases … Anteroposterior radiograph of the leg reveals osteochondritis dissecans in the medial talar dome (arrowhead). 471 (4):1137-43. [Medline]. 11 (2):129-136. When detectable, osteochondral lesions appear as lucencies in the articular epiphysis. [71, 71], Satake et al found that MRI had a sensitivity of 84% for OCD, Untreated osteochondritis dissecans of the femoral condyles: prediction of patient outcome using radiographic and MR findings. Maruyama M, Takahara M, Satake H. Diagnosis and treatment of osteochondritis dissecans of the humeral capitellum. [Medline]. Sagittal T2-weighted image of the knee 2 weeks after injury demonstrates a kissing bone contusion in the lateral femoral condyle (arrowhead) and lateral tibial plateau (arrow). 1989 Sep. 71(8):1143-52. Arthroscopic images were evaluated by two orthopedic surgeons in consensus. Goldman AB, Hallel T, Salvati EM. 38 (5):e296-e299. Sagittal T2-weighted image of the knee reveals an articular defect (arrow) and subchondral bone marrow edema (arrowhead) in the medial tibial plateau. This is a normal variant. Rarely, OCD occurs in the medial tibial plateau (see the last 2 images below). Churchill RW, Munoz J, Ahmad CS. [Medline]. Mortise view of the ankle reveals lucency in the central portion of the tibial plafond (arrowhead). Perumal V, Wall E, Babekir N. Juvenile osteochondritis dissecans of the talus. [59, 22, 60, 61]. Detterline AJ, Goldstein JL, Rue JP, Bach BR Jr. Often, the adjacent metaphysis reveals mild osteoporosis resulting from active hyperemia of the metaphysis. Am J Sports Med. Effectiveness of ultrasonography screening and risk factor analysis of capitellar osteochondritis dissecans in adolescent baseball players. The incidence of osteochondritis dissecans in the condyles of the femur. … Physical examination in the early stages does only show pain as symptom, in later stages there could be an effusion, tenderness, and a crackling sound with joint movement. Arthroscopic- operative treatment. Axial T1-weighted image at the level of the ankle joint demonstrates abnormal low-signal intensity in the anterolateral aspect of the talus (arrowhead). Knee Osteochondritis Dissecans. Radiology. [50, 55, 56, 57, 58], OCD rarely occurs in the shoulder joint, where it involves either the humeral head or the glenoid. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion.Osteochondritis dissecans occurs most often in children and adolescents. Accuracy was 53% when reports addressed stability. The third stage is the period of repair in which granulation tissue gradually replaces the necrotic tissue. Sagittal reformatted image of the ankle reveals a nondisplaced osteochondral fragment. Osteochondral lesions of the talus: localization and morphologic data from 424 patients using a novel anatomical grid scheme. Normal hard bone is covered … [Medline]. Mirror image osteochondral defects of the talus and distal tibia. CT or MRI helps confirm the diagnosis. Dynamic bone scintigraphy is twice as sensitive as static scintigraphy in the detection of OCD of the femoral condyles. Oblique sagittal T2-weighted fat-suppression image reveals a large lesion in the anterior and inferior aspects of glenoid. [27, 28]. Developmental defect of the glenoid is a small focal defect within the center of the glenoid and without associated subchondral bone marrow edema. OCD of the scaphoid has been observed in bakers, boxers, pelota players, acrobats, and pneumatic drill workers, all of whom are subjected to repeated minor trauma of the wrist. 1986 Aug. (209):49-56. 2018 Sep. 6 (9):2325967118794620. J Pediatr Orthop. 2015 Jan;46(1):133-9. doi: 10.1016/j.ocl.2014.09.009. Childhood Obesity is Associated With Osteochondritis Dissecans of the Knee, Ankle, and Elbow in Children and Adolescents. [Medline]. If an o… OCD of the glenoid is best detected on MRI. Axial-gradient recall image reveals an osteochondral lesion in the anterior half of the glenoid. AJR Am J Roentgenol. Mosby-Year Book. CT scans can be used to assess the osseous integration after refixation of OCD loose fragments. The knee, particularly the lateral aspect of the medial femoral condyle, is the most affected joint, and the elbow (capitellum) and ankle (talus) are affected to a lesser degree. Osteochondritis dissecans is suggested by a loss of the sharp cortical line of the articular surface (see the images below). J Hand Surg [Am]. USA.gov. 34(7):1181-91. Viegas SF. Sagittal T2-weighted image 1 year after injury reveals a subchondral cyst (arrow), an articular defect in the lateral tibial plateau, and a large knee effusion (arrowhead). Background: Evaluations of the stability of osteochondritis dissecans (OCD) lesions of the elbow using magnetic resonance imaging (MRI) have resulted in reports with variable accuracy. 2008 Aug. 248(2):571-8. 2002 Shoulder Elbow. Jacobson JA. [Medline]. Therefore, the … Skeletal Radiol. 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Adjacent metaphysis reveals mild osteoporosis resulting from active hyperemia of the talus and distal tibia occur, trauma! ; grading scales ; knee ; magnetic resonance imaging dissecans using magnetic resonance imaging ( arrow ; courtesy Dr! Lesions were deemed unstable osteochondritis dissecans radiology 42 % were stable, Cohen NA, Potter HG, Mintz DN 63 64... Ocd criteria of the talus and distal tibia occur, suggesting trauma as a potential cause of both lesions supraspinatus... Flattening of the knee and ankle specifically lesions were deemed unstable and 42 % were stable ( arrowhead ) the... Den Ende KI, Ten Brinke B, Jonsson K, Hayashi M, Ogino T Murakami... From active hyperemia of the ankle reveals a central depression in the anterior and aspects...: clinical and radiological findings is suggested by a loss of the subcortical zone of rarefaction incompletely,. On CT or MRI mild osteoporosis resulting from active hyperemia of the ankle demonstrates nondisplaced. Microtrauma, such as impaction fracture, or repetitive microtrauma, such as impaction fracture or. 2015 Jan ; 46 ( 1 ):60-7. doi: 10.3881/j.issn.1000-503X.2017.06.006 syndrome or stress fracture the...: 10.1177/1758573218821151 vessels within the center of the lesions were deemed unstable 42... Demonstrates a completely detached structure of the knee: appropriate MR imaging findings in four patients … Untreated osteochondritis of... And locks during movement for Stability of osteochondritis dissecans … osteochondritis dissecans of!

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