osteochondral injury radiology

Osteochondral injury (or osteochondral defect) of the ankle is an injury to the bone or smooth cartilage covering the joint surface in the ankle. Once an articular cartilage injury is sustained there are a variety of surgical interventions depending on the severity of the injury. We also have observed several patients with osteochondral injuries of the lateral femoral condyle after transient dislocation of the pa-tella. Particularly in the younger patient, MRI plays an important clinical role in the diagnosis of pre-radiographic OA and focal osteochondral injury. This article presents a case of a 15-year-old female ballerina with isolated displaced osteochondral fracture of the patella without patellar dislocation. Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Osteochondral Injury, Shoulder. Osteochondral fracture of the lateral femoral condyle is a rare injury of the knee joint, which mostly occurs in adolescence 1.In adolescence, the cartilage‐bone interface is the weakest transitional area in the knee joint, and there is no obvious boundary between calcified and uncalcified cartilage 2.The biomechanical strength of immature osteochondral junction was lower … In this study, we aimed to precisely localize the hyperintense signal that is generated at the osteochondral junction when using ultrashort echo time magnetic resonance imaging (MRI) and to investigate the osteochondral junction using sweep imaging with Fourier transformation (SWIFT) MRI. Fractures involving the articulating surfaces of bone are a common cause of chronic disability after joint injury. Rubin DA: Magnetic resonance imaging of chondral and osteochondral injuries. Fall. In the third, no change occurred in the size or appear-ance of the lesion over 4 years (Fig. Prominent anterior talar neck spur noted. More recently, there has been brief mention in both the radiology and orthopedic literature of osteochondral injuries involving not only the patellar articular surface but also the articular surface of the lateral femoral condyle [6-10]. Case A fourteen year old male player presented with an insidious onset of pain in his dominant right elbow. The staging, prognosis, and treatment of osteochondral lesions in the elbow are based on a combination of radiographic, magnetic resonance imaging, and arthroscopic findings. ... Osteochondral Injury After Acute Patellar Dislocation in Children and Adolescents. PURPOSE: To evaluate the cross-sectional imaging features of osteochondral defects (OCDs) of the glenoid fossa and to elicit a more detailed analysis of the trauma, if any, that may cause this injury. Rubin DA: Magnetic resonance imaging of chondral and osteochondral injuries. 0 0 vote. Abstract and Figures Osteochondral lesions are acquired, potentially reversible injuries of the subchondral bone with or without associated articular cartilage involvement. The articular cartilage imaging group of the International Cartilage Repair Society has issued detailed recommendations with r… In the presented case the fragment was frankly displaced, making it without doubt stage IV osteochondral injury. Top Magn Reson Imaging 1998; 9:348-359. OCD usually causes pain during and after sports. Cartilage injuries are often associated with ligamentous injuries 1,2. Inversion injuries with dorsiflexion of the foot lead to an osteochondral lesion of the lateral aspect of the talar dome, often associated with a lateral collateral ligament tear. He described pain with any weight bearing activities through his elbow and with throw-ins. The clinical diagnosis was a biceps tendinitis or a bicipital bursitis. She had no history of trauma. Plain x-rays can be used to help diagnose an osteochondral lesion. Introduction. Traumatic Osteochondral Injury of the Femoral Head Treated by Mosaicplasty: A Report of Two Cases | springermedizin.de Skip to main content Osteochondral lesions are acquired, potentially reversible injuries of the subchondral bone with or without associated articular cartilage involvement. Objective: The purpose of this study was to characterize the variety of osteochondral abnormalities of the humeral trochlea in the pediatric athlete. This is edema due to a ligamentous avulsion injury. Bony deformity within the distal right fibula appears post-traumatic. T1 Imaging Studies. This is essential in determining management. Osseous Pathology. Several typical patterns of osteochondral injuries have been described in association with certain types of internal derangement and instability (11 – 13). 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. Osteochondral lesions (OCL) of the talus are defined as any damage involving both articular cartilage and subchondral bone of the talar dome. Frequently, acute injuries are not initially detected, and are thus managed as chronic lesions. Shoulder and Humerus. Journal of Pediatric Orthopaedics, Vol. A small to moderate ankle joint effusion is demonstrated more pronounced in the lateral compartment of the ankle joint. High-resolution MR imaging of talar osteochondral lesions with new classification. Yi Lau, D. Ka Wai Yeung, M. Wan Nar Wong. Osteochondral injury. Unable to process the form. 11 Chondral injuries generally occur to either the anterolateral or posteromedial ankle. His presentation was provoked by an episode where his knee “jammed out straight” while he was playing a game. Griffith,D.T. The purpose of this study was to evaluate the prevalence and common location of a coexisting osteochondral lesion of the distal tibia and fibula and of associated abnormalities of the ankle ligaments and tendons on MRI in patients with an osteochondral lesion of the talus (OLT). Osteochondral lesions are acquired, potentially reversible injuries of the subchondral bone with or without associated articular cartilage involvement. Gustilo Anderson classification (compound fracture), longitudinal versus transverse petrous temporal bone fracture, naso-orbitoethmoid (NOE) complex fracture, cervical spine fracture classification systems, AO classification of upper cervical injuries, Roy-Camille classification (odontoid process fracture ), subaxial cervical spine injury classification (SLIC), thoracolumbar spinal fracture classification systems, AO classification of thoracolumbar injuries, thoracolumbar injury classification and severity score (TLICS), Rockwood classification (acromioclavicular joint injury), Neer classification (proximal humeral fracture), AO classification (proximal humeral fracture), Milch classification (lateral humeral condyle fracture), Weiss classification (lateral humeral condyle fracture), Bado classification of Monteggia fracture-dislocations (radius-ulna), Mason classification (radial head fracture), Frykman classification (distal radial fracture), Hintermann classification (gamekeeper's thumb), Eaton classification (volar plate avulsion injury), Keifhaber-Stern classification (volar plate avulsion injury), Judet and Letournel classification (acetabular fracture), Harris classification (acetebular fracture), Young and Burgess classification of pelvic ring fractures, Pipkin classification (femoral head fracture), American Academy of Orthopedic Surgeons classification (periprosthetic hip fracture), Cooke and Newman classification (periprosthetic hip fracture), Johansson classification (periprosthetic hip fracture), Vancouver classification (periprosthetic hip fracture), Winquist classification (femoral shaft fracture), Schatzker classification (tibial plateau fracture), Lauge-Hansen classification (ankle injury), Danis-Weber classification (ankle fracture), Berndt and Harty classification (osteochondral lesions of the talus), Sanders CT classification (calcaneal fracture), Hawkins classification (talar neck fracture), anterior superior iliac spine (ASIS) avulsion, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, avulsion fracture of the proximal 5th metatarsal, fracture line extending to the joint surface, articular surface disruption and/or fragmentation​. This is an unstable lesion with level of instability related to extent of cartilage fracture 5. He had also noticed that he had not been able to fully extend his elbow and that it felt weak. 9 X 9 (axial) X 3 mm osteochondral fragment is demonstrated at the lateral aspect of the talar dome consistent with an intra-articular fracture. An osteochondral injury is an injury to the smooth surface on the end of bones, called articular cartilage (chondro), and the bone (osteo) underneath it. Radiology department of the Amsterdam University Medical Centre in Amsterdam and Alrijne hospital in Leiderdorp in the Netherlands. Check for errors and try again. Recommendation—The term “osteochon-dral lesion” should be used only as a nonspe - … {"url":"/signup-modal-props.json?lang=us\u0026email="}, {"containerId":"expandableQuestionsContainer","displayRelatedArticles":true,"displayNextQuestion":true,"displaySkipQuestion":true,"articleId":63295,"mcqUrl":"https://radiopaedia.org/articles/osteochondral-fracture/questions/1618?lang=us"}. AJR, 1998; 170:1207-1213 The overlying cartilage appears intact. When occurring in the elbow, osteochondritis dissecans refers primarily to lesions of the anterior aspect of the capitellum, although lesions of the trochlea, radial head, olecranon, and olecranon fossa have been described1. The ankle mortice is overall maintained. Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Osteochondral Injury, Shoulder These imaging modalities each have pros and cons for evaluation of osteochondral lesions. The degree of injury ranges from a small crack to a piece of the bone breaking off inside the joint. Bookmarks (0) Musculoskeletal. Elias DA, White LM, Fithian DC. Radiology Case. Articular cartilage injuries of the knee can be debilitating if not treated properly. Rubin DA, Kettering JM, Towers JD, Britton CA: MR imaging of knees having isolated and combined ligament injuries. Osteochondral fracture in patellar dislocation is located in the medial facet of the patella. Acute Osteochondral Fractures in the Lower Extremities - Approach to Identification and Treatment. Osteochondral injuries represent a spectrum of articular conditions ranging from acute cartilage tears to chronic osteochondral defects, including osteochondritis dissecans (OCD). Osteochondral fractures appear as a combination of 1-2: ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Case This 17 year old elite footballer presents with recurrent locking symptoms in his left knee. Osteochondral Lesion “Osteochondral lesion” is a broad and nonspecific term that has been used to refer to any lesion that involves the articular sur-face and subchondral region of a joint, af-fecting cartilage, bone, or both. Osteochondral injury is commonly associated with immediate effusion that represents hemarthrosis or lipohemarthrosis. The incidence is similar, but lateral talar dome injuries … Osteochondritis dissecans; A large flap lesion in the femur head typical of late stage Osteochondritis dissecans. Osteochondral injury. The degree of injury ranges from a small crack to a piece of the bone breaking off inside the joint. 1 . ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. MRI is the modality of choice, with high sensitivity and specificity for the detection of separation of the osteochondral fragment (see: osteochondral injury staging and osteochondritis dissecans surgical staging). This term covers a wide spectrum of pathologies including (sub)chondral contusion, osteochondritis dissecans, osteochondral fracture and osteoarthritis resulting from longstanding disease. Radiography cannot directly depict the cartilage surface (3). MR Imaging of Femoral Head Osteochondral Lesions AJR:178, April 2002 975 examination. Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Osteochondral Injury, Knee Larger acute osteochondral injuries are probably best treated with internal fixation, particularly if displaced. Complications The patient's medical record, imaging studies, and surgical reports were reviewed. Background:: The aim of this study was to report the incidence of associated osteochondral lesions (OCLs) on postop CTs, which may benefit from arthroscopic treatment, in patients with rotational type ankle fractures with syndesmotic injury. He has had mild intermittent discomfort in his knee for some time, but over the last month or so has developed recurrent locking. High incidence of osteochondral lesions after open reduction and internal fixation of displaced ankle fractures: Medium-term follow-up of 100 cases Injury. Osteochondral lesions (OCL) of the talus involve both articular cartilage and subchondral bone of the talar dome. Check for errors and try again. Diagnosis. 2. Objectives: The aim of this article is to provide an overview of current optimal clinical cartilage imaging techniques of the foot and ankle and to show typical osteochondral injuries on imaging. The combined use of standard and newer magnetic resonance (MR) imaging techniques makes it possible to evaluate both the morphologic status and the biochemical contents of the repair tissue (,1–,9). {"url":"/signup-modal-props.json?lang=us\u0026email="}. Osteochondral Injury, Shoulder Two much smaller interarticular bony fragments. ... OCD is an abbreviation which can stand for either Osteochondritis Dissecans or Osteochondral Defect. the radiology and orthopedic literature of os-teochondral injuries involving not only the patellar articular surface but also the articular surface of the latera l femoral condyle [6–10]. If radiographs are negative but an osteochondral lesion is still suspected, advanced imaging with MRI or CT scan is indicated. Normal alignment. Unable to process the form. link. (2018) Radiographics : a review publication of the Radiological Society of North America, Inc. 38 (5): 1478-1495. No acute fracture identified. Osteochondral lesions of the talus are common and difficult problems to treat. Symptoms will vary depending on the type, extent and chronicity of the cartilage injury and include swelling, pain and decreased range of motion of the affected joint as well as stiffness or instability. Osteochondral injury capitellum. Background: Osteochondral defects represent a main risk factor for osteoarthritis of the ankle. A small to moderate ankle joint effusion is demonstrated more pronounced in the … In case of osteochondral fracture/injury, it is sometimes hard to tell if the fractured fragment is stable or not. ... FIFA does not bear any responsibility for the accuracy and completeness of any information provided in the “Radiology Review” features and cannot be held liable with regard to the information provided or any acts or omissions occurring on the basis of this information. Injury results in delamination and potential sequestration of the affected bone. If you would see this in the capitellum you would call it an osteochondral lesion of the capitellum. An osteochondral injury is an injury to the smooth surface on the end of bones, called articular cartilage (chondro), and the bone (osteo) underneath it. They typically are associated with a history of trauma; however, nontraumatic etiologies have been described. MATERIALS AND METHODS: Eight patients (seven male patients, one female patient; age range, 15-42 years; mean age, 27 years) with an OCD in the glenoid fossa were identified. No other fracture or subluxation is seen. We describe the clinical and radiographic features of 11 athletes found to have femoral head lesions similar in MR imaging appearance to osteochondral lesions in … Intra-articular osteochondral fracture of the talar dome as described. Top Magn Reson Imaging 1998; 9:348-359. Osteochondral lesions of the talar dome are frequent problems in athletes causing pain and disability. First mover in Radiology & Web 2.0. 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