Am J Sports Med. Osteochondrosis of the humeral capitellum. [Update: Clinical imaging of cartilage-part 2 : Aspects helpul in daily clinical practice]. Axial T1-weighted image at the level of the ankle joint demonstrates abnormal low-signal intensity in the anterolateral aspect of the talus (arrowhead). Childhood Obesity is Associated With Osteochondritis Dissecans of the Knee, Ankle, and Elbow in Children and Adolescents. Kijowski R, De Smet AA. NIH CT is obtained in the direct axial and coronal planes at 1.5-mm-slice thickness with sagittal reformations (see the images below). February 1995. J Bone Joint Surg [Am]. [Medline]. 2000 Feb. 174(2):411-5. Axial-gradient recall image reveals an osteochondral lesion in the anterior half of the glenoid. [Medline]. Eur J Radiol. Early findings include subtle flattening or indistinct radiolucency about the cortical surface. AAOS Clinical Practice Guideline: diagnosis and treatment of osteochondritis dissecans. Therefore, the …  |  Note the fluid in the subacromial/subdeltoid bursa and the supraspinatus tendon tear. [Medline]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2011 May. Knee Surg Sports Traumatol Arthrosc. Pappas AM. A 20-year follow-up study. The authors concluded from their findings that previously described MR imaging criteria for OCD instability have high specificity for adult but not juvenile lesions of the knee. 2002 [Medline]. 1971 Aug. 53(3):440-7. Effectiveness of ultrasonography screening and risk factor analysis of capitellar osteochondritis dissecans in adolescent baseball players. 33 (2):221-50. Stoffelen D, Renson L, Fabry G. Osteochondritis dissecans of the acetabulum. Nofsinger C, Konin JG. 1981 Jul-Aug. (158):28-32. Jacobs JC Jr, Archibald-Seiffer N, Grimm NL, Carey JL, Shea KG. Coronal CT of the ankle demonstrates a nondisplaced osteochondral fragment. [Medline]. 2007 Oct-Nov. 27(7):821-5. Pathology Location The condition occurs bilaterally in 25% of cases, … J Pediatr Orthop. J Knee Surg. eCollection 2018. J Comput Assist Tomogr. The Berndt and Harty radiographic classification of osteochondral lesions of the talus is as follows J Pediatr Orthop. Juvenile Osteochondritis Dissecans (JOCD) is a disorder which occurs in young people whose growth plates haven’t closed yet. 2019 Jun;27(6):1726-1738. doi: 10.1007/s00167-018-5316-5. J Shoulder Elbow Surg. J Comput Assist Tomogr. 2017. 2014 Aug;42(8):1972-7. doi: 10.1177/0363546514532604. [14] and Itsubo et al found 100% sensitivity and 80% specificity. 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. 2018 Sep. 6 (9):2325967118794620. Kamhi E, MacEwen GD. 1988. 2005 May. Pill SG, Ganley TJ, Milam RA, Lou JE, Meyer JS, Flynn JM. 2008 Aug. 248(2):571-8. 2003 Jan. 44(1):67-71. OCD usually causes pain during and after sports. Trauma may be direct, such as impaction fracture, or repetitive microtrauma, such as excessive normal compressive stress. 2016. 1984 Sep-Oct. 12(5):351-60. Journal Article, 2002 28(2):229-32. [Medline]. Canosa J. As the process progresses, more pronounced contour abnormalities, fragmentation and density changes (both lucency and sclerosis) become evident. Coronal T1-weighted image of the knee demonstrates subchondral bone marrow edema (arrowhead) in the medial tibial plateau. [Medline]. [1, 2, 3]  Osteochondritis dissecans occurs in approximately 15 to 29 per 100,000 patients. 2006 Dec. 187 (6):1436-41. Wood JB, Klassen RA, Peterson HA. Often, the adjacent metaphysis reveals mild osteoporosis resulting from active hyperemia of the metaphysis. Osteochondritis dissecans of the femoral sulcus has been recognized as a unique clinical and radiographic entity, warranting early diagnosis and appropriate treatment. Untreated osteochondritis dissecans of the femoral condyles: prediction of patient outcome using radiographic and MR findings. To our surprise, the analysis of the existing radiology reports that addressed stability revealed an overall accuracy in defining OCD lesion stability of about 53%. 2002 Mar. [22, 20, 23, 24, 25, 26], Scintigraphic findings are nonspecific, demonstrating a mild-to-marked increase in focal uptake in the involved bone, depending on the age of the osteochondritis dissecans. Accadbled F, Vial J, Sales de Gauzy J. Osteochondritis dissecans of the knee. Inter-rater correlation statistics and accuracy of magnetic resonance (MR) grading with respect to arthroscopy were determined. Knee Surg Sports Traumatol Arthrosc. [12], In the hip joint, OCD occurs overwhelmingly in the femoral capital epiphysis. Osteochondritis dissecans in Legg-Calve-Perthes disease. 1981 Jul-Aug. (158):59-69. In addition, tarsal OCD does not demonstrate either partial or complete sagittal fracture line on CT or MRI. Note the central location and absence of subchondral bone marrow edema. Juvenile versus adult osteochondritis dissecans … Churchill RW, Munoz J, Ahmad CS. Discrepancy between morphological findings in juvenile osteochondritis dissecans (OCD): a comparison of magnetic resonance imaging (MRI) and arthroscopy. The clinical and radiologic features of osteochondritis dissecans in the knee and hock joint of horses are described. [Medline]. 4(4):278-81. Sagittal reformatted image of the ankle reveals a nondisplaced osteochondral fragment. Osteochondritis dissecans following Perthes' disease. Orthop Traumatol Surg Res. When compared to the original MRI report, the overall accuracy increased from 53% to 76% when readers were given the specific criteria of the OCD ICRS classification. [Medline]. In the second stage, the epiphysis reveals an irregular contour and a thinning of the subcortical zone of rarefaction. [Medline]. [Medline]. Radiographic findings correspond with arthroscopic staging in 56% of patients, because fibrosis may provide stability in osseous separation. [71, 71], Satake et al found that MRI had a sensitivity of 84% for OCD, 2014 Aug. 42 (8):1972-7. Anteroposterior radiograph of the knee 1 year after injury reveals an anterior cruciate ligament reconstruction (arrowheads) and lucency (arrow) in the lateral tibial plateau. Introduction. Arthroscopic classifications of osteochondral lesions are the criterion standard. 9 (2):232-9. Conclusions: J Hand Surg [Am]. [Medline]. Grades 2b, 4b, and 5 are classified as unstable lesions of variable severity. 1947603519828434. [Medline]. J Pediatr Orthop. Kohyama S, Ogawa T, Mamizuka N, Hara Y, Yamazaki M. A Magnetic Resonance Imaging-Based Staging System for Osteochondritis Dissecans of the Elbow: A Validation Study Against the International Cartilage Repair Society Classification. [Medline]. 2019 Dec 5;4(4):e0031.1-9. Perhaps, the only potential differential diagnosis is a dorsal defect of the patella, which occur in the … Oblique sagittal T2-weighted fat-suppression image reveals a large lesion in the anterior and inferior aspects of glenoid. Curr Opin Pediatr. eCollection 2019 Oct-Dec. Radiologe. [29, 30] The pathology of OCD may be described in 3 stages. 282 (3):798-806. Strontium-85 uptake in knee joints with osteochondritis dissecans. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. 2014 Apr. COVID-19 is an emerging, rapidly evolving situation. This website also contains material copyrighted by 3rd parties. [Medline]. However, inter-reader variability remained high, with Krippendorf's alpha ranging from 0.48 to 0.57. Acta Orthop Scand. 17 (1):25-30. A completely detached fragment is a loose body. Schenck RC Jr, Athanasiou KA, Constantinides G. A biomechanical analysis of articular cartilage of the human elbow and a potential relationship to osteochondritis dissecans. Osteochondritis dissecans of the tibial plafond: imaging characteristics and a review of the literature. 40 (2):363-86. Occasionally, mirror-image osteochondral defects of the talus and distal tibia occur, suggesting trauma as a potential cause of both lesions. The patella is a less common site for osteochondritis dissecans (OCD) of the knee. Osteochondritis dissecans is the most common cause of a loose body in the joint space in adolescent patients. Osteochondritis dissecans (OCD) can affect both adults and children, however the imaging characteristics and significance of imaging findings can differ in the juvenile subset with open physes. [Medline]. Results: 1-8. 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). 1994. Radiology. 1988. 392396-overview 1):561-6. An osteochondral fragment may be present in situ, incompletely … Prevalence and Clinical Characteristics of Osteochondritis Dissecans of the Humeral Capitellum Among Adolescent Baseball Players. [Full Text]. Am J Sports Med. Epub 2019 Jan 16. Bachmann G, Jurgensen I, Siaplaouras J. 1992. Utilizing the ICRS classification system, for all three readers combined, the respective sensitivity, specificity, and accuracy of MR imaging to determine lesion stability were 70%, 81%, and 76%. [10], In the ankle joint, helical CT has multiplanar capability. [49], Sagittal T2-weighted image of the right shoulder reveals a central depression within the glenoid (arrowhead) without associated subchondral bone marrow edema. Bowen JR, Kumar VP, Joyce JJ 3d. In one study, sonographic assessment of OCD of the humeral capitellum agreed with radiographic assessment in 23 of 27 patients (85%), MRI assessment in 9 of 10 (90%), and surgical findings in 14 of 15 (93%). 2003 Jan-Feb. 23(1):102-8. 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. Radiology. Anteroposterior radiograph of the knee is unremarkable. 2019 Aug;59(8):700-709. doi: 10.1007/s00117-019-0554-1. Osteochondritis dissecans is suggested by a loss of the sharp cortical line of the articular surface (see the images below). [Medline]. 1989 Sep. 71(8):1143-52. Axial CT of the ankle reveals osteochondritis dissecans in the posteromedial aspect of the talar dome. Elbow involvement in osteochondritis dissecans is rare. 2005 May. In addition, moderate obesity is associated with an increased risk of knee OCD. Kijowski R, De Smet AA. [Medline]. Bui-Mansfield LT, Kline M, Chew FS. [Medline]. Many patients with OCD of the femoral capital epiphysis have a prior history of Legg-Calve-Perthes Disease. The cause of this lesion remains elusive. 1989 Sep-Oct. 30(5):552-4. Radiology. Chambers HG, Shea KG, Carey JL. 7 Iyer R, Thapa M, Khanna P, Chew F. Pediatric Bone Imaging: Imaging Elbow Trauma in Children-A Review of Acute and Chronic Injuries. 1975 Jun. Oblique, coronal T2-weighted image of the right shoulder demonstrates a developmental defect in the glenoid filled with fluid (arrowhead). Materials and methods: 2017 Mar. Sagittal T2-weighted image of the knee demonstrates a calcified loose body (white arrowhead) in the infrapatellar fat pad. 2020 Jan. [Medline]. 2 (1):29-36. In 1888, Konig coined the term when he sought to describe the pathologic process that led to atraumatic loose bodies … Management of osteochondritis dissecans of the knee: current concepts review. Diseases & Conditions, encoded search term (Osteochondritis Dissecans Imaging) and Osteochondritis Dissecans Imaging, Humeral Capitellum Osteochondritis Dissecans, Cartilage Injury in the Knee: Assessment and Treatment Options, Management of Articular Cartilage Defects in the Glenohumeral Joint, Proposed RA Guidelines: Maximize Methotrexate Before Switching, Gout Clinical Practice Guidelines (ACR, 2020), A Man With Stooped Posture and Mysterious Back and Neck Pain, Denosumab Favored Over Alendronate for BMD Protection in Glucocorticoid-Induced Osteoporosis, Treatment Sequence With Romosozumab Influences Osteoporosis Outcomes. 46 (7):1592-1595. Osteochondritis Dissecans. OCD of the glenoid is best detected on MRI. [39, 40, 8, 14, 41, 42, 24], The causes of OCD of the elbow are regarded as multifactorial; they include repetitive valgus stress applied to the poorly vascularized capitellum, vascular inflammation, and genetic factors. Knee Osteochondritis Dissecans. For a general discussion of osteochondritis dissecans … The lack of cartilage visualization can be overcome by using intra-articular contrast material. 2018 Jun. Keats T. Atlas of Normal Roentgen Variants That May Simulate Disease. 1976 Dec. 121(3 Pt. Omer GE Jr. Primary articular osteochondroses. 34(5):266-71. 23 (2):213-219. Arthroscopic treatment of osteochondral lesions of the talus: Long-term results. OCD of the wrist joint is rare and primarily occurs in the scaphoid. Lindén B, Jonsson K, Redlund-Johnell I. Osteochondritis dissecans of the hip. Sports Med Arthrosc Rev. 17:1011. 2017 Dec 20;39(6):768-773. doi: 10.3881/j.issn.1000-503X.2017.06.006. MRI correlates best with surgical staging. Injury of the articular cartilage allows an influx of synovial fluid into the epiphysis, creating a subchondral cyst (see the images below). Cheng MS, Ferkel RD, Applegate GR. Anterior longitudinal sonogram reveals a stable lesion with localized subchondral bony flattening (arrows) and a normal outline of the articular cartilage (courtesy of Dr Masatoshi Takahara). [Medline]. 46 (4):247-252. [45] Disparity in the mechanical properties of the central radial head and lateral capitellum probably is a factor in the initiation and localization of OCD of the capitellum (see the images below). 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 [67] : Grade A - Articular cartilage is smooth and intact but may be soft or ballottable, Grade B - Articular cartilage has a rough surface, Grade C - Articular cartilage has fibrillations or fissures, Grade D - Articular cartilage with a flap or exposed bone, Grade E - Loose, nondisplaced osteochondral fragment, Grade F - Displaced osteochondral fragment. 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. Singer KM, Roy SP. Osteochondral fracture of the tarsal navicular is not as rare as previously reported in the radiologic literature. 2019 Apr 17. Bexkens R, Simeone FJ, Eygendaal D, van den Bekerom MP, Oh LS; Shoulder and Elbow Platform. Ishibe M, Ogino T, Sato Y. Osteochondritis dissecans of the distal radioulnar joint. Cartilage. Skeletal Radiol. A clinical survey. 2018 May. Liem T Bui-Mansfield, MD is a member of the following medical societies: American Roentgen Ray Society, International Skeletal Society, Radiological Society of North America, Society of Skeletal RadiologyDisclosure: Nothing to disclose. Potential locations are the lateral aspect of the medial femoral condyle (75%), the weight-bearing surface of the medial (10%) and lateral femoral condyles (10%), and the anterior intercondylar groove or patella (5%). Osteochondritis dissecans, a term which was first used by Koenig , is a limited lesion of subchondral bone necrosis, which progresses slowly towards separation of necrotic … AJR Am J Roentgenol. Radiology; 1998;5: Reprint. [Medline]. [Medline]. On radiography, the epiphysis may demonstrate fragmentation. 2008 Apr. Lateral radiograph of the leg demonstrates osteochondritis dissecans in the posterior aspect of the talar dome (arrowhead). Griffith MRI classification of osteochondral lesions of the talus, showing the grade description of osteochondral lesions, is as follows Coronal T2-weighted image demonstrates an articular defect and abnormal high-signal intensity in the lateral talar dome consistent with osteochondritis dissecans. Coronal T2-weighted image of the ankle reveals a central depression in the tarsal navicular (arrowhead) consistent with osteochondritis dissecans. 7 (2):102-8. 2007 Feb. 28(2):154-61. 2016 Jun. 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. 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. [62, 63, 64, 65], Staging classifications of osteochondral lesions have been described best in the talus. Ultrasound in sports medicine. [16]   A short tau-inversion recovery sequence is the most sensitive. If you log out, you will be required to enter your username and password the next time you visit. Arthroscopy. Unstable osteochondritis dissecans … 2018 Nov. 27 (11):2038-2044. Pritsch M, Horoshovski H, Farine I. Arthroscopic treatment of osteochondral lesions of the talus. Foot Ankle Int. Of these, 58% of the lesions were deemed unstable and 42% were stable. [Medline]. 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. This article is a review of the current understanding of the etiology, pathogenesis, and how to diagnose and treat knee osteochondritis dissecans (OCD) followed by an analysis of and outcomes of the … Harada M, Takahara M, Sasaki J, Mura N, Ito T, Ogino T. Using sonography for the early detection of elbow injuries among young baseball players. J Bone Joint Surg [Br]. Bare area of the glenoid: magnetic resonance appearance with arthroscopic correlation. Crossref, Medline, Google Scholar; 7 DeSmet AA, Ilahi OA, Graf BK. In some cases, you or your doctor will be able to feel a loose fragment inside your joint. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. Itsubo T, Murakami N, Uemura K, Nakamura K, Hayashi M, Uchiyama S, et al. 2005 Dec. 185(6):1453-9. Lindholm TS, Osterman K, Vankka E. Osteochondritis dissecans of elbow, ankle and hip: a comparison survey. The Pritsch arthroscopic staging of osteochondral lesions of the talus is as follows Osteochondral lesions of the talus: localization and morphologic data from 424 patients using a novel anatomical grid scheme. Osteochondritis dissecans is a joint condition that occurs when a piece of cartilage and the thin layer of bone beneath it, separates from the end of the bone.If the piece of cartilage and bone … 19 (5):307-9. Jungesblut OD, Berger-Groch J, Meenen NM, Stuecker R, Rupprecht M. Validity of Ultrasound Compared with Magnetic Resonance Imaging in Evaluation of Osteochondritis Dissecans of the Distal Femur in Children. [Medline]. Comparison of sonography and MRI in the evaluation of stability of capitellar osteochondritis dissecans. The intercondylar "notch" viewis very helpful. [Medline]. 6(4):351-2. 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). 2019 Apr. Osteochondritis dissecans (OCD) is characterized by separation of an osteochondral fragment from the articular surface. A review of arthroscopic classification systems for osteochondritis dissecans of the knee. Diseases & Conditions, 2002 Yang TH, Lee YY, Huang CC, Huang YC, Chen PC, Hsu CH, et al. OCD of the tarsal navicular is limited to the proximal articular surface. AJR Am J Roentgenol. CT or MRI helps confirm the diagnosis. This is a normal variant. 1986 Aug. (209):49-56. 2018 Feb. 104 (1S):S97-S105. Wall EJ, Polousky JD, Shea KG, Carey JL, Ganley TJ, Grimm NL, et al. Perumal V, Wall E, Babekir N. Juvenile osteochondritis dissecans of the talus. CT scans can be used to assess the osseous integration after refixation of OCD loose fragments. T2-weighted sequences with fat-signal suppression are preferable over proton density-weighted sequences, because the latter are less specific for detecting fluid at the epiphyseal bone interface. Only 56% of the available MR reports assigned a label of stable or unstable to the lesion description. Zanon G, DI Vico G, Marullo M. Osteochondritis dissecans of the talus.  |  Juvenile versus adult osteochondritis dissecans of the knee: appropriate MR imaging criteria for instability. To diagnose osteochondritis dissecans, your orthopaedic specialist may request X-rays and an MRI … 2019 Nov. 213 (5):1145-1151. J Bone Joint Surg [Br]. [44] In a cadaveric study of the articular surfaces of the radiocapitellar joint, Schenck et al demonstrated significant topographic differences in the mechanical properties and thickness of cartilage in the capitellum and radial head. Novel radiographic feature classification of knee osteochondritis dissecans: a multicenter reliability study. Mohr B, Taylor RG, Baldea JD. Knee Surg Sports Traumatol Arthrosc. Mortise view of the ankle demonstrates a linear calcified loose body (arrowhead) in the talofibular joint and lucency in the lateral talar dome (arrow). Hu H, Zhang C, Chen J, Li P, Zhang XE, Deng Z, et al. Am J Sports Med. Acta Orthop Belg. In this paper, we utilize arthroscopy as the gold standard to determine if MRI can predict OCD lesion stability, the most important information to guide patient treatment decisions. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1980 May. Acta Orthop Scand. Sagittal T2-weighted image of the knee reveals subchondral bone marrow edema (white arrowhead) and an articular cartilage defect in the patella. [66] : Grade I - Intact, firm, shiny articular cartilage, Grade II - Intact but soft articular cartilage. 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. Cartilage. [59, 22, 60, 61]. 1253074-overview [14] and Itsubo et al found 100% sensitivity and 80% specificity. 2004 Mar-Apr. Kida Y, Morihara T, Kotoura Y, Hojo T, Tachiiri H, Sukenari T, et al. 2014 Aug. 42 (8):1963-71. Osteochondritis dissecans complicating Legg-Perthes disease. Coronal CT of the ankle demonstrates a cortical depression in the tibial plafond. [31], In the knee joint, the medial femoral condyle is the most commonly involved site. [75], Scintigraphic findings are nonspecific, demonstrating a mild-to-marked increase in focal uptake in the involved bone, depending on the age of the osteochondritis dissecans. [Medline]. Acta Radiol. [27, 28, 2]. 1987 Jan. 69(1):93-6. A preliminary report. Am J Sports Med. Osteochondrosis dissecans. Jacobson JA. Epub 2014 May 9. Insights into the Epiphyseal Cartilage Origin and Subsequent Osseous Manifestation of Juvenile Osteochondritis Dissecans with a Modified Clinical MR Imaging Protocol: A Pilot Study. All types of OCD were also found to have a significantly greater average BMI when compared with patients without OCD. Published by Elsevier Inc. NLM Arthroscopy. Int Orthop. Bauer M, Jonsson K, Linden B. Osteochondritis dissecans of the ankle. 57(4):506-9. In patients with capitellar OCD, MRI is particularly helpful for identifying cartilaginous foreign bodies that are usually missed by plain radiographs. Posterior longitudinal sonogram demonstrates a stable lesion with a nondisplaced bone fragment (asterisk), intact articular surface (arrowheads), and a narrow gap formation (arrow; courtesy of Dr Masatoshi Takahara). [Medline]. Wood D, Carter KR. The material includes 91 horses, of which 43 had the lesion in one or both knee joints, and … Kocher MS, Tucker R, Ganley TJ, Flynn JM. OCD of the glenoid is usually a much larger and eccentrically located lesion (see the last 4 images below). Clin Orthop. 2000 Nov. 175(5):1305-8. A radiological and anatomical study of one case. Osteochondritis dissecans (OCD) is characterized by separation of an osteochondral fragment from the articular surface. [Medline]. [Medline]. Aichroth P. Osteochondritis dissecans of the knee. 6 De Smet A. Radiology of Osteochondritis Dissecans. Dynamic bone scintigraphy in osteochondritis dissecans. [2], On conventional radiographs, osteochondral lesions can appear as lucencies in the articular epiphysis. [49]. Weiss JM, Shea KG, Jacobs JC Jr, Cannamela PC, Becker I, Portman M, et al. 2016 Feb 18. 1996:357. Sustained Results in Long-Term Follow-Up of Autologous Chondrocyte Implantation (ACI) for Distal Femur Juvenile Osteochondritis Dissecans (JOCD). J Pediatr Orthop. Yoshizuka M, Sunagawa T, Nakashima Y, Shinomiya R, Masuda T, Makitsubo M, et al. Am J Sports Med. [Guideline] Chambers HG, Shea KG, Anderson AF, et al. AJR Am J Roentgenol. Ultrasonography has been used to evaluate osteochondritis dissecans of the knee and humeral capitellum (see the images below). 8(1):132-7. Role of magnetic resonance imaging and clinical criteria in predicting successful nonoperative treatment of osteochondritis dissecans in children. A report of four cases. 68(6):862-5. A comparison with conventional radiology and arthroscopy]. 2018 May/Jun. Arthroscopic treatment of osteochondritis dissecans of the scaphoid. Anteroposterior radiograph of the knee reveals osteochondritis dissecans in the lateral aspect (arrowhead) of the medial femoral condyle. Clin Orthop. Osteochondritis dissecans is an aseptic necrosis of subchondral bone and the overlying cartilage. JB JS Open Access. 41(4):387-99. [Medline]. Posterior longitudinal sonogram reveals an unstable lesion with a slightly displaced fragment (asterisk) and a wide gap formation (arrows; courtesy of Dr Masatoshi Takahara). Kijowski R, Blankenbaker DG, Shinki K, et al. Osteochondritis dissecans of the humeral head. The usual sites of OCD of the talar dome are the posteromedial aspect (56%) and the anterolateral aspect (44%) of the talus. Anterior longitudinal sonogram demonstrates an unstable lesion with a capitellar defect (arrow; courtesy of Dr Masatoshi Takahara). 1976 Dec. 47(6):668-71. 1995 Jul. Adv Orthop. J Pediatr Orthop. Although it can occur from childhood through adult life, the majority of patients are 10 to 20 years of … OCD is suggested by a loss of the sharp cortical line of the articular surface. Background The name osteochondritis dissecans (OCD) is a misnomer. J Am Acad Orthop Surg. Mahirogullari M, Chloros GD, Wiesler ER, Ferguson C, Poehling GG. J Clin Ultrasound. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. The classification system of the ICRS, created by an international multidisciplinary, multi-expert consortium, did markedly improve the accuracy, but consistency among different readers was lacking. See osteochondritis dissecans article for a general discussion. Please confirm that you would like to log out of Medscape. Osteochondritis dissecans (OCD) is a localized process that affects the subchondral bone and can progress to the overlying articular cartilage.

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