juvenile osteochondritis dissecans radiology

To the Editor: Joint pain and swelling are common symptoms of patients with juvenile idiopathic arthritis (JIA) with active joint inflammation. Background:Several magnetic resonance imaging (MRI) classification systems have been developed to determine the degree of instability of juvenile osteochondritis dissecans (JOCD) lesions. Purpose: To retrospectively compare the sensitivity and specificity of previously described magnetic resonance (MR) imaging criteria for the detection of instability in patients with juvenile or adult osteochondritis dissecans (OCD) of the knee, with arthroscopic findings as the reference standard. Objective: Osteochondral surgical procedures have been described for the treatment of unfixable osteochondritis dissecans (OCD), but only few of them have been studied for juvenile OCD (JOCD) lesions. Tal Laor 1, Andrew M. Zbojniewicz 1, Emily A. Eismann 2 and Eric J. This case highlights a relatively asymptomatic patient with a large osteochondral defect. Juvenile versus adult osteochondritis dissecans of the knee: appropriate MR imaging criteria for instability. Although conclusive evidence of an exact cause is lacking, there is widespread agreement that JOCD is related to repetitive trauma. Kijowski R et al. Nguyen JC, Liu F, Blankenbaker DG, Woo KM, Kijowski R. Juvenile osteochondritis dissecans: cartilage T2 mapping of stable medial femoral condyle lesions. The specimens from 50 operated cases of osteochondritis dissecans of the distal femur were analyzed histopathologically. Methods: MRI analysis of 122 knees and 132 JOCD lesions in 109 patients who underwent arthroscopic treatment for osteochondritis dissecans lesions of the knee between March 2003 and January 2011. Objective: To discuss the case of a patient with osteochondritis dissecans, a common disorder primarily affecting children and adolescent patients that involves the medial femoral condyle, and to examine its radiologic appearance.Clinical Features: A 25-year-old man with knee pain sought treatment at a chiropractic clinic. Kijowski R, Blankenbaker DG, Shinki K, Fine JP, Graf BK, De Smet AA. Repetitive trauma to the articular surfaces with the softer cartilage is thought to be the primary cause of OCD [1] , [2] . ?s Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229. 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. 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 treatments available. Share Claim CME + Affiliations: 1 Department of Radiology, Cincinnati Children?? Minor changes: 30 July 2020. Radiology 248: 571–578 248: 571–578 Clinical Relevance: This paradigm shift in understanding of juvenile osteochondritis dissecans etiology and disease progression may critically impact future patient management. 2018 Aug;288(2):536-543. doi: 10.1148/radiol.2018171995. The patient had a 2-year history of left knee pain that was … Osteochondritis dissecans (o.d.) The exact cause of OCD is still unknown. Juvenile Osteochondritis Dissecans: Cartilage T2 Mapping of Stable Medial Femoral Condyle Lesions Radiology . Anterior Knee Pain; Chondral Defect of the Knee; Effects of a Partial Meniscectomy on Articular Cartilage; Knee Arthritis; Osteochondritis Dissecans of the Knee all unstable juvenile osteochondritis dissecans lesions at the time of presentation6. Well demarcated defect in articular surface of joint Case reports. Despite our long recognition of OCD, the natural history and most effective therapies are poorly understood. Background: Recent data suggest magnetic resonance imaging (MRI) is the best method to analyze the status of the cartilage and subchondral bone in patients with juvenile osteochondritis dissecans (JOCD). For determining the best treatment for osteochondritis dissecans (OCD) of the humeral capitellum, it is important to clarify whether the lesions are stable or unstable. Osteochondritis dissecans (OCD) can lead to disabling arthritis if not recognized and treated appropriately in the early stages. A joint is where two bones come together. A trauma with subsequent osteochondral defect detected immediately by radiology has to be differentiated from osteochondritis dissecans of the talus. The optimal treatment for a stable juvenile osteochondritis dissecans lesion remains controversial because the condition is rare, the relative success of various treatments is unknown, the condition progresses or healsslowly, and there are Topic Completed: 1 February 2013. Juvenile Osteochondritis Dissecans: Correlation Between Histopathology and MRI Andrew M. Zbojniewicz1 Keith F. Stringer2 Tal Laor1 Eric J. Wall3 Zbojniewicz AM, Stringer KF, Laor T, Wall EJ 1Department of Radiology, Cincinnati Children’s Hospital Medical Center, University of Cincinnati, 3333 Burnet Ave, MLC 5031, Cincinnati, OH 45229. The name juvenile osteochondrosis is more specific, since it excludes those definitely post-traumatic malarias, such as Kümmel's, Preiser's, and Kienböck's disease, which do occur in adult life. Within the risk factors, repetitive trauma is accepted [1, 3]. 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. Radiography and magnetic resonance imaging (MRI) are the primary modalities used to … Osteochondritis dissecans. ... Radiology description. OCD is seen in children and adolescents with open growth plates (juvenile OCD) and adults with closed growth plates (adult OCD). Typically seen in children and young people, JOCD is primarily an active youth person’s condition. 36. We define unstable OCD lesions as those with fragments that can be displaced by intraoperative probing. Juvenile osteochondritis disse-cans (OCD) is a frequent cause of knee pain in children. Juvenile Osteochondritis Dissecans (JOCD) is a disorder which occurs in young people whose growth plates haven’t closed yet. A cell-free biomimetic osteochondral scaffold showed positive results in adult patients. OCD usually causes pain during and after sports. The DESS sequence is helpful to confirm cartillage integrity and allows the orthopedic surgical team to make plans for micro-drilling of the lesion. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. With JOCD, there is a loosening of a piece of bone and the cartilage that covers it. Quantitatively measured T2 values did not significantly differ between cartilage overlying juvenile osteochondritis dissecans lesions and normal cartilage on the medial femoral condyle. MRI is commonly used to assess the stability of OCD lesions of the knee . Nowadays, the term of Osteochondritis Dissecans (OCD) is the most widely used for an idiopathic fracture line extending through the articular cartilage and the underlying bone in the knee [1, 2]. Read "Juvenile osteochondritis dissecans: a 5-year review of the natural history using clinical and MRI evaluation, Pediatric Radiology" on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Juvenile Osteochondritis Dissecans: Is It a Growth Disturbance of the Secondary Physis of the Epiphysis? Osteochondritis dissecans of the talus is a particular form of osteochondral lesions of the talus. johnpolousky@msn.com Juvenile osteochondritis dissecans (JOCD) has been a recognized entity for more than 100 years. Juvenile osteochondritis dissecans. Osteochondritis dissecans is traditionally divided into juvenile (open physes) and adult (closed physes) based on skeletal maturity. Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Osteochondritis Dissecans is primarily a dis … Nonoperative treatment of stable juvenile osteochondritis dissecans (JOCD) lesions of the knee fails in up to 50% of cases. Juvenile Osteochondritis Dissecans: Correlation of Findings on Histopathology and MRI Andrew Zbojniewicz MD*, Keith Stringer MD**, Tal Laor MD*, Eric Wall MD*** Departments of Radiology*, Pathology**, and Orthopedics*** Cincinnati Children’s Hospital Medical Center University of Cincinnati College of Medicine Osteochondrosis is a disease of the growth centers, and has its … Radiology, 248(2):571-578, 13 Jun 2008 Cited by: 59 articles | PMID: 18552309 Healing predictors are needed to identify potential failures and thus determine treatment options. Polousky JD(1). Author: Vijay Shankar, M.D. Juvenile osteochondritis dissecans (JOCD) has been a recognized entity for more than 100 years. Juvenile Osteochondritis Dissecans is a condition of the joint surfaces and underlying bone that occurs in people who are still growing. Author information: (1)Rocky Mountain Youth Sports Medicine Institute, Rocky Mountain Hospital for Children, CO, USA. (2008) Juvenile versus adult osteochondritis dissecans of the knee: appropriate MR imaging criteria for instability. Radiology 2018; … When patients with JIA have persistent pain or mechanical symptoms despite treatment of their inflammation, other causes must be considered. Address Wall 2. Normal hard bone is covered with a softer form of bone called cartilage at the joint surface. Osteochondritis dissecans (OCD) includes a spectrum of joint disease involving articular cartilage, 1,6,12,26 with the subchondral bone lesion having the potential to progress to varying degrees of osseous resorption, collapse, detachment, and violation of the overlying articular cartilage, which may result in intra-articular loose body formation. 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