BibTex RIS Cite

Early Stage Spontaneous Osteonecrosis of the Knee: MR Imaging Findings

Year 2012, Volume: 9 Issue: 3, 187 - 191, 01.09.2012

Serap Dogan Afra Yildirim Ertugrul Mavili Serkan Senol Ahmet Candan Durak Mustafa Ozturk

Abstract

To evaluate the MR imaging findings of early stage spontaneous osteonecrosis of the knee. This study includes 21 spontaneous osteonecrosis cases (12 men, 9 women; mean age, 56.9 years) consulting to a radiology clinic for MR imaging of knee joint. Antero-posterior and lateral knee radiographies of all patients were obtained. 25 lesions observed on MRI in 21 patients were analysed. MR images were analysed for the localization and dimension of the lesion, the presence of hypointensity in the subchondral bone, the presence of focal contour depression and the presence of additional meniscal pathology. As a means of medical treatment intravenous iloprost was applied. There was no specific pathological finding on plain radiography. In 16 cases, the lesions were localized on the medial femoral condyle. Nine lesions were defined as small sized (36 %), and 16 as large (64 %). Subchondral hypointense focus was seen in 11 lesions. Contour depression was found on medial weight bearing joint surfaces in 2 cases. In 15 cases, grade 2 meniscal degeneration was found on the posterior horn of the medial meniscus. MR imaging can be applied as an effective modality for the diagnosis of early stage spontaneous osteonecrosis. Key words: Knee joint, magnetic resonance imaging, osteonecrosis.

Keywords

-

References

  • Ahlbäck S, Bauer GC, Bohne WH. Spontaneous osteonecro- sis of the knee. Arthritis Rheum 1968;11:705-33.
  • Pollack MS, Dalinka MK, Kressel HY, Lotke PA, Spritzer CE. Magnetic resonance imaging in the evaluation of suspected osteonecrosis of the knee. Skeletal Radiol 1987;16:121-7.
  • Ecker ML, Lotke PA. Spontaneous Osteonecrosis of the Knee. J Am Acad Orthop Surg 1994;2:173-8.
  • Lotke PA, Nelson CL, Lonner JH. Spontaneous osteonecro- sis of the knee: tibial plateaus. Orthop Clin North Am 2004;35:365-70.
  • Lecouvet FE, van de Berg BC, Maldague BE, et al. Early irreversible osteonecrosis versus transient lesions of the femoral condyles: prognostic value of subchondral bone and marrow changes on MR imaging. AJR 1998;170:71-7.
  • Patel DV, Breazeale NM, Behr CT, Warren RF, Wickiewicz TL, O'Brien SJ. Osteonecrosis of the knee: current clinical concepts. Knee Surg Sports Traumatol Arthrosc 1998;6:2- 11.
  • Ohdera T, Miyagi S, Tokunaga M, Yoshimoto E, Matsuda S, Ikari H. Spontaneous osteonecrosis of the lateral femoral condyle of the knee: a report of 11 cases. Arch Orthop Trauma Surg 2008;128(8):825-31.
  • DeFalco RA, Ricci AR, Balduini FC. Osteonecrosis of the knee after arthroscopic meniscectomy and chondroplasty: a case report and literature review. Am J Sports Med. 2003;31:1013-6.
  • Aglietti P, Insall JN, Buzzi R, Deschamps G. Idiopathic os- teonecrosis of the knee. Aetiology, prognosis and treat- ment. J Bone Joint Surg Br 1983;65:588-97.
  • Mont MA, Baumgarten KM, Rifai A, Bluemke DA, Jones LC, Hungerford DS. Atraumatic osteonecrosis of the knee. J Bone Joint Surg Am 2000; 829:1279-90.
  • Bjorkengren AG, AlRowaih A, Lindstrand A, Wingstrand H, Thorngren KG, Pettersson H. Spontaneous osteonecrosis of the knee: value of MR imaging in determining progno- sis. Am J Roentgenol 1990;154:331-6.
  • Healy WL. Osteonecrosis of the knee detected only by MRI. Orthopedics1991;14:703-4.
  • Yates PJ, Calder JD, Stranks GJ, Conn KS, Peppercorn D, Thomas NP. Early MRI diagnosis and non-surgical manage- ment of spontaneous osteonecrosis of the knee. The Knee 2007;14:112-6.
  • Gil HC, Levine SM, Zoga AC. MRI Findings in the Subchondral Bone Marrow: A Discussion of Conditions Including Transient Osteoporosis, Transient Bone Marrow Edema Syndrome, SONK, and Shifting Bone Marrow Edema of the Knee Semin Musculoskelet Radiol 2006;10:177– 86.
  • Korompilias AV, Karantanas AH, Lykissas MG, Beris AE. Bone marrow edema syndrome. Skeletal Radiol 2009;38: 426-36.

Early Stage Spontaneous Osteonecrosis of the Knee: MR Imaging Findings

Year 2012, Volume: 9 Issue: 3, 187 - 191, 01.09.2012

Serap Dogan Afra Yildirim Ertugrul Mavili Serkan Senol Ahmet Candan Durak Mustafa Ozturk

Abstract

-

Keywords

-

References

  • Ahlbäck S, Bauer GC, Bohne WH. Spontaneous osteonecro- sis of the knee. Arthritis Rheum 1968;11:705-33.
  • Pollack MS, Dalinka MK, Kressel HY, Lotke PA, Spritzer CE. Magnetic resonance imaging in the evaluation of suspected osteonecrosis of the knee. Skeletal Radiol 1987;16:121-7.
  • Ecker ML, Lotke PA. Spontaneous Osteonecrosis of the Knee. J Am Acad Orthop Surg 1994;2:173-8.
  • Lotke PA, Nelson CL, Lonner JH. Spontaneous osteonecro- sis of the knee: tibial plateaus. Orthop Clin North Am 2004;35:365-70.
  • Lecouvet FE, van de Berg BC, Maldague BE, et al. Early irreversible osteonecrosis versus transient lesions of the femoral condyles: prognostic value of subchondral bone and marrow changes on MR imaging. AJR 1998;170:71-7.
  • Patel DV, Breazeale NM, Behr CT, Warren RF, Wickiewicz TL, O'Brien SJ. Osteonecrosis of the knee: current clinical concepts. Knee Surg Sports Traumatol Arthrosc 1998;6:2- 11.
  • Ohdera T, Miyagi S, Tokunaga M, Yoshimoto E, Matsuda S, Ikari H. Spontaneous osteonecrosis of the lateral femoral condyle of the knee: a report of 11 cases. Arch Orthop Trauma Surg 2008;128(8):825-31.
  • DeFalco RA, Ricci AR, Balduini FC. Osteonecrosis of the knee after arthroscopic meniscectomy and chondroplasty: a case report and literature review. Am J Sports Med. 2003;31:1013-6.
  • Aglietti P, Insall JN, Buzzi R, Deschamps G. Idiopathic os- teonecrosis of the knee. Aetiology, prognosis and treat- ment. J Bone Joint Surg Br 1983;65:588-97.
  • Mont MA, Baumgarten KM, Rifai A, Bluemke DA, Jones LC, Hungerford DS. Atraumatic osteonecrosis of the knee. J Bone Joint Surg Am 2000; 829:1279-90.
  • Bjorkengren AG, AlRowaih A, Lindstrand A, Wingstrand H, Thorngren KG, Pettersson H. Spontaneous osteonecrosis of the knee: value of MR imaging in determining progno- sis. Am J Roentgenol 1990;154:331-6.
  • Healy WL. Osteonecrosis of the knee detected only by MRI. Orthopedics1991;14:703-4.
  • Yates PJ, Calder JD, Stranks GJ, Conn KS, Peppercorn D, Thomas NP. Early MRI diagnosis and non-surgical manage- ment of spontaneous osteonecrosis of the knee. The Knee 2007;14:112-6.
  • Gil HC, Levine SM, Zoga AC. MRI Findings in the Subchondral Bone Marrow: A Discussion of Conditions Including Transient Osteoporosis, Transient Bone Marrow Edema Syndrome, SONK, and Shifting Bone Marrow Edema of the Knee Semin Musculoskelet Radiol 2006;10:177– 86.
  • Korompilias AV, Karantanas AH, Lykissas MG, Beris AE. Bone marrow edema syndrome. Skeletal Radiol 2009;38: 426-36.
There are 15 citations in total.

Details

Primary Language English
Journal Section Original Articles
Authors

Serap Dogan This is me

Afra Yildirim This is me

Ertugrul Mavili This is me

Serkan Senol This is me

Ahmet Candan Durak This is me

Mustafa Ozturk This is me

Publication Date September 1, 2012
Published in Issue Year 2012 Volume: 9 Issue: 3

Cite

APA Dogan, S., Yildirim, A., Mavili, E., Senol, S., et al. (2012). Early Stage Spontaneous Osteonecrosis of the Knee: MR Imaging Findings. European Journal of General Medicine, 9(3), 187-191.
AMA Dogan S, Yildirim A, Mavili E, Senol S, Durak AC, Ozturk M. Early Stage Spontaneous Osteonecrosis of the Knee: MR Imaging Findings. European Journal of General Medicine. September 2012;9(3):187-191.
Chicago Dogan, Serap, Afra Yildirim, Ertugrul Mavili, Serkan Senol, Ahmet Candan Durak, and Mustafa Ozturk. “Early Stage Spontaneous Osteonecrosis of the Knee: MR Imaging Findings”. European Journal of General Medicine 9, no. 3 (September 2012): 187-91.
EndNote Dogan S, Yildirim A, Mavili E, Senol S, Durak AC, Ozturk M (September 1, 2012) Early Stage Spontaneous Osteonecrosis of the Knee: MR Imaging Findings. European Journal of General Medicine 9 3 187–191.
IEEE S. Dogan, A. Yildirim, E. Mavili, S. Senol, A. . C. Durak, and M. Ozturk, “Early Stage Spontaneous Osteonecrosis of the Knee: MR Imaging Findings”, European Journal of General Medicine, vol. 9, no. 3, pp. 187–191, 2012.
ISNAD Dogan, Serap et al. “Early Stage Spontaneous Osteonecrosis of the Knee: MR Imaging Findings”. European Journal of General Medicine 9/3 (September 2012), 187-191.
JAMA Dogan S, Yildirim A, Mavili E, Senol S, Durak AC, Ozturk M. Early Stage Spontaneous Osteonecrosis of the Knee: MR Imaging Findings. European Journal of General Medicine. 2012;9:187–191.
MLA Dogan, Serap et al. “Early Stage Spontaneous Osteonecrosis of the Knee: MR Imaging Findings”. European Journal of General Medicine, vol. 9, no. 3, 2012, pp. 187-91.
Vancouver Dogan S, Yildirim A, Mavili E, Senol S, Durak AC, Ozturk M. Early Stage Spontaneous Osteonecrosis of the Knee: MR Imaging Findings. European Journal of General Medicine. 2012;9(3):187-91.