Discrepancy between morphological findings in juvenile osteochondritis dissecans (OCD): a comparison of magnetic resonance imaging (MRI) and arthroscopy

Roßbach, Björn P.; Paulus, Alexander; Niethammer, Thomas; Wegener, Veronika; Güleçyüz, Mehmet F.; Jansson, Volkmar; Müller, Peter E.; Utzschneider, Sandra

doi:10.1007/s00167-015-3724-3

Cited by 28 publications

(17 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a study that compared MRI with arthroscopic findings in 17 juvenile patients with ankle cartilage lesions, MRI and arthroscopy correlated in 65% of cases. 10 Although a diagnostic CT or MRI scan is typically obtained with the ankle in a plantigrade position, a CT scan with the ankle in full plantar flexion has also been described for preoperative planning 13,14 and may be considered useful in the operative planning of lesions localized to the posterior half of the talus and in ankles with limited range of motion.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis: History, Physical Examination, Imaging, and Arthroscopy: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

et al. 2018

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Diagnosis: History, Physical Examination, Imaging, and Arthroscopy: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Commonly found in the knee, plain radiographs are used reliably for diagnosis, staging [ 2 ], and management. Advanced imaging, such as MRI, is often used in conjunction with radiographs and physical exam for staging and surgical planning though inconsistencies in protocols and findings limit its clinical utility [ 3 – 5 ].…”

Section: Introductionmentioning

confidence: 99%

Sustained Results in Long-Term Follow-Up of Autologous Chondrocyte Implantation (ACI) for Distal Femur Juvenile Osteochondritis Dissecans (JOCD)

Beck

Sugimoto

Micheli

2018

Advances in Orthopedics

View full text Add to dashboard Cite

Introduction Concern regarding ability of autologous chondrocyte implantation (ACI) to correct for the bone and cartilage pathology of knee juvenile osteochondritis dissecans (JOCD) exists. The purpose of this study was to determine long-term, patient-based outcomes of ACI treatment of JOCD in young patients. Authors hypothesized long-term outcomes are comparable to reported mid-term outcomes. Methods A single institution, longitudinal cohort study design combining medical record review and outcome surveys was used. Inclusion criteria included isolated JOCD diagnosis, failed primary healing of operatively treated JOCD, ACI surgery > 5 years ago, and ≤20 years of age at time of ACI. Results 10/26 eligible patients (38.5%) participated (M: F = 5:5, age at ACI: 18.3 ± 2.5 y, current age: 30.8 ± 5.1 y, and current BMI: 24.6 ± 2.1). Follow-up was 12.0 ± 4.5 y. Lesion size at ACI was 9.1 ± 1.9 cm2. Femoral condyle location was medial = 6 and lateral = 4. All required treatment at some point for knee symptoms after ACI. During the past one year, four patients required treatment. Patient reported outcome scores at 12 years following ACI were IKDC score: 73.0 ± 3.6, KOOS scores including pain [88.7 ± 2.3], symptoms [78.2 ± 4.6], activity of daily living [94.7 ± 1.9], function, sports, and recreational activities [73.0 ± 5.3], and quality of life [57.5 ± 5.8], and Modified Cincinnati Knee Rating score was 77.9 ± 4.1. A moderate to good relationship was found between KOOS symptoms and BMI and lesion size. Function, sports, and recreational activities of the KOOS were greater in participants who had ≤1 lesion prior to ACI procedures (p = 0.044). Conclusion This study of ACI treatment of knee JOCD patients confirms sustained, long-term results. Number of lesions prior to ACI procedure influenced status of function, sports, and recreational activities.

show abstract

“…42 Heywood et al 43 reported a specificity of 15% for diagnosing fragment instability. In a recent study from Germany, 44 the authors found a poor correlation between pre-operative MRI and arthroscopy morphological findings (59.6% of all patients with an OCD of the femoral condyle). Both studies agree that MRI should not be used in isolation to determine lesion stability in young patients with juvenile OCD.…”

Section: Imagingmentioning

confidence: 91%

Juvenile osteochondritis dissecans (JOCD) of the knee: current concepts review

Masquijo

Kothari

2019

EFORT Open Reviews

View full text Add to dashboard Cite

Juvenile osteochondritis dissecans (JOCD) is a joint disorder of the subchondral bone and articular cartilage that affects skeletally immature patients. The aetiology of JOCD is unknown and the natural history is poorly characterized in part due to inconsistent and largely retrospective literature. Most OCD in children and adolescents presents as a stable lesion amenable to non-operative treatment or minimally invasive drilling. However, unstable forms can require a more aggressive approach. This article reviews the most recent literature available and focuses on the pathophysiology, diagnosis and treatment of JOCD of the knee. Cite this article: EFORT Open Rev 2019;4:201-212. DOI: 10.1302/2058-5241.4.180079

show abstract

Discrepancy between morphological findings in juvenile osteochondritis dissecans (OCD): a comparison of magnetic resonance imaging (MRI) and arthroscopy

Abstract: III.

Cited by 28 publications

References 22 publications

Diagnosis: History, Physical Examination, Imaging, and Arthroscopy: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

Diagnosis: History, Physical Examination, Imaging, and Arthroscopy: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle

Sustained Results in Long-Term Follow-Up of Autologous Chondrocyte Implantation (ACI) for Distal Femur Juvenile Osteochondritis Dissecans (JOCD)

Juvenile osteochondritis dissecans (JOCD) of the knee: current concepts review

Contact Info

Product

Resources

About