Osteochondroses

Danger, Franklin J; Wasyliw, Christopher; Varich, Laura

doi:10.1055/s-0038-1627094

Cited by 17 publications

(13 citation statements)

References 25 publications

(60 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Later, radiographic findings comprise osteosclerosis, bone fragmentation, and collapse. 53 Osteochondroses are often self-limiting and resolve with remodeling or residual deformity under conservative treatment. 52 ►Table 3 summarizes the most important osteochondroses at the upper extremity.…”

Section: Differential Diagnosis: Osteochondrosismentioning

confidence: 99%

Osteonecrosis of the Upper Extremity: MRI-Based Zonal Patterns and Differential Diagnosis

Schmitt

Kalb

Christopoulos

et al. 2019

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

Regarding the upper extremity, osteonecrosis can relate to the humeral head and to any carpal bone, most commonly the lunate (Kienböck's disease), scaphoid (Preiser's disease and nonunion), and capitate bone (osteonecrosis of the capitate head). In children and adolescents, osteochondrosis is an important differential diagnosis at the epiphyses. Appropriate imaging of osteonecrosis depends on knowledge about blood supply, biomechanical load, and bone repair mechanisms. Contrast-enhanced MRI (ceMRI) enables the differentiation of up to three mostly band-shaped zones: necrotic tissue (proximal), hypervascular repair tissue (intermediate), and viable bone (distal). To distinguish between necrotic and repair zones, intravenous gadolinium is recommended in MRI. Osteosclerosis and insufficiency fractures in early and intermediate stages as well as osteoarthritis in advanced stages are best depicted using high-resolution CT (HRCT). The combination of HRCT and ceMRI allows for exact classification of osteonecrosis regarding morphology and viability.

show abstract

Section: Differential Diagnosis: Osteochondrosismentioning

confidence: 99%

Osteonecrosis of the Upper Extremity: MRI-Based Zonal Patterns and Differential Diagnosis

Schmitt

Kalb

Christopoulos

et al. 2019

Semin Musculoskelet Radiol

View full text Add to dashboard Cite

show abstract

“…Osteochondrosis, also called osteochondritis by some authors, results from changes in endochondral ossification at the level of developing bone nuclei at epiphyses and apophyses. 1 , 2 Although its etiology remains unknown, vascular and microtraumatic changes seem to be play a role. 2 Osteochondrosis predominates in childhood and adolescence, and it is associated with growth spurts and hormonal changes.…”

Section: Introductionmentioning

confidence: 99%

“…The most frequent osteochondroses include Köhler disease, Freiberg disease, Sever disease, and Osgood-Schlatter disease; in contrast, ischiopubic osteochondritis, or Van Neck-Odelberg (VNO) disease, is a rarely diagnosed osteochondrosis. 1 The first description of ischiopubic osteochondritis was made in 1923 by Van Neck, and later complemented by Odelberg in 1924; as such, it is known today as Van Neck-Odelberg disease. 3 , 4 It is a benign, self-limiting condition characterized by imaging evidence of asymmetric ischiopubic synchondrosis (IPS) hypertrophy, associated with lameness, unilateral inguinal pain, and functional limitation of the hip.…”

Section: Introductionmentioning

confidence: 99%

Doença de Van Neck-Odelberg — Entidade rara ou subdiagnosticada?

Moreira

Alba

Nogueira

et al. 2022

Rev Bras Ortop (Sao Paulo)

View full text Add to dashboard Cite

ResumoA doença de Van Neck-Odelberg (VNO) é uma osteocondrose rara, que acomete a sincondrose isquiopúbica (SIP). Esta entidade deve ser incluída no diagnóstico diferencial de crianças com claudicação na marcha, dor inguinal e limitação funcional do quadril. Imagiologicamente é caracterizada por hipertrofia assimétrica da SIP. Apresentamos o caso clínico de uma criança de 4 anos, previamente saudável, atendida no serviço de emergência devido a dor inguinal no lado esquerdo e claudicação na marcha com início no mesmo dia. Não havia história prévia de trauma ou alteração dos parâmetros inflamatórios. Foi realizada uma radiografia da bacia e ressonância magnética nuclear (RMN) que evidenciou imagem radiopaca de contornos bem definidos no ramo isquiopúbico esquerdo e edema na SIP. Com diagnóstico provável de doença de VNO, o paciente foi medicado sintomaticamente, com resolução completa ao fim de 10 dias. A claudicação na marcha é um motivo frequente de avaliação médica na população pediátrica. Até os 5 anos de idade, as causas mais comuns são sinovite transitória do quadril, artrite séptica e Doença de Legg-Calvé-Perthes. Na ausência de história de trauma ou clínica sugestiva de infeção deverá ser equacionada a hipótese de doença de VNO. Para o seu diagnóstico, é fundamental a realização de radiografia da bacia, cujo achado mais comum é uma opacificação fusiforme unilateral, no nível do ísquion, podendo ser necessária a realização de RMN. O tratamento recomendado é conservador, com recuperação sintomática em 2 semanas. O conhecimento e o diagnóstico desta entidade permitem uma abordagem direcionada e sem a carga emocional para o paciente e seus familiares que outras patologias poderiam transmitir.

show abstract

“…Although unrelated to each other, they share some common features such as preferential involvement of immature skeleton in epiphyses or apophyses. The radiographic aspect is dominated by bone fragmentation, collapse, sclerosis or reossification (1)(2)(3).…”

mentioning

confidence: 99%

Osteochondroses In Children’s Sports Practice – A Rare Case Of Van Neck–Odelberg Disease

Fonseca

Figueiredo

Pinheiro

2022

JRM-CC

View full text Add to dashboard Cite

Background: Osteochondroses are a set of conditions concerning the ossification of the developing bone. Higher intensity in sports activities can increase its occurrence in children. There is no consensus on its etiology, with multiple factors being involved. Van Neck–Odelberg disease is a rare osteochondrosis located in ischiopubic synchondrosis. Treatment is mainly conservative, with activity suspension. Addressing and correcting the predisposing factors is crucial to these injuries.Case report: We present a case of a 6-year-old futsal player who experienced mechanical inguinal moderate pain during sports practice. After performing physical examination, laboratory tests, and radiographic evaluation, the patient was diagnosed with Van Neck–Odelberg disease. Sports activities were suspended while a conservative treatment was performed, with subsequent follow-up over 3.5 years. No symptom recurrence was reported.Conclusion: Increased intensity of sports activities is associated with overuse injuries in children, especially before completing the ossification process. Preventive measures must remain the primary concern in children’s sports practice. LAY ABSTRACTOsteochondroses are a group of disorders that affect normal bone growth. The cause for these disorders is not well understood, involving different factors. Osteochondroses can occur in children’s sports practice, affecting performance or even leading to its abandonment. Van Neck–Odelberg disease is one of these disorders that affects a temporary joint located in the inguinal area and that only exists during childhood. This paper presents a case and respective follow-up of a 6-year-old futsal player diagnosed with Van Neck–Odelberg disease. This paper also reviews the possible contributing factors, differential diagnoses, treatment options, and preventive measures.

show abstract

Osteochondroses

Cited by 17 publications

References 25 publications

Osteonecrosis of the Upper Extremity: MRI-Based Zonal Patterns and Differential Diagnosis

Osteonecrosis of the Upper Extremity: MRI-Based Zonal Patterns and Differential Diagnosis

Doença de Van Neck-Odelberg — Entidade rara ou subdiagnosticada?

Osteochondroses In Children’s Sports Practice – A Rare Case Of Van Neck–Odelberg Disease

Contact Info

Product

Resources

About