AJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Boutin, R. D.
Right arrow Articles by Newman, J. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Boutin, R. D.
Right arrow Articles by Newman, J. S.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Hotlight (NEW!)
Right arrow
What's Hotlight?

MR Imaging Features of Osteochondritis Dissecans of the Femoral Sulcus

Robert D. Boutin1, Jennifer A. Januario2, Arthur H. Newberg2, Cooper R. Gundry3 and Joel S. Newman2

1 Med-Tel International, 3713 Lillard Dr., Davis, CA 95616.
2 Department of Radiology, New England Baptist Hospital, 125 Parker Hill Ave., Boston, MA 02120.
3 CDI, 5775 Wayzata Blvd., Minneapolis, MN 55416.



View larger version (148K):

[in a new window]
  		Fig. 1A. —14-year-old girl with osteochondritis dissecans of anterolateral right femoral condyle. Sagittal spin-echo proton density-weighted MR image (TR/TE, 2400/20) shows ovoid low-signal-intensity lesion of anterolateral femoral condyle (arrows).

 


View larger version (124K):

[in a new window]
  		Fig. 1B. —14-year-old girl with osteochondritis dissecans of anterolateral right femoral condyle. Axial CT scan shows irregular subchondral margin. Subchondral cysts (arrow) are present.

 


View larger version (49K):

[in a new window]
  		Fig. 2A. —24-year-old man with chronic patellofemoral pain. Axial radiograph of knees shows bilateral osteochondritis dissecans involving lateral aspects of each femoral sulcus (arrows).

 


View larger version (134K):

[in a new window]
  		Fig. 2B. —24-year-old man with chronic patellofemoral pain. Axial fat-suppressed fast spoiled gradient-echo MR image (TR/TE, 18.8/2; flip angle, 30°) of left knee shows irregularity of subchondral bone of lateral sulcus (arrow). Articular cartilage was intact, and lesion was stable at arthroscopy (not shown).

 


View larger version (153K):

[in a new window]
  		Fig. 3A. —16-year-old boy with osteochondritis dissecans of anterolateral left femoral condyle. Sagittal spin-echo proton density-weighted MR image (TR/TE, 2000/20) shows low-signal-intensity lesion in anterolateral femoral condyle.

 


View larger version (149K):

[in a new window]
  		Fig. 3B. —16-year-old boy with osteochondritis dissecans of anterolateral left femoral condyle. Sagittal spin-echo T2-weighted MR image (2000/70) shows high-signal interface (arrows) between osteochondritic fragment and femur, indicating unstable lesion.

 


View larger version (183K):

[in a new window]
  		Fig. 4. —17-year-old boy with osteochondritis dissecans of anterolateral left femoral condyle. Sagittal fast spin-echo proton density-weighted MR image (TR/TE, 3500/8.1) shows loose body (straight arrow). Donor site is at anterior aspect of lateral femoral condyle (curved arrow).

 


View larger version (144K):

[in a new window]
  		Fig. 5A. —28-year-old man with osteochondritis dissecans of anterolateral left femoral condyle. Sagittal fast spin-echo proton density-weighted MR image (TR/TE, 4316/20) shows subchondral fragmentation and cyst formation.

 


View larger version (114K):

[in a new window]
  		Fig. 5B. —28-year-old man with osteochondritis dissecans of anterolateral left femoral condyle. Sagittal fast spin-echo inversion recovery MR image (TR/TE, 5300/72; inversion time, 150 msec) shows high-signal interface between osteochondritic fragment and femur as well as subchondral cysts (arrow), consistent with unstable lesion. Bone marrow edema is present at femur deep relative to osteochondral lesion. Joint effusion is present.

 


View larger version (160K):

[in a new window]
  		Fig. 6A. —13-year-old boy with osteochondritis dissecans of anterome-dial right femoral condyle. Sagittal fast spin-echo proton density-weighted MR image (TR/TE, 3500/8.1) shows flattening and irregularity of femoral condyle (arrow).

 


View larger version (135K):

[in a new window]
  		Fig. 6B. —13-year-old boy with osteochondritis dissecans of anterome-dial right femoral condyle. Axial fast spin-echo proton density-weighted MR image (4200/49.6) with fat saturation shows extensive femoral bone marrow edema (curved arrow). Presence of subchondral cysts suggests that this is unstable lesion. Loose body (straight arrow) is identified adjacent to posteromedial femoral condyle. Joint effusion is present.

 

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2003 by the American Roentgen Ray Society.