Osteochondritis dissecans - stage III

Case contributed by Andrei Tsoriev , 5 May 2016
Diagnosis certain
Changed by Henry Knipe, 9 Oct 2018

Updates to Case Attributes

Title was changed:
Osteochondritis dissecans: - stage III
Presentation was changed:
Complaints on intermittent right knee pains consistent with the feeling of a foreign body within joint.
Body was changed:

These are findings of osteochondritis dissecans (Konig disease) - with an intra-articular non-dislocated fragment, in accordance towith the osteochondritis dissecans surgical staging system stage III.

There were specific complaints to suspect this pathology: pain increasing with knee joint motion, which is thought to be caused by intra-articular fragment impaction onto well innervated-innervated knee joint structures.

Osteochondritis dissecans occurs most often in children and adolescents, and most commonly in the knee joint, but also can be seen in the elbows and ankles, and other joints such as the talus. Estimated prevalence in the knee is 15 to 29 per 100,000 individuals.

The exact cause of osteochondritis dissecans is unknown. The reduced blood flow to the epiphysis of the affected bone might result from repetitive trauma — small, multiple episodes of minor, unrecognised injury that damage the bone. There might be a genetic component, making some people more prone to the disorder. There are some ongoing trials concerning genetic changes. 

  • -<p>These are findings of osteochondritis dissecans (Konig disease) - with an intra-articular non-dislocated fragment, in accordance to the osteochondritis dissecans surgical staging system stage III.</p><p>There were specific complaints to suspect this pathology: pain increasing with knee joint motion, which is thought to be caused by intra-articular fragment impaction onto well innervated knee joint structures.</p><p>Osteochondritis dissecans occurs most often in children and adolescents, and most commonly in the knee joint, but also can be seen in the elbows and ankles, and other joints such as the talus. Estimated prevalence in the knee is 15 to 29 per 100,000 individuals.</p><p>The exact cause of osteochondritis dissecans is unknown. The reduced blood flow to the epiphysis of the affected bone might result from repetitive trauma — small, multiple episodes of minor, unrecognised injury that damage the bone. There might be a genetic component, making some people more prone to the disorder. There are some ongoing trials concerning genetic changes. </p>
  • +<p>These are findings of osteochondritis dissecans (Konig disease) - with an intra-articular non-dislocated fragment, in accordance with the osteochondritis dissecans surgical staging system stage III.</p><p>There were specific complaints to suspect this pathology: pain increasing with knee joint motion, which is thought to be caused by intra-articular fragment impaction onto well-innervated knee joint structures.</p><p>Osteochondritis dissecans occurs most often in children and adolescents, and most commonly in the knee joint, but also can be seen in the elbows and ankles, and other joints such as the talus. Estimated prevalence in the knee is 15 to 29 per 100,000 individuals.</p><p>The exact cause of osteochondritis dissecans is unknown. The reduced blood flow to the epiphysis of the affected bone might result from repetitive trauma — small, multiple episodes of minor, unrecognised injury that damage the bone. There might be a genetic component, making some people more prone to the disorder. There are some ongoing trials concerning genetic changes. </p>

Tags changed:

  • knee mri
  • fellowexam

Updates to Link Attributes

Title was removed:
Osteochondritis dissecans: stage III
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

Updates to Study Attributes

Findings was changed:

Intraarticular fragment best seen on T1 sagittal images due to its calcification and also on axial plane.

Medial femoral condyle deformation with a cartilage interruption.

No evidence of ligamentous and/or meniscal injury. 

Normal patella and trochlear anatomy. No evidence of trochlear dysplasia, patellar retinacula look unremarkable bilaterally.

Sesamoid bone posterior to the lateral femoral condyle - fabella.

Images Changes:

Image MRI (T1) ( update )

Description was removed:
Well seen on this SE sequence with a short both TR and TE hypointense shapes of loose body and within femoral condyle defect - calcification. Normal patella measures. Sesamoid bone posteriorly to the lateral femoral condyle - fabella.

Image MRI (PD fat sat) ( update )

Description was removed:
Cartilage interruption at the medial femoral condyle with some subchondral bony changes, intraarticular fragment. Menisci and cruciate ligaments are intact.

Image MRI (PD fat sat) ( update )

Description was removed:
Medial femoral condyle defect with a slightly subchondral bone changes. Collateral ligaments and menisci are holistic bilaterally.

Image MRI (PD fat sat) ( update )

Description was removed:
No evidence of trochlear dysplasia, retinaculi patella looks unremarkable bilaterally. Isointense foreign body medially and inferiorly to the medial femoral condyle.

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