tibial plafond osteochondral lesion radiology

This term covers a wide spectrum of pathologies including (sub)chondral contusion, osteochondritis dissecans, osteochondral fracture and osteoarthritis resulting from longstanding disease. Its radiologic findings are similar to those of osteochondritis dissecans located elsewhere in the body. Always check ankle X-rays for a talar dome OCD. Literature data do not report clinical records with significant number of cases and follow-up. However, the number of diseases that involve the tibial cortex is great, and it can be difficult to arrive at a limited differential diagnosis from radiographic findings. Glossary of terms for musculoskeletal radiology. 2009;6:524–9. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. The recognized sites of osteochondral defects are: Osteochondral injuries are graded according to the stability and location of the fragment and presence of secondary degenerative changes (see: osteochondral injury staging). MRI of osteochondral defects of the lateral femoral condyle: incidence and pattern of injury after transient lateral dislocation of the patella. Of these, only one was a ‘kissing’ lesion. Download : Download high-res image (161KB) Download : Download full-size image Sirlin CB, Brossmann J, Boutin RD et-al. In the quest to replace osteochondral defects with hyaline cartilage, Brittberg et al. eochondral lesions in thirty-one ankles underwent arthroscopic microfracture. Arthroscopic treatment of chronic osteochondral lesions of the talus: long-term results. There is no soft tissue swelling The distal tibial physis is also often irregular. Osteochondral Lesions of the Knee: Differentiating the Most Common Entities at MRI. Abstract Lesions that involve the cortex of the tibia are fairly common in radiology practice. OCD is suggested by a loss of the sharp cortical line of the articular surface. 9.1 Anteroposterior radiograph (a) and MRI (b) demonstrating an osteochondral defect in the tibial plafond (OLTP) with a large overlying periarticular cyst Diagnosis is usually made on a CT scan or magnetic resonance imaging (MRI) [ 2, 6 ]. Sanders TG, Paruchuri NB, Zlatkin MB. 4.Retrieved Tibial Plafond Osteochondral Lesion.OrthopaedicsOne Cases.In: OrthopaedicsOne - The Orthopaedic Knowledge Network.Created Feb 10, 2011 07:46. Foot Ankle Int. This is essential in determining management. CONCLUSION: Osteochondritis dissecans of the tibial plafond is a rare condition that may not be detectable on radiography. ... than in the tibial plafond (see the last 4 images below) and is 4-14 times more common. (A) T1-weighted and (B) fat-saturated T2-weighted sagittal images of the ankle show an osteochondral lesion involving the lateral tibial plafond with impaction of the articular surface and subjacent reactive marrow edema in this patient status post an eversion injury. However, they are insensitive to grading lower stage lesions and are inadequate in predicting stability. 3. 2. Osteochondral lesions of the talus: a revised classification. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. Cortical depression and a loose bony fragment within the osteochondral defect are easily detectable. Recht MP, Kramer J. MR imaging of the postoperative knee: a pictorial essay. MRI is the modality of choice, with high sensitivity and specificity for the detection of separation of the osteochondral fragment (see: osteochondral injury staging and osteochondritis dissecans surgical staging). A retrospective review was conducted for patients who underwent arthroscopic microfracture surgery for osteochondral lesions of the tibial plafond from January 2014 to June 2017. 4. AJR Am J Roentgenol. Elias I, Raikin SM, Schweitzer ME, Besser MP, Morrison WB, Zoga AC. ... Radiology. Figure 1: Berndt and Harty classification for talus, osteochondritis dissecans surgical staging, Gustilo Anderson classification (compound fracture), longitudinal versus transverse petrous temporal bone fracture, naso-orbitoethmoid (NOE) complex fracture, cervical spine fracture classification systems, AO classification of upper cervical injuries, Roy-Camille classification (odontoid process fracture ), subaxial cervical spine injury classification (SLIC), thoracolumbar spinal fracture classification systems, AO classification of thoracolumbar injuries, thoracolumbar injury classification and severity score (TLICS), Rockwood classification (acromioclavicular joint injury), Neer classification (proximal humeral fracture), AO classification (proximal humeral fracture), Milch classification (lateral humeral condyle fracture), Weiss classification (lateral humeral condyle fracture), Bado classification of Monteggia fracture-dislocations (radius-ulna), Mason classification (radial head fracture), Frykman classification (distal radial fracture), Hintermann classification (gamekeeper's thumb), Eaton classification (volar plate avulsion injury), Keifhaber-Stern classification (volar plate avulsion injury), Judet and Letournel classification (acetabular fracture), Harris classification (acetebular fracture), Young and Burgess classification of pelvic ring fractures, Pipkin classification (femoral head fracture), American Academy of Orthopedic Surgeons classification (periprosthetic hip fracture), Cooke and Newman classification (periprosthetic hip fracture), Johansson classification (periprosthetic hip fracture), Vancouver classification (periprosthetic hip fracture), Winquist classification (femoral shaft fracture), Schatzker classification (tibial plateau fracture), Lauge-Hansen classification (ankle injury), Danis-Weber classification (ankle fracture), Berndt and Harty classification (osteochondral lesions of the talus), Sanders CT classification (calcaneal fracture), Hawkins classification (talar neck fracture), anterior superior iliac spine (ASIS) avulsion, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, avulsion fracture of the proximal 5th metatarsal, Ahlback classification system in assessing osteoarthritis of the knee joint, Kellgren and Lawrence system for classification of osteoarthritis, pattern of bone contusion in knee injuries, anterior cruciate ligament mucoid degeneration, MRI grading system for meniscal signal intensity, musculoskeletal manifestations of rheumatoid arthritis, rapidly destructive osteoarthritis of the hip, scaphotrapeziotrapezoidal (STT) arthritis, calcium pyrophosphate dihydrate deposition disease, hydroxyapatite crystal deposition disease (HADD), postsurgical (e.g. May be normal. Osteochondral lesion of the distal tibia is visible on the lateral view. Magnetic resonance imaging revealed an osteochondral lesion of the tibial plafond with no injury to the talar dome. 2017 Mar. {"url":"/signup-modal-props.json?lang=us\u0026email="}, {"containerId":"expandableQuestionsContainer","displayRelatedArticles":true,"displayNextQuestion":true,"displaySkipQuestion":true,"articleId":1795,"mcqUrl":"https://radiopaedia.org/articles/osteochondral-defect/questions/571?lang=us"}. Fig. Last modified Feb 10, 2011 07:52 ver. The cartilage can be torn, crushed or damaged and, in rare cases, a cyst can form in the cartilage. The aim of this study was to evaluate the incidence and morphologic characteristics of osteochondral lesions of the distal tibial plafond (OLTP) by location and morphologic characteristics on MRI. Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. Bone Joint J 2014;96-B:164–71. “Osteo” means bone and “chondral” refers to cartilage. 282 (3):798-806. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Imaging Findings Conventional radiographs . Rare sites: Tarsal navicular, femoral capital epiphysis, shoulder (humeral head and glenoid), scaphoid. Kaplan P. Musculoskeletal MRI. Thieme, 2006. Unable to process the form. There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. Literature data do not report clinical records with significant number of cases and follow-up. 15.1 Fibular ossicle in a 15-year-old boy. Isolated lesions of cartilage or subchondral bone are not considered an OCD 6.Â. In my experience these lesions have a good healing potential without developing a loose body. osteochondral lesions of the tibial plafond may be initially mistaken for thoses of the talar dome. Check for errors and try again. Pilon fractures involve the tibial plafond. Additional investigation (CT/MRI): [Picture 2] CT revealed an osteochondral lesion of the distal tibia. Shell osteochondral allografts of the knee: comparison of mr imaging findings and immunologic responses. cartilage injury with associated subchondral fracture but without detachment, x-ray findings: usually none; may see fracture as sclerotic or osteopenic area, MRI findings: high signal around osteochondral fracture (, x-ray findings: slight lucency between osteochondral fragment and remainder of the bone, usually joint effusion present, surrounding fragment and filling donor site, x-ray findings: increased lucency between osteochondral fragment and remainder of the bone, or loose body with donor site irregularity. 2001;219 (1): 35-43. Osteochondral injury staging system for MRI attempts to grade the stability and severity of osteochondral injury and is used to plan management. Please note that OCD is a commonly used abbreviation for both osteochondral defect and osteochondritis dissecans, two closely related conditions. 6. When the latter is present, then joint replacement is often the only feasible treatment. Osteochondral lesions or osteochondritis dessicans can occur in any joint, but are most common in the knee and ankle. Radiographically, they are lucent defect traversing the length of epiphysis, and may have sharp or irregular borders. There may be slight spreading of either half of the epiphysis away from the cleft. Ankle: 4 to 14 times more common in the talus (56% posteromedial, anteromedial 44%) than the tibial plafond. The aim of our study was to … Osteochondral lesions (OCL) of the talus are defined as any damage involving both articular cartilage and subchondral bone of the talar dome. 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