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Osteochondral Lesion of the Bilateral Femoral Heads in a Young Athletic Patient

  • Lee, Jung Eun (Department of Radiology, Kyung Hee University Hospital) ;
  • Ryu, Kyung Nam (Department of Radiology, Kyung Hee University Hospital) ;
  • Park, Ji Seon (Department of Radiology, Kyung Hee University Hospital) ;
  • Cho, Yoon Je (Department of Orthopedic Surgery, Kyung Hee University Hospital) ;
  • Yoon, So Hee (Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine) ;
  • Park, So Young (Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine) ;
  • Jin, Wook (Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine) ;
  • Lee, Kyung Ryeol (Department of Radiology, Jeju National University Hospital)
  • Received : 2014.05.27
  • Accepted : 2014.07.20
  • Published : 2014.12.01

Abstract

Osteochondral lesions of the femoral head are uncommon and few studies have reported their imaging findings. Since joints are at risk of early degeneration after osteochondral damage, timely recognition is important. Osteochondral lesions of femoral head may often be necessary to differentiate from avascular necrosis. Here, we report a case of osteochondral lesions on bilateral femoral heads. This lesion manifested as subchondral cysts in initial radiographs, which led to further evaluation by computed tomography arthrography and magnetic resonance imaging, which revealed overlying cartilage defects.

Keywords

References

  1. Bohndorf K. Imaging of acute injuries of the articular surfaces (chondral, osteochondral and subchondral fractures). Skeletal Radiol 1999;28:545-560 https://doi.org/10.1007/s002560050618
  2. Felson DT. Clinical practice. Osteoarthritis of the knee. N Engl J Med 2006;354:841-848 https://doi.org/10.1056/NEJMcp051726
  3. Edmonds EW, Heyworth BE. Osteochondritis dissecans of the shoulder and hip. Clin Sports Med 2014;33:285-294 https://doi.org/10.1016/j.csm.2013.11.001
  4. Visuri T. Stress osteopathy of the femoral head. 10 military recruits followed for 5-11 years. Acta Orthop Scand 1997;68:138-141 https://doi.org/10.3109/17453679709003996
  5. Lindén B, Jonsson K, Redlund-Johnell I. Osteochondritis dissecans of the hip. Acta Radiol 2003;44:67-71 https://doi.org/10.1258/rsmacta.44.1.67
  6. Nakamura Y, Mitsui H, Toh S, Echigoya N. Osteochondral lesion of the femoral head in a fencer: a case report. Am J Orthop (Belle Mead NJ) 2009;38:356-359
  7. Kusumi T, Ishibashi Y, Tsuda E, Kusumi A, Tanaka M, Sato F, et al. Osteochondritis dissecans of the elbow: histopathological assessment of the articular cartilage and subchondral bone with emphasis on their damage and repair. Pathol Int 2006;56:604-612 https://doi.org/10.1111/j.1440-1827.2006.02015.x
  8. Linden B. Osteochondritis dissecans of the femoral condyles: a long-term follow-up study. J Bone Joint Surg Am 1977;59:769-776 https://doi.org/10.2106/00004623-197759060-00010
  9. Osterman K, Lindholm TS. Osteochondritis dissecans following Perthes' disease. Clin Orthop Relat Res 1980;(152):247-254
  10. Weaver CJ, Major NM, Garrett WE, Urbaniak JE. Femoral head osteochondral lesions in painful hips of athletes: MR imaging findings. AJR Am J Roentgenol 2002;178:973-977 https://doi.org/10.2214/ajr.178.4.1780973
  11. Stoller DW. Magnetic resonance imaging in orthopaedics and sports medicine, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2007:121-134
  12. Sakai T, Sugano N, Nishii T, Haraguchi K, Ochi T, Ohzono K. MR findings of necrotic lesions and the extralesional area of osteonecrosis of the femoral head. Skeletal Radiol 2000;29:133-141 https://doi.org/10.1007/s002560050583
  13. Edwards DJ, Lomas D, Villar RN. Diagnosis of the painful hip by magnetic resonance imaging and arthroscopy. J Bone Joint Surg Br 1995;77:374-376

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