radiologyРадиология — практикаRadiology - Practice2713-0118Центральный научно-исследовательский институт лучевой диагностики10.52560/2713-0118-2022-2-24-32radiology-236Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL RESEARCHРоль высокоразрешающей магнитно-резонансной томографии на разных стадиях субхондрального перелома недостаточности в коленном суставеThe Role of high-resolution Magnetic Resonance Imaging at Different Stages of Subchondral Insufficiency Fracture in the Kneehttps://orcid.org/0000-0002-2383-6359ИванковА. П.IvankovA. P.

Иванков Александр Петрович - врач-рентгенолог кабинета магнитно-резонансной томографии.

664053, Иркутск, ул. Баумана, д. 216/1, кв. 10.

Тел: + 7 (924) 606-30-93

Aleksandr P. Ivankov - Radiologist of MRI Department Irkutsk City Clinical Hospital No. 1.

216/1-10, ul. Bauman, 664046, Irkutsk.

Phone number: + 7 (924) 606-30-93

ivankovap16@gmail.comhttps://orcid.org/0000-0002-4050-9157СеливерстовП. В.SeliverstovP. V.

Селиверстов Павел Владимирович - доктор медицинских наук, старший научный сотрудник ИНЦХТ, заведующий лабораторией лучевой диагностики НКО нейрохирургии.

664046, Иркутск, бульвар Постышева, 18А-2.

Тел: + 7 (902) 511-75-79

Pavel V. Seliverstov - M.D. Med. Sciences’, Senior Researcher Laboratory Radiology NCO neurosurgery Irkutsk Scientific Center of Surgery and Traumatology.

18А-2, b. Postyshev, 664046, Irkutsk.

Phone number: + 7 (902) 511-75-79

pavv2001@mail.ruИркутская городская клиническая больница № 1РоссияIrkutsk City Clinical Hospital No.1Russian FederationИркутский научный центр хирургии и травматологииРоссияIrkutsk Scientific Center of Surgery and TraumatologyRussian Federation202215112021022432Copyright © Иванков А.П., Селиверстов П.В., 20222022Иванков А.П., Селиверстов П.В.Ivankov A.P., Seliverstov P.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.radp.ru/jour/article/view/236

История субхондрального перелома недостаточности коленного сустава тесно связана с ранее существующим диагнозом  — спонтанный  остеонекроз  (SONK). Ранее считалось, что субхондральные линейные или полулунные патологические изменения на магнитно-резонансных томограммах у пожилых пациентов с остеопорозом являются результатом произошедшего  спонтанного остеонекроза, но позднее было установлено, что небольшая часть пациентов с остеонекрозом головки бедренной кости первоначально имеют перелом недостаточности, осложнившийся затем вторичным остеонекрозом. Основными методами диагностики субхондрального перелома недостаточности являются рентгенография и магнитно-резонансная томография. Магнитно-резонансная томография продемонстрировала высокую информативность при субхондральном переломе недостаточности коленного сустава.

The  history of subchondral insufficiency fracture of knee is closely related to a pre-existing diagnosis of  spontaneous osteonecrosis (SONK). Previously,  it  was believed that  subchondral linear or lunate pathological changes on magnetic resonance imaging in elderly patients with osteoporosis are the result of spontaneous osteonecrosis that has occurred, but it was later found that a small proportion of patients with osteonecrosis of the femoral head initially  have a failure fracture, then complicated by secondary osteonecrosis. The main methods for diagnosing subchondral insufficiency fracture are radiography and magnetic resonance imaging. Magnetic  resonance imaging has demonstrated high information content in subchondral insufficiency fracture of knee.

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The authors declare that there are no conflicts of interest present.