radiologyРадиология — практикаRadiology - Practice2713-0118Центральный научно-исследовательский институт лучевой диагностики10.52560/2713-0118-2023-1-72-82radiology-393Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ И КРАТКИЕ СООБЩЕНИЯCLINICAL OBSERVATIONS AND BRIEF REPORTSМагнитно-резонансная томография при субхондральном стрессовом переломе от недостаточности костной ткани медиального мыщелка бедренной кости (клинический пример)Magnetic Resonance Imaging of Subchondral Insufficiency Fracture of the Medial Femoral Condyle (Clinical Case)https://orcid.org/0000-0002-2383-6359ИванковА. П.IvankovA. P.

Иванков Александр Петрович, врач-рентгенолог кабинета магнитно-резонансной томографии; младший научный сотрудник лаборатории лучевой диагностики НКО нейрохирургии 

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

+7 (924) 606-30-93

Aleksandr P. Ivankov, Radiologist of MRI Department; junior researcher of radiology department NCO neurosurgery 

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

+7 (924) 606-30-93

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

Селивёрстов Павел Владимирович, доктор медицинских наук, ведущий научный сотрудник; зав. лабораторией лучевой диагностики НКО нейрохирургии

664046, Иркутск, бульвар Постышева, 18а-2

+7 (902) 511-75-79

Pavel V. Seliverstov, M.D. Med. Sciences, Senior Researcher Laboratory Radiology NCO neurosurgery 

18a-2, b. Postyshev, Irkutsk, 664046

+7 (902) 511-75-79

pavv2001@mail.ruОГБУЗ «Иркутская городская клиническая больница № 1»; ФГБНУ «Иркутский научный центр хирургии и травматологии»РоссияRegional State Institution of Healthcare «Irkutsk City Clinical Hospital № 1»; Federal State Scientific Institution «Irkutsk Scientific Center of Surgery and Traumatology»Russian FederationФГБНУ «Иркутский научный центр хирургии и травматологии»РоссияFederal State Scientific Institution «Irkutsk Scientific Center of Surgery and Traumatology»Russian Federation202302022023017282Copyright © Иванков А.П., Селиверстов П.В., 20232023Иванков 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/393

Представлен клинический пример, который демонстрирует возможности магнитно-резонансной томографии (МРТ) в диагностике субхондрального перелома от недостаточности костной ткани медиального мыщелка бедренной кости. Продемонстрирован протокол МР-исследования, который позволяет обеспечить успешную диагностику данного типа перелома.

A clinical example is presented that demonstrates the capabilities of magnetic resonance imaging (MRI) in the diagnosis of a subchondral insufficiency fracture of the medial femoral condyle. An MR study protocol has been demonstrated that allows ensure successful diagnosis of this type of fracture.

магнитно-резонансная томографиясубхондральный перелом от недостаточностистрессовые переломыспонтанный остеонекрозMagnetic Resonance ImagingSubchondral Insufficiency FractureStress FracturesSpontaneous OsteonecrosisReferencesAllam E., Boychev G., Aiyedipe S., Morrison W., Roedl J., Singer A. Subchondral insufficiency fracture of the knee: unicompartmental correlation to meniscal pathology and degree of chondrosis by MRI. Skeletal Radiology. 2021. V. 50. No. 11. Р. 2185–2194.Allam E., Boychev G., Aiyedipe S., Morrison W., Roedl J., Singer A. Subchondral insufficiency fracture of the knee: unicompartmental correlation to meniscal pathology and degree of chondrosis by MRI. Skeletal Radiology. 2021. V. 50. No. 11. Р. 2185–2194.Barras L., Pareek A., Parkes C., Song B., Camp C., Saris D. Post-arthroscopic Subchondral Insufficiency Fractures of the Knee Yield High Rate of Conversion to Arthroplasty. Arthroscopy. 2021. V. 37. No. 8. Р. 2545–2553.Barras L., Pareek A., Parkes C., Song B., Camp C., Saris D. Post-arthroscopic Subchondral Insufficiency Fractures of the Knee Yield High Rate of Conversion to Arthroplasty. Arthroscopy. 2021. V. 37. No. 8. Р. 2545–2553.Bencardino J., Stone T., Shah N., Small K., Weissman B. ACR Appropriateness Criteria Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae. JACR. 2017. V. 14. No. 5.Bencardino J., Stone T., Shah N., Small K., Weissman B. ACR Appropriateness Criteria Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae. JACR. 2017. V. 14. No. 5.Gaillard F., Saber M. Subchondral insufficiency fracture of the knee. Reference article. Radiopaedia.org. 2021. https://doi.org/10.53347/rID-2079Gaillard F., Saber M. Subchondral insufficiency fracture of the knee. Reference article. Radiopaedia.org. 2021. https://doi.org/10.53347/rID-2079Gorbachova T., Melenevsky Y., Cohen M., Cerniglia B. Osteochondral Lesions of the Knee: Differentiating the Most Common Entities at MRI. Radiographics. 2018. No. 38. Р. 1478–1495.Gorbachova T., Melenevsky Y., Cohen M., Cerniglia B. Osteochondral Lesions of the Knee: Differentiating the Most Common Entities at MRI. Radiographics. 2018. No. 38. Р. 1478–1495.Lee S., Saifuddin A. Magnetic resonance imaging of subchondral insufficiency fractures of the lower limb. Skeletal Radiology. 2018. No. 48. Р. 1011–1021.Lee S., Saifuddin A. Magnetic resonance imaging of subchondral insufficiency fractures of the lower limb. Skeletal Radiology. 2018. No. 48. Р. 1011–1021.Nicoletti D. Subchondral insufficiency fracture — knee. Case study. Radiopaedia.org. 2021. https://radiopaedia.org/cases/67293Nicoletti D. Subchondral insufficiency fracture — knee. Case study. Radiopaedia.org. 2021. https://radiopaedia.org/cases/67293Nelson F., Craig J., Francois H., Azuh O., Oyetakin-White P., King B. Subchondral insufficiency fractures and spontaneous osteonecrosis of the knee may not be related to osteoporosis. Arch. Osteoporos. 2014. V. 9. No. 194. P. 1–7.Nelson F., Craig J., Francois H., Azuh O., Oyetakin-White P., King B. Subchondral insufficiency fractures and spontaneous osteonecrosis of the knee may not be related to osteoporosis. Arch. Osteoporos. 2014. V. 9. No. 194. P. 1–7.Ohtsuru T., Yamamoto T., Murata Y., Morita Y., Munakata Y., Kato Y. Incidence of osteonecrosis and insufficiency fracture of the hip and knee joints based on MRI in 300 renal transplant patients. Hip International. 2018. V. 29. No. 3. Р. 316– 321.Ohtsuru T., Yamamoto T., Murata Y., Morita Y., Munakata Y., Kato Y. Incidence of osteonecrosis and insufficiency fracture of the hip and knee joints based on MRI in 300 renal transplant patients. Hip International. 2018. V. 29. No. 3. Р. 316– 321.Pareek A., Parkes C., Bernard C., Camp C., Saris D., Stuart M. Spontaneous Osteonecrosis/Subchondral Insufficiency Fractures of the Knee High Rates of Conversion to Surgical Treatment and Arthroplasty. J. of Bone and Joint Surgery. 2020. V. 102. No. 9. Р. 821–829.Pareek A., Parkes C., Bernard C., Camp C., Saris D., Stuart M. Spontaneous Osteonecrosis/Subchondral Insufficiency Fractures of the Knee High Rates of Conversion to Surgical Treatment and Arthroplasty. J. of Bone and Joint Surgery. 2020. V. 102. No. 9. Р. 821–829.Weerakkody Y., Deng F. Subchondral insufficiency fracture. Reference arti cle, Radiopaedia.org. 2021. https://radiopaedia.org/articles/65145Weerakkody Y., Deng F. Subchondral insufficiency fracture. Reference arti cle, Radiopaedia.org. 2021. https://radiopaedia.org/articles/65145Yamamoto T., Schneider R., Bullough P. G. Insufficiency subchondral fracture of the femoral head. Am. J. Surgery Pathology. 2000. V. 24. No. 3. P. 464–468.Yamamoto T., Schneider R., Bullough P. G. Insufficiency subchondral fracture of the femoral head. Am. J. Surgery Pathology. 2000. V. 24. No. 3. P. 464–468.Yamamoto T., Bullough PG. Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. Am. J. Bone Joint Surgery 2000. V. 82. No. 6. P. 858–866.Yamamoto T., Bullough PG. Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. Am. J. Bone Joint Surgery 2000. V. 82. No. 6. P. 858–866.Yamamoto T., Iwamoto Y., Schneider R., Bullough P. G. Histopathological prevalence of subchondral insufficiency fracture of the femoral head. Annals Rheumatology Diseases. 2008. V. 67. No. 2. P. 150–153.Yamamoto T., Iwamoto Y., Schneider R., Bullough P. G. Histopathological prevalence of subchondral insufficiency fracture of the femoral head. Annals Rheumatology Diseases. 2008. V. 67. No. 2. P. 150–153.Ochi J., Nozaki T., Nimura A., Yamaguchi T., Kitamura N. Subchondral insufficiency fracture of the knee: review of current concepts and radiological differential diagnoses. Jpn. J. Radiol. 2021. V. 40. No. 5. Р. 443–457.Ochi J., Nozaki T., Nimura A., Yamaguchi T., Kitamura N. Subchondral insufficiency fracture of the knee: review of current concepts and radiological differential diagnoses. Jpn. J. Radiol. 2021. V. 40. No. 5. Р. 443–457.Plett S. K., Hackney L. A., Heilmeier U. Femoral condyle insufficiency fractures: associated clinical and morphological findings and impact on outcome. Skeletal Radiol. 2015. V. 44. No. 12. P. 1785–1794.Plett S. K., Hackney L. A., Heilmeier U. Femoral condyle insufficiency fractures: associated clinical and morphological findings and impact on outcome. Skeletal Radiol. 2015. V. 44. No. 12. P. 1785–1794.

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