The Role of high-resolution Magnetic Resonance Imaging at Different Stages of Subchondral Insufficiency Fracture in the Knee
https://doi.org/10.52560/2713-0118-2022-2-24-32
Abstract
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.
About the Authors
A. P. Ivankov
Irkutsk City Clinical Hospital No.1
Russian Federation
Russian Federation
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
P. V. Seliverstov
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation
Russian Federation
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
References
1. Allam E., Boychev G., Aiyedipe S., Morrison W., Roedl J., Singer A. et al. Subchondral insufficiency fracture of the knee: unicompartmental correlation to meniscal pathology and degree of chondrosis by MRI. Skeletal Radiology. 2021; 50(11):2185–2194. doi: 10.1007/s00256-021-03777-w
2. Barras L., Pareek A., Parkes C., Song B., Camp C., Saris D. et al. Post-arthroscopic Subchondral Insufficiency Fractures of the Knee Yield High Rate of Conversion to Arthroplasty. Arthroscopy. 2021; 37(8):2545–2553. doi: 10.1016/j.arthro.2021.03.029
3. Bencardino J., Stone T., Shah N., Small K., Weissman B. ACR Appropriateness Criteria Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae. JACR. 2017; 14–5. https://doi.org/10.1016/j.jacr.2017.02.035
4. Gaillard F., Saber M. Subchondral insufficiency fracture of the knee. Reference article, Radiopaedia.org. 2021. https://doi.org/10.53347/rID-2079
5. Gorbachova T., Melenevsky Y., Cohen M., Cerniglia B. Osteochondral Lesions of the Knee: Differentiating the Most Common Entities at MRI. RadioGraphics; 2018; 38:1478–1495. https://doi.org/10.1148/rg.2018180044
6. Lee S., Saifuddin A. Magnetic resonance imaging of subchondral insufficiency fractures of the lower limb. Skeletal Radiology. 2018; 48:1011–1021. https://doi.org/10.1007/s00256-019-3160-4
7. Nicoletti D. Subchondral insufficiency fracture — knee. Case study, Radiopaedia. org. 2021; https://radiopaedia.org/cases/67293
8. 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; 9:194. doi: 10.1007/s11657-014-0194-z
9. OhtsuruT., YamamotoT., MurataY., Morita Y., Munakata Y., Kato Y. et al. Incidence of osteonecrosis and insufficiency fracture of the hip and knee joints based on MRI in 300 renal transplant patients. Hip International. 2018; https://doi.org/10.1177/1120700018808693
10. Pareek A., Parkes C., Bernard C., Camp C., Saris D., Stuart M. et al. Spontaneous Osteonecrosis/Subchondral Insufficiency Fractures of the Knee High Rates of Conversion to Surgical Treatment and Arthroplasty. J. of Bone and Joint Surgery. 2020. doi:10.2106/JBJS.19.00381
11. Weerakkody Y., Deng F. Subchondral insufficiency fracture. Reference article, Radiopaedia.org. 2021. https://radiopaedia.org/articles/65145
12. Yamamoto T., Schneider R., Bullough P. G. Insufficiency subchondral fracture of the femoral head. Am. J. Surgery Pathology. 2000; 24(3):464-8. doi: 10.1097/00000478-200003000-00017
13. Yamamoto T., Bullough P. G. Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. J. Bone Joint Surgery Am. 2000; 82(6):858–66. doi: 10.2106/00004623-200006000-00013
14. Yamamoto T., Iwamoto Y., Schneider R., Bullough P. G. Histopathological prevalence of subchondral insufficiency fracture of the femoral head. Annals Rheumatology Diseases. 2008; 67(2):150–3. doi: 10.1136/ard.2006.066878
Supplementary files
Review
For citations:
Ivankov A.P., Seliverstov P.V. The Role of high-resolution Magnetic Resonance Imaging at Different Stages of Subchondral Insufficiency Fracture in the Knee. Radiology - Practice. 2022;(2):24-32. (In Russ.) https://doi.org/10.52560/2713-0118-2022-2-24-32
Views:
375
Email this article 