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2000
Volume 21, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603

Abstract

Background

Osteochondritis Dissecans (OCD) is an idiopathic process and can progress from stable to cartilage fragmentation with the formation of loose bodies in the affected joint capsule. Loose bodies in the knee may wear out the articular cartilage, tendons, and ligaments, leading to a series of problems, such as joint locking, bouncing, joint effusion, and meniscus tear; therefore, early recognition and treatment of intraarticular loose bodies are important to achieve favorable long-term outcomes.

Case Report

A 49-year-old male presented with a 1-month history of right knee discomfort. The patient underwent a knee MRI scan and was diagnosed with OCD. A short-term MRI follow-up with a thin-layer PDWI sequence without fat suppression detected the cartilage fragments in the knee capsule. Loose body removal, cartilage repair, and microfracture surgery were performed under arthroscopic surgery, and loose bodies of cartilage fragments were removed.

Conclusion

Short-term MRI follow-up and thin-layer PDWI sequence without fat suppression are necessary for detecting cartilage loose bodies.

© 2025 The Author(s). Published by Bentham Science Publishers. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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2025-01-01
2025-10-20
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References

  1. AkkawiI. ZmerlyH. DraghettiM. FelliL. Juvenile osteochondritis dissecans: Current concepts.Cureus2024167e6549610.7759/cureus.6549639188433
    [Google Scholar]
  2. WoodD. DavisD.D. CarterK.R. Osteochondritis DissecansStatPearls Treasure Island (FL)2024
    [Google Scholar]
  3. ZmerlyH. MoscatoM. AkkawiI. Assessment and management of loose bodies in the knee joint and related disease: A narrative review.Curr. Rheumatol. Rev.2022181121910.2174/157339711766621102116580734674623
    [Google Scholar]
  4. QiuR.Y. FitzpatrickD.W.D. CohenD. KayJ. AlmasriM. de SAD.L. MRI as the optimal imaging modality for assessment and management of osteochondral fractures and loose bodies following traumatic patellar dislocation: A systematic review.Knee Surg. Sports Traumatol. Arthrosc.20233151744175210.1007/s00167‑022‑07043‑x35796753
    [Google Scholar]
  5. NguyenJ.C. PatelV. GendlerL. BlankenbakerD.G. SheaK.G. WallE.J. CareyJ.L. NissenC.W. JaramilloD. GanleyT.J. Medial femoral condyle OCD (osteochondritis dissecans): Correlation between imaging and arthroscopy.Skeletal Radiol.202410.1007/s00256‑024‑04749‑639136777
    [Google Scholar]
  6. ThomasND MahlerR KrombholzK WilliamsB GanleyT NeppleJJ Top 50 most-cited studies about osteochondritis dissecans.Arthrosc. Sports Med. Rehabil.20236110085910.1016/j.asmr.2023.100859
    [Google Scholar]
  7. MohrB. MabroukA. BaldeaJ.D. Osteochondritis dissecans of the knee.StatPearls Treasure Island (FL)2024
    [Google Scholar]
  8. KönigF. The classic: On loose bodies in the joint. 1887.Clin. Orthop. Relat. Res.201347141107111510.1007/s11999‑013‑2824‑y23404416
    [Google Scholar]
  9. KijowskiR. BlankenbakerD.G. ShinkiK. FineJ.P. GrafB.K. De SmetA.A. Juvenile versus adult osteochondritis dissecans of the knee: Appropriate MR imaging criteria for instability.Radiology2008248257157810.1148/radiol.248207123418552309
    [Google Scholar]
  10. van der WeidenG.S. van CruchtenS. van EgmondN. MastbergenS.C. HusenM. SarisD.B.F. CustersR.J.H. Osteochondritis dissecans of the knee associated with mechanical overload.Am. J. Sports Med.202452115516310.1177/0363546523121149738164681
    [Google Scholar]
  11. LinehamB WijayathungaH MoranE ShuweihdiF GuptaH PanditH A systematic review demonstrating correlation of MRI compositional parameters with clinical outcomes following articular cartilage repair interventions in the knee.Osteoarthr. Cartil. Open20235310038810.1016/j.ocarto.2023.100388
    [Google Scholar]
  12. ValisenaS. AzoguiB. NizardR.S. TschollP.M. CavaignacE. BouchéP.A. HannoucheD. Microfractures, autologous matrix-induced chondrogenesis, osteochondral autograft transplantation and autologous chondrocyte implantation for knee chondral defects: A systematic review and network meta-analysis of randomized controlled trials.EFORT Open Rev.20249878579510.1530/EOR‑23‑008939087507
    [Google Scholar]
  13. RizzoG. CristoforettiA. MarinettiA. RigoniM. PudduL. CorteseF. NolloG. Della SalaS.W. TessaroloF. QuantitativeM.R.I. Quantitative MRI T2 mapping is able to assess tissue quality after reparative and regenerative treatments of osteochondral lesions of the Talus.J Magn Reson Imaging.20215451572158210.1002/jmri.2775434047400
    [Google Scholar]
  14. DeichselA. Palma KriesL.K. RaschkeM.J. PeezC. BrieseT. GlasbrennerJ. HerbstE. KittlC. Refixation of a large osteochondral fragment with magnesium compression screws—A case report.Life2023135117910.3390/life1305117937240824
    [Google Scholar]
  15. PaatelaT. VasaraA. SormaalaM. NurmiH. KautiainenH. KivirantaI. Chondral and osteochondritis dissecans lesions treated by autologous chondrocytes implantation: A mid- to long-term nonrandomized comparison.Cartilage2021131_suppl1105S1112S10.1177/194760352093595332602351
    [Google Scholar]
  16. KarataglisD. GreenM.A. LearmonthD.J.A. Autologous osteochondral transplantation for the treatment of chondral defects of the knee.Knee2006131323510.1016/j.knee.2005.05.00616125942
    [Google Scholar]
  17. XuW ZhuJ HuJ XiaoL Engineering the biomechanical microenvironment of chondrocytes towards articular cartilage tissue engineering.Life Sci.202230912104310.1016/j.lfs.2022.121043
    [Google Scholar]
  18. CherayaG. ChhabraA. Cruciate and collateral ligaments: 2-Dimensional and 3-dimensional MR Imaging—Aid to knee preservation surgery.Semin. Ultrasound CT MR202344427129110.1053/j.sult.2023.03.01937437967
    [Google Scholar]
  19. WalterSS FritzB KijowskiR 2D versus 3D MRI of osteoarthritis in clinical practice and research.Skeletal Radiol.202352112211222410.1007/s00256‑023‑04309‑4
    [Google Scholar]
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