Abstract:
OBJECTIVE:We investigated the usefulness of plain film and MR findings in predicting the outcome of conservatively treated patients with femoral osteochondritis dissecans. DESIGN:Without knowledge of the clinical outcome, we retrospectively reviewed the initial plain films and MR examinations. Each MR examination was evaluated for the four MR findings of instability. PATIENTS:Fourteen patients were studied in whom osteochondritis dissecans of a femoral condyle had been treated conservatively for periods ranging from 1.2 to 8.5 years. RESULTS AND CONCLUSION:Three of five patients with an open femoral growth plate and one of nine patients with a closed growth plate had a good clinical outcome. Both patients with lesions smaller than 160 mm2 in area had a good outcome and ten of 12 patients with larger lesions had a poor outcome. Both patients with stable lesions by MR imaging had a good outcome while ten of 12 patients with a lesion unstable by MR imaging had poor outcomes. All six patients with a cartilage fracture or articular defect had poor outcomes. The results of this study should be considered preliminary since only 14 patients were followed. However, it appears that a good clinical outcome is likely when the femoral growth plate is open, when the osteochondritis dissecans is small, and when the lesion is stable by MR imaging. When a cartilage fracture or articular defect is found on MR imaging, the patient is likely to have a poor outcome.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
De Smet AA,Ilahi OA,Graf BKdoi
10.1007/s002560050267subject
Has Abstractpub_date
1997-08-01 00:00:00pages
463-7issue
8eissn
0364-2348issn
1432-2161journal_volume
26pub_type
杂志文章abstract:OBJECTIVE:The purpose of this study was to evaluate retrospectively the safety and effectiveness of the computed tomography (CT) fluoroscopy-guided placement of iliosacral screws in patients with unstable posterior pelvic fractures. MATERIALS AND METHODS:Six patients (four women and two men; mean age 55.8 years; range...
journal_title:Skeletal radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00256-009-0826-3
更新日期:2010-07-01 00:00:00
abstract::MRI-guided wire localization is commonly used for surgical localization of breast lesions. Here we introduce an alternative use of this technique to help with surgical resection of a recurrent pleomorphic sarcoma embedded in extensive post-treatment scar tissue. We describe a case of recurrent pleomorphic soft tissue ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-017-2614-9
更新日期:2017-07-01 00:00:00
abstract::Radial wrist pain is a common clinical complaint. The relatively complex anatomy in this region, combined with the small size of the anatomical structures and occasionally subtle imaging findings, can pose problems when trying to localize the exact cause of pain. To fully comprehend the underlying pathology, one needs...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-014-1840-7
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:The objective was to determine whether arm and radiographic beam positional changes affect the acromiohumeral interval (AHI) in radiographs of healthy shoulders. MATERIALS AND METHODS:Controlling for participant's height and position as well as radiographic beam height and angle, from 30 right shoulders of r...
journal_title:Skeletal radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00256-008-0467-y
更新日期:2008-06-01 00:00:00
abstract::A skeletal seeking radiopharmaceutical labeled with a long-lived radionuclide was developed to evaluate regional bone formation and its subsequent resorption. The agent is [phosphonate (phenylmethylene hydroxy) bis] - I-125 or I-125 phi PA. Tissue distribution studies in mice (N = 16) showed approximately 40% of the a...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00361978
更新日期:1982-01-01 00:00:00
abstract::Pseudotumours are well recognised as a complication of metal-on-metal hip arthroplasties and are thought to develop on the basis of an innate and adaptive immune response to cobalt-chrome (Co-Cr) wear particles. We report a case of a large pseudotumour that developed following a knee endoprosthetic replacement (EPR) u...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-017-2610-0
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate skeletal muscle denervation using diffusion-weighted magnetic resonance imaging (DWMRI). MATERIALS AND METHODS:Sciatic nerve axotomy was performed in a group of nine New Zealand White rabbits, and electromyographic (EMG), pathological, and DWMRI studies were conducted...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-008-0552-2
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the use of routine MR imaging sequences in detecting and characterizing secondary reactive synovitis of the knee joint using arthroscopy as the standard of reference. DESIGN AND PATIENTS:Fifty consecutive patients with a history of knee pain who were referred for MR imaging and subsequently under...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560000259
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:To evaluate MRI as a problem-solving tool for patients with an unexplained failed total hip replacement following conventional radiological assessment. METHODS AND MATERIALS:Patients' informed consent was obtained in all cases. Institutional review board approval was obtained. Twenty-eight patients with unex...
journal_title:Skeletal radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00256-007-0349-8
更新日期:2007-10-01 00:00:00
abstract::Despite advances in imaging techniques, hip arthrography is still a useful diagnostic tool. We have found that the lateral approach to the hip joint, with the needle inserted superior to the greater trochanter and parallel to the table top under fluoroscopic control, allows easy advancement of the needle into the late...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00243064
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVES:This study evaluates whether the recently described lateral mortise (LM) approach to therapeutic ankle injections can also be used to inject the ankle prior to magnetic resonance arthrography (MRA) without impairing the evaluation of the anterior talofibular ligament (ATFL). MATERIALS AND METHODS:An IRB-app...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1740-2
更新日期:2014-01-01 00:00:00
abstract::Peer-reviewed abstracts presented at the 2015 Society of Skeletal Radiology (SSR) 38th Annual Meeting were reviewed following oral presentation. Topics felt to be of potential interest to musculoskeletal (MSK) investigators and practicing clinicians are highlighted in this compilation and analysis of the meeting. New ...
journal_title:Skeletal radiology
pub_type:
doi:10.1007/s00256-015-2245-y
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:To develop and validate a deep convolutional neural network (CNN) method capable of (1) selecting a specific shoulder sagittal MR image (Y-view) and (2) automatically segmenting rotator cuff (RC) muscles on a Y-view. We hypothesized a CNN approach can accurately perform both tasks compared with manual referen...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03599-2
更新日期:2020-09-16 00:00:00
abstract:OBJECTIVE:To investigate the advantages of using tomosynthesis (TS) compared to radiographs in the detection, characterization, and follow-up of bisphosphonate-related atypical femur fractures (BP-AFF). SUBJECTS AND METHODS:Eight patients were identified retrospectively who underwent TS for radiographic findings suspi...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-016-2342-6
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:Accurate insertion of a guidewire under image intensifier guidance is a fundamental skill required by orthopaedic surgeons. This study investigated how image intensifier distortion, which is composed of pin-cushion and sigmoidal components, changed the apparent trajectory of a guidewire, and the resulting dev...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-019-03171-7
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:To look for any association between oedema in the superolateral portion of the infrapatellar fat pad and patellar maltracking. MATERIALS AND METHODS:We compared two groups of knee MRI with regard to five patellar maltracking parameters. The first group included 100 knees with evidence of oedema in the supero...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1299-8
更新日期:2012-08-01 00:00:00
abstract::The ball-and-socket ankle joint is a malformation of the ankle in which the articular surface of the talus is hemispherical in both the anteroposterior and lateral projections and has a congruent, concave tibial articular surface. Fourteen patients with this condition were identified retrospectively. Thirteen patients...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00350538
更新日期:1987-01-01 00:00:00
abstract::Prostaglandin E therapy in infants causes periosteal elevation. Although the changes usually take 30-40 days to become visible, we have seen them as early as nine days. In 15 infants who had prostaglandin E therapy for over six days, three developed periosteal elevation. Three other cases are described in greater deta...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00361189
更新日期:1985-01-01 00:00:00
abstract::Osteoblastoma is a rare, benign primary tumor of bone, accounting for < 1% of all bone tumors. We report the case of a 27-year-old female who developed pain and swelling five and a half years after a clavicular fracture and was subsequently found to have an osteoblastoma arising at the fracture site. This is the first...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-019-03197-x
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:The pericruciate fat pad is located in the intercondylar fossa, intimate with the cruciate ligaments. With MR imaging, signal abnormality of the pericruciate fat pad has been observed in patients with posterior knee pain. The purpose of this study was to describe the anatomy of the pericruciate fat pad in cad...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-012-1447-9
更新日期:2012-12-01 00:00:00
abstract:DESIGN AND PATIENTS:We reviewed the MR appearances of six cases of longitudinal stress fracture of the lower extremity. RESULTS:One fracture was in the femur and five were in the tibia. Four of the tibial fractures showed edema starting in the mid-tibia at the level of the nutrient foramen with the fracture on the ant...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0597-6
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to describe the sonographic appearance of injuries of the ulnar collateral ligament (UCL) of the elbow. DESIGN AND PATIENTS:Eight non-professional male baseball pitchers, ages 13-35 years, with medial elbow pain and clinical suspicion of ulnar collateral ligament injury, were ref...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-004-0788-4
更新日期:2004-07-01 00:00:00
abstract::Lipomatosis of nerve is a rare benign tumor-like process characterized by infiltration of the epineurium by adipose and fibrous tissue leading to nerve enlargement. We describe a case of lipomatosis of the sciatic nerve compressed by an adjacent desmoid tumor. This case supports the hypothesis that lipomatosis of nerv...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1671-y
更新日期:2013-12-01 00:00:00
abstract::Although limb swelling is a well-known complication of vaccination, its rarity and wide band of differential diagnosis of limb swelling make it a diagnostic challenge. In this case report, we describe three cases of vaccine-induced myositis with intramuscular sterile abscess formation in patients with limb swelling an...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-015-2242-1
更新日期:2015-12-01 00:00:00
abstract::A patient is described with lower extremity mesomelic dwarfism associated with bilateral congenital elbow, hip, and knee dislocations. Rhomboid-shaped tibiae and delayed ossification of the primary fibular ossification centers were demonstrated at birth. Plain films and magnetic resonance imaging revealed that the tib...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00350660
更新日期:1989-01-01 00:00:00
abstract::A 60-year-old man with a 4-year history of intractable neck pain and radicular pain in the C5 nerve root distribution presented to our department for a CT-guided transforaminal left C5 nerve root block. He had had a similar procedure on the right 2 months previously, and had significant improvement of his symptoms wit...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-006-0215-0
更新日期:2007-05-01 00:00:00
abstract::The case of a 58-year-old man with a normal immune status with primary localized skeletal cryptococcosis of the right tibia was presented. Radiologically it appeared as an osteolytic lesion with marginally indistinct borders in the epimetaphyseal region of the proximal tibia. Histologically, necrotizing granulomatous ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00241838
更新日期:1992-01-01 00:00:00
abstract::We report on a 9-year-old boy with metachronous aneurysmal bone cysts involving the tibia and pubis respectively. The patient has been clinically and radiographically followed for 3 years. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050288
更新日期:1997-09-01 00:00:00
abstract::We report the development of isolated lower extremity metastases, in a child, 9 years after her initial diagnosis and treatment of bilateral infantile retinoblastomas. The radiographic, scintigraphic, computed tomographic, and magnetic resonance imaging findings are discussed. The dominant metastatic focus was blastic...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-005-0916-9
更新日期:2006-10-01 00:00:00
abstract::Primary neoplastic vascular lesions of bone are rare, and include haemangiomas, haemangioendothelioma, epithelioid haemangioendothelioma and angiosarcoma. These lesions may be multicentric, and when they involve bone are typically intraosseous and lytic. Radiological findings are not always specific. We report a case ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-005-0060-6
更新日期:2006-10-01 00:00:00