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KEY FACTS
Terminology
Imaging
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- > 70 entities, many with eponyms
Definitions
- Collection of poorly understood "disorders" of immature skeleton
- Term of limited utility given heterogeneity of entities
- Many entities reflect symptomatic growth disturbances with elements of idiopathic osteonecrosis &/or overuse
- Symptoms range from asymptomatic → pain → chronic manifestations of growth disturbances
- Outcomes range from resolution of self-limited process → permanent deformity if untreated
- Collection of poorly understood "disorders" of immature skeleton
IMAGING
General Features
Radiographic Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
- Ahuja K et al: Osteochondroses of the bilateral metacarpal heads: Dieterich disease. A case report with review of the literature. Clin Imaging. 67:7-10, 2020
- West EY et al: Imaging of osteochondrosis. Pediatr Radiol. 49(12):1610-6, 2019
- Launay F: Sports-related overuse injuries in children. Orthop Traumatol Surg Res. 101(1 Suppl):S139-47, 2015
- Kim HK et al: Perfusion MRI in early stage of Legg-Calvé-Perthes disease to predict lateral pillar involvement: a preliminary study. J Bone Joint Surg Am. 96(14):1152-60, 2014
- Chang GH et al: Lower extremity overuse injuries in pediatric athletes: clinical presentation, imaging findings, and treatment. Clin Imaging. 37(5):836-46, 2013
- Yoo WJ et al: Diffusion-weighted MRI reveals epiphyseal and metaphyseal abnormalities in Legg-Calvé-Perthes disease: a pilot study. Clin Orthop Relat Res. 469(10):2881-8, 2011
- Davis KW: Imaging pediatric sports injuries: lower extremity. Radiol Clin North Am. 48(6):1213-35, 2010
- Davis KW: Imaging pediatric sports injuries: upper extremity. Radiol Clin North Am. 48(6):1199-211, 2010
- Doyle SM et al: Osteochondroses: a clinical review for the pediatrician. Curr Opin Pediatr. 22(1):41-6, 2010
- Gillespie H: Osteochondroses and apophyseal injuries of the foot in the young athlete. Curr Sports Med Rep. 9(5):265-8, 2010
- Ruchelsman DE et al: Osteochondritis dissecans of the capitellum: current concepts. J Am Acad Orthop Surg. 18(9):557-67, 2010
- Carmont MR et al: Current concepts review: Freiberg's disease. Foot Ankle Int. 30(2):167-76, 2009
- Dillman JR et al: MRI of Legg-Calve-Perthes disease. AJR Am J Roentgenol. 193(5):1394-407, 2009
- Sabharwal S: Blount disease. J Bone Joint Surg Am. 91(7):1758-76, 2009
- DiGiovanni CW et al: Osteonecrosis in the foot. J Am Acad Orthop Surg. 15(4):208-17, 2007
- Kobayashi K et al: Lateral compression injuries in the pediatric elbow: Panner's disease and osteochondritis dissecans of the capitellum. J Am Acad Orthop Surg. 12(4):246-54, 2004
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- > 70 entities, many with eponyms
Definitions
- Collection of poorly understood "disorders" of immature skeleton
- Term of limited utility given heterogeneity of entities
- Many entities reflect symptomatic growth disturbances with elements of idiopathic osteonecrosis &/or overuse
- Symptoms range from asymptomatic → pain → chronic manifestations of growth disturbances
- Outcomes range from resolution of self-limited process → permanent deformity if untreated
- Collection of poorly understood "disorders" of immature skeleton
IMAGING
General Features
Radiographic Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
- Ahuja K et al: Osteochondroses of the bilateral metacarpal heads: Dieterich disease. A case report with review of the literature. Clin Imaging. 67:7-10, 2020
- West EY et al: Imaging of osteochondrosis. Pediatr Radiol. 49(12):1610-6, 2019
- Launay F: Sports-related overuse injuries in children. Orthop Traumatol Surg Res. 101(1 Suppl):S139-47, 2015
- Kim HK et al: Perfusion MRI in early stage of Legg-Calvé-Perthes disease to predict lateral pillar involvement: a preliminary study. J Bone Joint Surg Am. 96(14):1152-60, 2014
- Chang GH et al: Lower extremity overuse injuries in pediatric athletes: clinical presentation, imaging findings, and treatment. Clin Imaging. 37(5):836-46, 2013
- Yoo WJ et al: Diffusion-weighted MRI reveals epiphyseal and metaphyseal abnormalities in Legg-Calvé-Perthes disease: a pilot study. Clin Orthop Relat Res. 469(10):2881-8, 2011
- Davis KW: Imaging pediatric sports injuries: lower extremity. Radiol Clin North Am. 48(6):1213-35, 2010
- Davis KW: Imaging pediatric sports injuries: upper extremity. Radiol Clin North Am. 48(6):1199-211, 2010
- Doyle SM et al: Osteochondroses: a clinical review for the pediatrician. Curr Opin Pediatr. 22(1):41-6, 2010
- Gillespie H: Osteochondroses and apophyseal injuries of the foot in the young athlete. Curr Sports Med Rep. 9(5):265-8, 2010
- Ruchelsman DE et al: Osteochondritis dissecans of the capitellum: current concepts. J Am Acad Orthop Surg. 18(9):557-67, 2010
- Carmont MR et al: Current concepts review: Freiberg's disease. Foot Ankle Int. 30(2):167-76, 2009
- Dillman JR et al: MRI of Legg-Calve-Perthes disease. AJR Am J Roentgenol. 193(5):1394-407, 2009
- Sabharwal S: Blount disease. J Bone Joint Surg Am. 91(7):1758-76, 2009
- DiGiovanni CW et al: Osteonecrosis in the foot. J Am Acad Orthop Surg. 15(4):208-17, 2007
- Kobayashi K et al: Lateral compression injuries in the pediatric elbow: Panner's disease and osteochondritis dissecans of the capitellum. J Am Acad Orthop Surg. 12(4):246-54, 2004
