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
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
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
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
Related Anatomy
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Related Differential Diagnoses
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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
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
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
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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