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Osteonecrosis of Ankle and Foot
Cheryl A. Petersilge, MD, MBA; B.J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Imaging

    • Clinical Issues

      TERMINOLOGY

      • Definitions

        • Hawkins sign: Subchondral ↑ lucency in talar dome
        • Köhler disease: Childhood onset navicular disease
        • Mueller-Weiss disease: Adult onset of navicular disease
        • Freiberg infraction: Insult involving metatarsal head
        • Sesamoiditis: Poorly defined term; may refer to any painful condition of sesamoid bones, including osteonecrosis (ON)

      IMAGING

      • General Features

        • Radiographic Findings

          • CT Findings

            • MR Findings

              • Nuclear Medicine Findings

                PATHOLOGY

                • General Features

                  • Staging, Grading, & Classification

                    • Gross Pathologic & Surgical Features

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              Selected References

                              1. Bartolotta RJ et al: Mueller-Weiss syndrome: imaging and implications. Clin Imaging. 38(6):895-8, 2014
                              2. Issa K et al: Clinical characteristics of early-stage osteonecrosis of the ankle and treatment outcomes. J Bone Joint Surg Am. 96(9):e73, 2014
                              3. Talusan PG et al: Freiberg's infraction: diagnosis and treatment. Foot Ankle Spec. 7(1):52-6, 2014
                              4. Buchan CA et al: Imaging of postoperative avascular necrosis of the ankle and foot. Semin Musculoskelet Radiol. 16(3):192-204, 2012
                              5. Tosun B et al: Spontaneous osteonecrosis of the tarsal navicular in an adult: Mueller-Weiss syndrome. J Foot Ankle Surg. 50(2):221-4, 2011
                              6. Pearce DH et al: Avascular necrosis of the talus: a pictorial essay. Radiographics. 25(2):399-410, 2005
                              7. Tehranzadeh J et al: Partial Hawkins sign in fractures of the talus: a report of three cases. AJR Am J Roentgenol. 181(6):1559-63, 2003
                              8. Toussirot E et al: Avascular necrosis of the hallucal sesamoids update with reference to two case-reports. Joint Bone Spine. 70(4):307-9, 2003
                              9. Taylor JA et al: Painful conditions affecting the first metatarsal sesamoid bones. Radiographics. 13(4):817-30, 1993
                              10. Haller J et al: Spontaneous osteonecrosis of the tarsal navicular in adults: imaging findings. AJR Am J Roentgenol. 151(2):355-8, 1988
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Imaging

                                • Clinical Issues

                                  TERMINOLOGY

                                  • Definitions

                                    • Hawkins sign: Subchondral ↑ lucency in talar dome
                                    • Köhler disease: Childhood onset navicular disease
                                    • Mueller-Weiss disease: Adult onset of navicular disease
                                    • Freiberg infraction: Insult involving metatarsal head
                                    • Sesamoiditis: Poorly defined term; may refer to any painful condition of sesamoid bones, including osteonecrosis (ON)

                                  IMAGING

                                  • General Features

                                    • Radiographic Findings

                                      • CT Findings

                                        • MR Findings

                                          • Nuclear Medicine Findings

                                            PATHOLOGY

                                            • General Features

                                              • Staging, Grading, & Classification

                                                • Gross Pathologic & Surgical Features

                                                  CLINICAL ISSUES

                                                  • Presentation

                                                    • Demographics

                                                      • Natural History & Prognosis

                                                        • Treatment

                                                          Selected References

                                                          1. Bartolotta RJ et al: Mueller-Weiss syndrome: imaging and implications. Clin Imaging. 38(6):895-8, 2014
                                                          2. Issa K et al: Clinical characteristics of early-stage osteonecrosis of the ankle and treatment outcomes. J Bone Joint Surg Am. 96(9):e73, 2014
                                                          3. Talusan PG et al: Freiberg's infraction: diagnosis and treatment. Foot Ankle Spec. 7(1):52-6, 2014
                                                          4. Buchan CA et al: Imaging of postoperative avascular necrosis of the ankle and foot. Semin Musculoskelet Radiol. 16(3):192-204, 2012
                                                          5. Tosun B et al: Spontaneous osteonecrosis of the tarsal navicular in an adult: Mueller-Weiss syndrome. J Foot Ankle Surg. 50(2):221-4, 2011
                                                          6. Pearce DH et al: Avascular necrosis of the talus: a pictorial essay. Radiographics. 25(2):399-410, 2005
                                                          7. Tehranzadeh J et al: Partial Hawkins sign in fractures of the talus: a report of three cases. AJR Am J Roentgenol. 181(6):1559-63, 2003
                                                          8. Toussirot E et al: Avascular necrosis of the hallucal sesamoids update with reference to two case-reports. Joint Bone Spine. 70(4):307-9, 2003
                                                          9. Taylor JA et al: Painful conditions affecting the first metatarsal sesamoid bones. Radiographics. 13(4):817-30, 1993
                                                          10. Haller J et al: Spontaneous osteonecrosis of the tarsal navicular in adults: imaging findings. AJR Am J Roentgenol. 151(2):355-8, 1988