Osteonecrosis (ON) located within bones of knee; imaging appearance and clinical risks are similar to ON at other sites
IMAGING
Radiographic Findings
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
CLINICAL ISSUES
Presentation
Demographics
Selected References
Crim J et al: Comparison of radiographic and pathologic diagnosis of osteonecrosis of the femoral head. AJR Am J Roentgenol. 216(4):1014-21, 2021
Pareek A et al: Spontaneous osteonecrosis/subchondral insufficiency fractures of the knee: high rates of conversion to surgical treatment and arthroplasty. J Bone Joint Surg Am. 102(9):821-9, 2020
Hussain ZB et al: The role of meniscal tears in spontaneous osteonecrosis of the knee: a systematic review of suspected etiology and a call to revisit nomenclature. Am J Sports Med. 47(2):501-7, 2019
Gorbachova T et al: Osteochondral lesions of the knee: differentiating the most common entities at MRI. Radiographics. 38(5):1478-95, 2018
Di Caprio F et al: Postarthroscopy osteonecrosis of the knee: current concepts. Joints. 5(4):229-36, 2017
Hu LB et al: Osteonecrosis of the femoral head: using CT, MRI and gross specimen to characterize the location, shape and size of the lesion. Br J Radiol. 88(1046):20140508, 2015
Karim AR et al: Osteonecrosis of the knee: review. Ann Transl Med. 3(1):6, 2015
3487233hey MD et al: From the radiologic pathology archives imaging of osteonecrosis: radiologic-pathologic correlation. Radiographics. 34(4):1003-28, 2014
Russell RD et al: Avoiding patellar complications in total knee replacement. Bone Joint J. 96-B(11 Supple A):84-6, 2014
Tanaka Y et al: Histological evaluation of spontaneous osteonecrosis of the medial femoral condyle and short-term clinical results of osteochondral autografting: a case series. Knee. 16(2):130-5, 2009
Zywiel MG et al: Osteonecrosis of the knee: a review of three disorders. Orthop Clin North Am. 40(2):193-211, 2009
Stevens K et al: Subchondral fractures in osteonecrosis of the femoral head: comparison of radiography, CT, and MR imaging. AJR Am J Roentgenol. 180(2):363-8, 2003
Narváez J et al: Osteonecrosis of the knee: differences among idiopathic and secondary types. Rheumatology (Oxford). 39(9):982-9, 2000
Yamamoto T et al: Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. J Bone Joint Surg Am. 82(6):858-66, 2000
Sakai T et al: MRI evaluation of steroid- or alcohol-related osteonecrosis of the femoral condyle. Acta Orthop Scand. 69(6):598-602, 1998
LaPrade RF et al: Idiopathic osteonecrosis of the patella: an unusual cause of pain in the knee. A case report. J Bone Joint Surg Am. 72(9):1414-8, 1990
Mitchell MD et al: Avascular necrosis of the hip: comparison of MR, CT, and scintigraphy. AJR Am J Roentgenol. 147(1):67-71, 1986
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Definitions
Osteonecrosis (ON) located within bones of knee; imaging appearance and clinical risks are similar to ON at other sites
IMAGING
Radiographic Findings
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
CLINICAL ISSUES
Presentation
Demographics
Selected References
Crim J et al: Comparison of radiographic and pathologic diagnosis of osteonecrosis of the femoral head. AJR Am J Roentgenol. 216(4):1014-21, 2021
Pareek A et al: Spontaneous osteonecrosis/subchondral insufficiency fractures of the knee: high rates of conversion to surgical treatment and arthroplasty. J Bone Joint Surg Am. 102(9):821-9, 2020
Hussain ZB et al: The role of meniscal tears in spontaneous osteonecrosis of the knee: a systematic review of suspected etiology and a call to revisit nomenclature. Am J Sports Med. 47(2):501-7, 2019
Gorbachova T et al: Osteochondral lesions of the knee: differentiating the most common entities at MRI. Radiographics. 38(5):1478-95, 2018
Di Caprio F et al: Postarthroscopy osteonecrosis of the knee: current concepts. Joints. 5(4):229-36, 2017
Hu LB et al: Osteonecrosis of the femoral head: using CT, MRI and gross specimen to characterize the location, shape and size of the lesion. Br J Radiol. 88(1046):20140508, 2015
Karim AR et al: Osteonecrosis of the knee: review. Ann Transl Med. 3(1):6, 2015
3487233hey MD et al: From the radiologic pathology archives imaging of osteonecrosis: radiologic-pathologic correlation. Radiographics. 34(4):1003-28, 2014
Russell RD et al: Avoiding patellar complications in total knee replacement. Bone Joint J. 96-B(11 Supple A):84-6, 2014
Tanaka Y et al: Histological evaluation of spontaneous osteonecrosis of the medial femoral condyle and short-term clinical results of osteochondral autografting: a case series. Knee. 16(2):130-5, 2009
Zywiel MG et al: Osteonecrosis of the knee: a review of three disorders. Orthop Clin North Am. 40(2):193-211, 2009
Stevens K et al: Subchondral fractures in osteonecrosis of the femoral head: comparison of radiography, CT, and MR imaging. AJR Am J Roentgenol. 180(2):363-8, 2003
Narváez J et al: Osteonecrosis of the knee: differences among idiopathic and secondary types. Rheumatology (Oxford). 39(9):982-9, 2000
Yamamoto T et al: Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. J Bone Joint Surg Am. 82(6):858-66, 2000
Sakai T et al: MRI evaluation of steroid- or alcohol-related osteonecrosis of the femoral condyle. Acta Orthop Scand. 69(6):598-602, 1998
LaPrade RF et al: Idiopathic osteonecrosis of the patella: an unusual cause of pain in the knee. A case report. J Bone Joint Surg Am. 72(9):1414-8, 1990
Mitchell MD et al: Avascular necrosis of the hip: comparison of MR, CT, and scintigraphy. AJR Am J Roentgenol. 147(1):67-71, 1986
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