Abstract
Osteochondrosis is an abnormality of the epiphyses or epiphyseal equivalents (round bones and apophyses) during later stages of endochondral ossification. This process of abnormal endochondral ossification can occur at various locations throughout the body. The pathogenesis of osteochondrosis is under active investigation. In humans, the process of abnormal endochondral ossification has been attributed to a combination of vascular insult and trauma. Although the proposed etiology of osteochondrosis varies based on body part affected, the overall process is defined by necrosis, revascularization and repair. As such, common radiologic findings include those of osseous destruction and associated inflammation. The purpose of this review is to discuss the current understanding of osteochondroses as a disease entity and explore imaging features of osteochondroses throughout the body.
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References
Shapiro F (2016) Pediatric orthopedic deformities, vol 1. Springer, New York
Breeland G, Menezes RG (2019) Embryology, bone ossification. StatPearls, Treasure Island
Olstad K, Ekman S, Carlson CS (2015) An update on the pathogenesis of osteochondrosis. Vet Pathol 52:785–802
Olstad K, Wormstrand B, Kongsro J, Grindflek E (2019) Osteochondrosis in the distal femoral physis of pigs starts with vascular failure. Vet Pathol 56:732–742
Atanda JR, Shah SA, O’Brien K (2011) Osteochondrosis: common causes of pain in growing bones. Am Fam Physician 83:285–291
Wormstrand B, Ostevik L, Ekman S, Olstad K (2018) Septic arthritis/osteomyelitis may lead to osteochondrosis-like lesions in foals. Vet Pathol 55:693–702
Claessen FM, Louwerens JK, Doornberg JN et al (2015) Panner’s disease: literature review and treatment recommendations. J Child Orthop 9:9–17
Klingele KE, Kocher MS (2002) Little League elbow: valgus overload injury in the paediatric athlete. Sports Med 32:1005–1015
Karkenny AJ, Tauberg BM, Otsuka NY (2019) Pediatric hip disorders: slipped capital femoral epiphysis and Legg-Calvé-Perthes disease. Pediatr Rev 39:454–463
Malherbe K (2018) Traction apophysitis of the knee: a case report. Radiol Case Rep 14:18–21
Lipman R, John RM (2015) A review of knee pain in adolescent females. Nurse Pract 40:28–36
Uppstrom TJ, Gausden EB, Green DW (2016) Classification and assessment of juvenile osteochondritis dissecans knee lesions. Curr Opin Pediatr 28:60–67
Sabharwal S (2015) Blount disease: an update. Orthop Clin North Am 46:37–47
Wiegerinck JI, Zwiers R, Sierevelt IN et al (2016) Treatment of calcaneal apophysitis: wait and see versus orthotic device versus physical therapy: a pragmatic therapeutic randomized clinical trial. J Pediatr Orthop 36:152–157
Chan JY, Young JL (2019) Köhler disease: avascular necrosis in the child. Foot Ankle Clin 24:83–88
Wax A, Leland R (2019) Freiberg disease and avascular necrosis of the metatarsal heads. Foot Ankle Clin 24:69–82
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West, E.Y., Jaramillo, D. Imaging of osteochondrosis. Pediatr Radiol 49, 1610–1616 (2019). https://doi.org/10.1007/s00247-019-04556-5
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DOI: https://doi.org/10.1007/s00247-019-04556-5