All statistical calculations were performed by using software (SAS, version 9.1 for Windows; SAS Institute, Cary, NC). Subchondral bone cyst formation is often encountered in osteoarthritis (OA) of the knee, particularly in advanced OA .Visualised by using magnetic resonance imaging (MRI), subchondral bone cysts occur where the overlying cartilage has largely been eroded .Two main theories are proposed about cyst formation: the synovial breach theory [3, 4] and the bony contusion theory [1, 5]. 50, No. Table 2 Longitudinal Association between Prevalent Full-Thickness Cartilage Loss and Incident SCs in the Same Subregion of the Knee. However, of all analyzed MR imaging studies, only one knee showed a subacute tibial depression fracture at follow-up and was excluded. Prevalent BMLs were found in 1843 subregions (11.3%), prevalent full-thickness cartilage loss was found in 1624 subregions (9.9%), and incident SCs were found in 216 subregions (1.3%). Surgical treatment options for New York patients may vary, based on the size, type and symptoms of the hip cyst. These cysts are produced in areas of damaged articular cartilage, subjacent to the underlying subarticular cortical plate. 1998, 39: 167-173. The Baker’s cyst was easily palpated and grossly seen with the patient in the prone position. These lesions have a characteristic appearance on magnetic resonance (MR) images, demonstrating well-defined rounded areas of fluidlike signal intensity on unenhanced images (1,2).No evidence of epithelial lining has been detected in prior histologic studies (2–5). 2011; 12 (1):198. The exact pathogenesis of these degenerative cysts is not certain. Radiograph shows well-defined radiolucency in the lateral tibia representing a cystic lesion (arrow). Rhaney and Lamb (4) have demonstrated the histologic similarity of subchondral cysts and the surrounding subchondral bone marrow, which suggests that subchondral cyst formation is secondary to subchondral bone marrow necrosis due to increased loading. Can Signal Abnormalities Detected with MR Imaging in Knee Articular Cartilage Be Used to Predict Development of Morphologic Cartilage Defects? Thus, grades 2.5, 5, and 6 include full-thickness cartilage loss, but the other grades do not. A musculoskeletal radiologist and a rheumatologist, who were not authors (both with more than 10 years of experience reading study radiographs) and were blinded to clinical data, independently graded the images according to the Kellgren-Lawrence scale (17). A recent cross-sectional study (12) showed SCs to be highly associated with BMLs in the same subregion of the knee in patients with or at risk for knee OA, which favors the bone contusion theory of SC formation. 1, 15 January 2013 | Clinical Rheumatology, Vol. Readers cannot be blinded to features of relevance because those are depicted on the paired images and are seen simultaneously. Figure 2: Coronal STIR MR image demonstrates a partial-thickness focal defect of cartilage (grade 2.0) in the central subregion of the medial femoral condyle (arrow). Objective: To determine if a relationship exists between bone marrow edema-like signal and subchondral cysts on magnetic resonance imaging (MRI). 41, No. 11, Osteoarthritis and Cartilage, Vol. If the address matches an existing account you will receive an email with instructions to reset your password. Background: Choice of appropriate MR pulse sequence is important for any research studies using imaging-derived data. 22, No. These lesions have a characteristic appearance on magnetic resonance (MR) images, demonstrating well-defined rounded areas of fluidlike signal intensity on unenhanced images (1,2).No evidence of epithelial lining has been detected in prior histologic studies (2–5). In a recent cross-sectional study evaluating the distribution of SCs in subregions of the knee with normal cartilage, partial-thickness loss, or full-thickness loss of cartilage, Crema et al (12) found that 46.5% of MR imaging–detected SCs were present in subregions with no full-thickness cartilage loss, which speaks against the synovial fluid intrusion theory. BMLs are defined as noncystic subchondral areas of ill-defined hyperintensity on proton density–weighted, intermediate-weighted, T2-weighted, or short tau inversion-recovery (STIR) MR images and areas of hypointensity on T1-weighted spin-echo MR images (1,8–10). Subjects were not eligible to participate in the MOST study if they had rheumatoid arthritis (14), ankylosing spondylitis, psoriatic arthritis, Reiter syndrome, renal insufficiency that required hemodialysis or peritoneal dialysis, or a history of cancer (except for nonmelanoma skin cancer); had undergone or planned to undergo bilateral knee replacement surgery; were unable to walk without assistance; or were planning to move out of the area in the next 3 years. 32, Osteoarthritis and Cartilage, Vol. BMLs and SCs were scored in each of the five subregions in the medial and lateral tibiofemoral compartments, as well as in each of the four subregions in the patellofemoral compartment, for a total of 14 subregions per knee (Fig 1). 11, 13 April 2016 | Knee Surgery, Sports Traumatology, Arthroscopy, Vol. Four patellofemoral subregions are defined: the medial (M) and lateral (L) patella and the anterior subregions of the femur (trochlea) medially and laterally. 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A longitudinal subanalysis of the individual BML and cartilage morphology grades was performed. 1, © 2020 Radiological Society of North America, Bone marrow edema pattern in osteoarthritic knees: correlation between MR imaging and histologic findings, Prevalence and MRI-anatomic correlation of bone cysts in osteoarthritic knees, The cysts of osteoarthritis of the hip: a radiological and pathological study, Subchondral cysts (geodes) in arthritic disorders: pathologic and radiographic appearance of the hip joint, The pathological significance of intra-articular pressure, The pathological changes in degenerative arthritis of the hip and treatment by rotational osteotomy, Osteoarthritis of the knee: correlation of subchondral MR signal abnormalities with histopathologic and radiographic features, Magnetic resonance imaging (MRI) of the knee: a pattern approach for evaluating bone marrow edema, MRI-based semiquantitative assessment of subchondral bone marrow lesions in osteoarthritis research, Bone marrow edema pattern in advanced hip osteoarthritis: quantitative assessment with magnetic resonance imaging and correlation with clinical examination, radiographic findings, and histopathology, MRI-detected bone marrow edema-like lesions are strongly associated with subchondral cysts in patients with or at risk for knee osteoarthritis: the MOST study [abstr], MRI of bone marrow edema-like signal in the pathogenesis of subchondral cysts, A connective tissue disease screening questionnaire for population studies, Correlation of the development of knee pain with enlarging bone marrow lesions on magnetic resonance imaging, Non-fluoroscopic method for flexed radiography of the knee that allows reproducible joint-space width measurement [abstr], Radiological assessment of osteo-arthrosis, Whole-Organ Magnetic Resonance Imaging Score (WORMS) of the knee in osteoarthritis, A comparison of dedicated 1.0 T extremity MRI vs large-bore 1.5 T MRI for semiquantitative whole organ assessment of osteoarthritis: the MOST study, Change in MRI-detected subchondral bone marrow lesions is associated with cartilage loss: the MOST Study—a longitudinal multicentre study of knee osteoarthritis, A study of the prevalence and associations of subchondral bone marrow lesions in the knees of healthy, middle-aged women, Accuracy of T2-weighted fast spin-echo MR imaging with fat saturation in detecting cartilage defects in the knee: comparison with arthroscopy in 130 patients, Grading articular cartilage of the knee using fast spin-echo proton density-weighted MR imaging without fat suppression, Cartilaginous defects of the femorotibial joint: accuracy of coronal short inversion time inversion-recovery MR sequence, Open in Image
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