American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
Open Access
Journal Browser
Go
American Journal of Medical Case Reports. 2015, 3(11), 374-376
DOI: 10.12691/ajmcr-3-11-7
Open AccessArticle

Osteochondritis Dissecans Treated With Autograft Cartilage Transplantation System (Mosaicplasty): MRI Contribution on Patient Follow-up - Case Report

Francisco Abaete Chagas-Neto1, Francisco Jose Magalhaes Pinto2, Claudia Fontenele Bruno2, Elizabeth Maria de Araujo Lucena Tenorio2, Izabel Rene Leitao2, Afonsina Pereira de Aquino2 and Marcello Henrique Nogueira-Barbosa3

1Division of Radiology, University of Fortaleza and Christus University Center, Section Head Musculoskeletal Imaging Antonio Prudente Hospital, Fortaleza, Ceara

2Division of Radiology, Imagem Especializada, Fortaleza, CE, Brazil

3Division of Radiology, Internal Medicine Department, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, SP, Brazil

Pub. Date: October 15, 2015

Cite this paper:
Francisco Abaete Chagas-Neto, Francisco Jose Magalhaes Pinto, Claudia Fontenele Bruno, Elizabeth Maria de Araujo Lucena Tenorio, Izabel Rene Leitao, Afonsina Pereira de Aquino and Marcello Henrique Nogueira-Barbosa. Osteochondritis Dissecans Treated With Autograft Cartilage Transplantation System (Mosaicplasty): MRI Contribution on Patient Follow-up - Case Report. American Journal of Medical Case Reports. 2015; 3(11):374-376. doi: 10.12691/ajmcr-3-11-7

Abstract

Articular cartilage injuries may be caused by several mechanisms, including metabolic, genetic, vascular and traumatic events. A single episode of knee trauma or chronic and repetitive mechanical stress overloading the subchondral bone can start the process. The authors report a case of a young male patient with regular exercise routine, diagnosed with osteochondritis dissecans after sudden severe right knee pain. This patient underwent surgical treatment with autograft cartilage transplantation (mosaicplasty). Comparison between initial MRI, one-­‐year and two-­‐year follow-­‐up MRIs was performed. This case report illustrates the importance of the MRI in the evaluation of mosaicplasty treatment for osteochondritis dissecans. We further discuss prognostic factors related to chondral repair and MRI assessment of implant integration.

Keywords:
knee cartilage repair magnetic resonance imaging

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

Figures

Figure of 4

References:

[1]  Marlovits S, Singer P, Zeller P, Mandl I, Haller J, Trattnig S. Magnetic resonance observation of cartilage repair tissue (MOCART) for the evaluation of autologous chondrocyte transplantation: Determination of interobserver variability and correlation to clinical outcome after 2 years. Eur J Radiol. 2006;57(1):16-23.
 
[2]  Boutin RD, Januario JA, Newberg AH, Gundry CR, Newman JS. MRI Imaging Features of osteochondritis Dissecans of the Femoral Sulcus. Am J Roentgenol. 2003;180(3):641-645.
 
[3]  Brittberg M, Winalski CS. Evaluation of Cartilage Injuries and Repair. J Bone Joint Surg Am. 2003;85(2)58-69.
 
[4]  Tetteh ES, Bajaj S, Ghodadra NS. Basic Science and Surgical Treatment Options for Articular Cartilage Injuries of the Knee. J Orthop Sports Phys Ther. 2012;42(3):243-53.
 
[5]  Zekcer A, Silva RS, Iwashita RA, Carneiro-Filho M. Osteochondritis dissecans in bilateral femoral condyle in knees. Rev Bras Ortop. 2013;48(6):578-580.
 
[6]  Reddy AS, Frederick RW. Evaluation of the intraosseous and extraosseous blood supply to the distal femoral condyles . Am J Sports Med. 1998;26(3):415-9.
 
[7]  Mestriner LA. Osteochondritis Dissecans of the Knee: Diagnosis and Treatment. Rev Bras Ortop. 2012; 47(5):553-62.
 
[8]  Sakamoto FA, Aihara AY, Fernandes ARC, Natour J. Osteochondritis (osteochondrosis) Dissecans (OCD). Rev Bras Reumatol. 2004; 44(2): 155.9.
 
[9]  Ozturk A, Ozdemir MR, Ozkan Y. Osteochondral autografting (mosaicplasty) in grade IV cartilage defects in the knee joint: 2 to 7 year result. Int Orthop. 2006;30(3):200-204.
 
[10]  Mazen Falah, Nierenberg G, Soudry M, Hayden M, Volpin Gershon. Treatment of articular cartilage lesions of the knee. Int Orthop. 2010;34(5):621-630.
 
[11]  Forney MC, Gupta A, Minas T, Winalski CS. Magnetic resonance imaging of cartilage repair procedures. Magn Reson Imaging Clin N Am. 2014;22:671-701.