MRI of Osteochondral Injuries of the Knee and Ankle in the Athlete

Clinics in Sports Medicine

Volumn 25, Issue 4, 2006, Pages 843-866

  Mosher, Timothy J ^a  

^a PENN STATE MILTON S HERSHEY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTERIOR CRUCIATE LIGAMENT; ARTICULAR CARTILAGE; BLUNT TRAUMA; BONE INJURY; BONE MARROW; CARTILAGE DEGENERATION; CHONDROPATHY; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST ENHANCEMENT; CONTUSION; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; FIBULA FRACTURE; FOOT INJURY; FRACTURE; HUMAN; KNEE INJURY; KNEE LIGAMENT; NONHUMAN; NUCLEAR MAGNETIC RESONANCE IMAGING; OSTEOARTHRITIS; OSTEOCHONDRITIS; OSTEOCHONDRITIS DISSECANS; OSTEOPHYTE; PATELLA DISLOCATION; REVIEW; SIGNAL NOISE RATIO; SOFT TISSUE INJURY; SPORT INJURY; ANKLE INJURY; BONE DISEASE; INJURY;

ANKLE INJURIES; ATHLETIC INJURIES; BONE DISEASES; CARTILAGE, ARTICULAR; HUMANS; KNEE INJURIES; MAGNETIC RESONANCE IMAGING;

EID: 33748158308     PISSN: 02785919     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.csm.2006.06.005     Document Type: Review

References (138)

1. Oeppen R.S., Connolly S.A., Bencardino J.T., et al. Acute injury of the articular cartilage and subchondral bone: a common but unrecognized lesion in the immature knee. AJR Am J Roentgenol 182 (2004) 111-117
2. Major N.M., and Helms C.A. MR imaging of the knee: findings in asymptomatic collegiate basketball players. AJR Am J Roentgenol 179 (2002) 641-644
3. Loomer R., Fisher C., Lloyd-Smith R., et al. Osteochondral lesions of the talus. Am J Sports Med 21 (1993) 13-19
4. Anderson I.F., Crichton K.J., Grattan-Smith T., et al. Osteochondral fractures of the dome of the talus. J Bone Joint Surg Am 71 (1989) 1143-1152
5. Wright R.W., Boyce R.H., Michener T., et al. Radiographs are not useful in detecting arthroscopically confirmed mild chondral damage. Clin Orthop Relat Res 442 (2006) 245-251
6. Loredo R., and Sanders T.G. Imaging of osteochondral injuries. Clin Sports Med 20 (2001) 249-278
7. Schachter A.K., Chen A.L., Reddy P.D., et al. Osteochondral lesions of the talus. J Am Acad Orthop Surg 13 (2005) 152-158
8. Vaz C.E., Camargo O.P., Santana P.J., et al. Accuracy of magnetic resonance in identifying traumatic intraarticular knee lesions. Clinics 60 (2005) 445-450
9. Riel K.A., Reinisch M., Kersting-Sommerhoff B., et al. 0.2-Tesla magnetic resonance imaging of internal lesions of the knee joint: a prospective arthroscopically controlled clinical study. Knee Surg Sports Traumatol Arthrosc 7 (1999) 37-41
10. Yoon Y.S., Rah J.H., and Park H.J. A prospective study of the accuracy of clinical examination evaluated by arthroscopy of the knee. Int Orthop 21 (1997) 223-227
11. Mosher T.J., and Dardzinski B.J. Cartilage MRI T2 relaxation time mapping: overview and applications. Semin Musculoskelet Radiol 8 (2004) 355-368
12. Burstein D., and Gray M. New MRI techniques for imaging cartilage. J Bone Joint Surg Am 85-A Suppl 2 (2003) 70-77
13. Potter H.G., and Foo L.F. Magnetic resonance imaging of articular cartilage: trauma, degeneration, and repair. Am J Sports Med 34 4 (2006) 661-677
14. Lang P., Noorbakhsh F., and Yoshioka H. MR imaging of articular cartilage: current state and recent developments. Radiol Clin North Am 43 (2005) 629-639 [vii.]
15. Link T.M., Majumdar S., Peterfy C., et al. High resolution MRI of small joints: impact of spatial resolution on diagnostic performance and SNR. Magn Reson Imaging 16 (1998) 147-155
16. Eckstein F., and Glaser C. Measuring cartilage morphology with quantitative magnetic resonance imaging. Semin Musculoskelet Radiol 8 (2004) 329-353
17. Mosher T.J., and Pruett S.W. Magnetic resonance imaging of superficial cartilage lesions: role of contrast in lesion detection. J Magn Reson Imaging 10 (1999) 178-182
18. Heron C.W., and Calvert P.T. Three-dimensional gradient-echo MR imaging of the knee: comparison with arthroscopy in 100 patients. Radiology 183 (1992) 839-844
19. Hodler J., Berthiaume M.J., Schweitzer M.E., et al. Knee joint hyaline cartilage defects: a comparative study of MR and anatomic sections. J Comput Assist Tomogr 16 (1992) 597-603
20. Disler D.G., McCauley T.R., Wirth C.R., et al. Detection of knee hyaline cartilage defects using fat-suppressed three-dimensional spoiled gradient-echo MR imaging: comparison with standard MR imaging and correlation with arthroscopy. AJR Am J Roentgenol 165 (1995) 377-382
21. Murphy B.J. Evaluation of grades 3 and 4 chondromalacia of the knee using T2*-weighted 3D gradient-echo articular cartilage imaging. Skeletal Radiol 30 (2001) 305-311
22. Lee K.Y., Masi J.N., Sell C.A., et al. Computer-aided quantification of focal cartilage lesions using MRI: Accuracy and initial arthroscopic comparison. Osteoarthritis Cartilage 13 8 (2005) 728-737
23. McGibbon C.A., and Trahan C.A. Measurement accuracy of focal cartilage defects from MRI and correlation of MRI graded lesions with histology: a preliminary study. Osteoarthritis Cartilage 11 (2003) 483-493
24. Graichen H., Al-Shamari D., Hinterwimmer S., et al. Accuracy of quantitative magnetic resonance imaging in the detection of ex vivo focal cartilage defects. Ann Rheum Dis 64 (2005) 1120-1125
25. Tan T.C., Wilcox D.M., Frank L., et al. MR imaging of articular cartilage in the ankle: comparison of available imaging sequences and methods of measurement in cadavers. Skeletal Radiol 25 (1996) 749-755
26. El-Khoury G.Y., Alliman K.J., Lundberg H.J., et al. Cartilage thickness in cadaveric ankles: measurement with double-contrast multi-detector row CT arthrography versus MR imaging. Radiology 233 (2004) 768-773
27. Schmid M.R., Pfirrmann C.W., Hodler J., et al. Cartilage lesions in the ankle joint: comparison of MR arthrography and CT arthrography. Skeletal Radiol 32 (2003) 259-265
28. Verhagen R.A., Maas M., Dijkgraaf M.G., et al. Prospective study on diagnostic strategies in osteochondral lesions of the talus. Is MRI superior to helical CT?. J Bone Joint Surg Br 87 (2005) 41-46
29. Potter H.G., Linklater J.M., Allen A.A., et al. Magnetic resonance imaging of articular cartilage in the knee. An evaluation with use of fast-spin-echo imaging. J Bone Joint Surg Am 80 (1998) 1276-1284
30. Bredella M.A., Tirman P.F., Peterfy C.G., et al. 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. AJR Am J Roentgenol 172 (1999) 1073-1080
31. Kijowski R., Stanton P., Fine J., et al. Subchondral bone marrow edema in patients with degeneration of the articular cartilage of the knee joint. Radiology 238 3 (2006) 943-949
32. Yoshioka H., Stevens K., Hargreaves B.A., et al. Magnetic resonance imaging of articular cartilage of the knee: comparison between fat-suppressed three-dimensional SPGR imaging, fat-suppressed FSE imaging, and fat-suppressed three-dimensional DEFT imaging, and correlation with arthroscopy. J Magn Reson Imaging 20 (2004) 857-864
33. Hargreaves B.A., Gold G.E., Beaulieu C.F., et al. Comparison of new sequences for high-resolution cartilage imaging. Magn Reson Med 49 (2003) 700-709
34. Gold G.E., Fuller S.E., Hargreaves B.A., et al. Driven equilibrium magnetic resonance imaging of articular cartilage: initial clinical experience. J Magn Reson Imaging 21 (2005) 476-481
35. Kornaat P.R., Doornbos J., van der Molen A.J., et al. Magnetic resonance imaging of knee cartilage using a water selective balanced steady-state free precession sequence. J Magn Reson Imaging 20 (2004) 850-856
36. Weckbach S., Mendlik T., Horger W., et al. Quantitative assessment of patellar cartilage volume and thickness at 3.0 Tesla comparing a 3D-fast low angle shot versus a 3D-true fast imaging with steady-state precession sequence for reproducibility. Invest Radiol 41 (2006) 189-197
37. Schmid M.R., Pfirrmann C.W., Koch P., et al. Imaging of patellar cartilage with a 2D multiple-echo data image combination sequence. AJR Am J Roentgenol 184 (2005) 1744-1748
38. Rubenstein J.D., Li J.G., Majumdar S., et al. Image resolution and signal-to-noise ratio requirements for MR imaging of degenerative cartilage. AJR Am J Roentgenol 169 (1997) 1089-1096
39. Rutt B.K., and Lee D.H. The impact of field strength on image quality in MRI. J Magn Reson Imaging 6 (1996) 57-62
40. Virolainen H., Visuri T., and Kuusela T. Acute dislocation of the patella: MR findings. Radiology 189 (1993) 243-246
41. Kladny B., Gluckert K., Swoboda B., et al. Comparison of low-field (0.2 Tesla) and high-field (1.5 Tesla) magnetic resonance imaging of the knee joint. Arch Orthop Trauma Surg 114 (1995) 281-286
42. Woertler K., Strothmann M., Tombach B., et al. Detection of articular cartilage lesions: experimental evaluation of low- and high-field-strength MR imaging at 0.18 and 1.0 T. J Magn Reson Imaging 11 (2000) 678-685
43. Harman M., Ipeksoy U., Dogan A., et al. MR arthrography in chondromalacia patellae diagnosis on a low-field open magnet system. Clin Imaging 27 (2003) 194-199
44. Ahn J.M., Kwak S.M., Kang H.S., et al. Evaluation of patellar cartilage in cadavers with a low-field-strength extremity-only magnet: comparison of MR imaging sequences, with macroscopic findings as the standard. Radiology 208 (1998) 57-62
45. Fischbach F., Bruhn H., Unterhauser F., et al. Magnetic resonance imaging of hyaline cartilage defects at 1.5T and 3.0T: comparison of medium T2-weighted fast spin echo, T1-weighted two-dimensional and three-dimensional gradient echo pulse sequences. Acta Radiol 46 (2005) 67-73
46. Link T.M., Sell C.A., Masi J.N., et al. 3.0 vs 1.5T MRI in the detection of focal cartilage pathology-ROC analysis in an experimental model. Osteoarthritis Cartilage 14 (2006) 63-70
47. Kornaat P.R., Reeder S.B., Koo S., et al. MR imaging of articular cartilage at 1.5T and 3.0T: comparison of SPGR and SSFP sequences. Osteoarthritis Cartilage 13 (2005) 338-344
48. Schibany N., Ba-Ssalamah A., Marlovits S., et al. Impact of high field (3.0 T) magnetic resonance imaging on diagnosis of osteochondral defects in the ankle joint. Eur J Radiol 55 (2005) 283-288
49. Eckstein F., Charles H.C., Buck R.J., et al. Accuracy and precision of quantitative assessment of cartilage morphology by magnetic resonance imaging at 3.0T. Arthritis Rheum 52 (2005) 3132-3136
50. Schroder R.J., Fischbach F., Unterhauser F.N., et al. Value of various MR sequences using 1.5 and 3.0 Tesla in analyzing cartilaginous defects of the patella in an animal model. Rofo 176 (2004) 1667-1675
51. Wluka A.E., Ding C., Jones G., et al. The clinical correlates of articular cartilage defects in symptomatic knee osteoarthritis: a prospective study. Rheumatology (Oxford) 44 (2005) 1311-1316
52. Larsen E., Jensen P.K., and Jensen P.R. Long-term outcome of knee and ankle injuries in elite football. Scand J Med Sci Sports 9 (1999) 285-289
53. Outerbridge R.E. Osteochondritis dissecans of the posterior femoral condyle. Clin Orthop Relat Res (1983) 121-129
54. Bohndorf K. Osteochondritis (osteochondrosis) dissecans: a review and new MRI classification. Eur Radiol 8 (1998) 103-112
55. Mintz D.N., Tashjian G.S., Connell D.A., et al. Osteochondral lesions of the talus: a new magnetic resonance grading system with arthroscopic correlation. Arthroscopy 19 (2003) 353-359
56. Modl J.M., Sether L.A., Haughton V.M., et al. Articular cartilage: correlation of histologic zones with signal intensity at MR imaging. Radiology 181 (1991) 853-855
57. Goodwin D.W., Wadghiri Y.Z., Zhu H., et al. Macroscopic structure of articular cartilage of the tibial plateau: influence of a characteristic matrix architecture on MRI appearance. AJR Am J Roentgenol 182 (2004) 311-318
58. Chung T., and Jaramillo D. Normal maturing distal tibia and fibula: changes with age at MR imaging. Radiology 194 (1995) 227-232
59. Yoshioka H., Stevens K., Genovese M., et al. Articular cartilage of knee: normal patterns at MR imaging that mimic disease in healthy subjects and patients with osteoarthritis. Radiology 231 (2004) 31-38
60. Xia Y., Farquhar T., Burton-Wurster N., et al. Origin of cartilage laminae in MRI. J Magn Reson Imaging 7 (1997) 887-894
61. Xia Y. Magic-angle effect in magnetic resonance imaging of articular cartilage: a review. Invest Radiol 35 (2000) 602-621
62. Jeffery A.K., Blunn G.W., Archer C.W., et al. Three-dimensional collagen architecture in bovine articular cartilage. J Bone Joint Surg Br 73 (1991) 795-801
63. Foster J.E., Maciewicz R.A., Taberner J., et al. Structural periodicity in human articular cartilage: comparison between magnetic resonance imaging and histological findings. Osteoarthritis Cartilage 7 (1999) 480-485
64. Goodwin D.W., and Dunn J.F. High-resolution magnetic resonance imaging of articular cartilage: correlation with histology and pathology. Top Magn Reson Imaging 9 (1998) 337-347
65. Goodwin D.W., Zhu H., and Dunn J.F. In vitro MR imaging of hyaline cartilage: correlation with scanning electron microscopy. AJR Am J Roentgenol 174 (2000) 405-409
66. Goodwin D.W. Visualization of the macroscopic structure of hyaline cartilage with MR imaging. Semin Musculoskelet Radiol 5 (2001) 305-312
67. Smith H.E., Mosher T.J., Dardzinski B.J., et al. Spatial variation in cartilage T2 of the knee. J Magn Reson Imaging 14 (2001) 50-55
68. Mosher T.J., Smith H., Dardzinski B.J., et al. MR imaging and T2 mapping of femoral cartilage: in vivo determination of the magic angle effect. AJR Am J Roentgenol 177 (2001) 665-669
69. Waldschmidt J.G., Rilling R.J., Kajdacsy-Balla A.A., et al. In vitro and in vivo MR imaging of hyaline cartilage: zonal anatomy, imaging pitfalls, and pathologic conditions. Radiographics 17 (1997) 1387-1402
70. Gagliardi J.A., Chung E.M., Chandnani V.P., et al. Detection and staging of chondromalacia patellae: relative efficacies of conventional MR imaging, MR arthrography, and CT arthrography. AJR Am J Roentgenol 163 (1994) 629-636
71. van Leersum M., Schweitzer M.E., Gannon F., et al. Chondromalacia patellae: an in vitro study. Comparison of MR criteria with histologic and macroscopic findings. Skeletal Radiol 25 (1996) 727-732
72. De Smet A.A., Monu J.U., Fisher D.R., et al. Signs of patellar chondromalacia on sagittal T2-weighted magnetic resonance imaging. Skeletal Radiol 21 (1992) 103-105
73. Nieminen M.T., Toyras J., Rieppo J., et al. Quantitative MR microscopy of enzymatically degraded articular cartilage. Magn Reson Med 43 (2000) 676-681
74. Biswal S., Hastie T., Andriacchi T.P., et al. Risk factors for progressive cartilage loss in the knee: a longitudinal magnetic resonance imaging study in forty-three patients. Arthritis Rheum 46 (2002) 2884-2892
75. Hwang W.S., Li B., Jin L.H., et al. Collagen fibril structure of normal, aging, and osteoarthritic cartilage. J Pathol 167 (1992) 425-433
76. Mori Y., Kubo M., Okumo H., et al. A scanning electron microscopic study of the degenerative cartilage in patellar chondropathy. Arthroscopy 9 (1993) 247-264
77. Beltran J., Marty-Delfaut E., Bencardino J., et al. Chondrocalcinosis of the hyaline cartilage of the knee: MRI manifestations. Skeletal Radiol 27 (1998) 369-374
78. Suan J.C., Chhem R.K., Gati J.S., et al. 4 T MRI of chondrocalcinosis in combination with three-dimensional CT, radiography, and arthroscopy: a report of three cases. Skeletal Radiol 34 (2005) 714-721
79. Nakanishi K., Inoue M., Harada K., et al. Subluxation of the patella: evaluation of patellar articular cartilage with MR imaging. Br J Radiol 65 (1992) 662-667
80. Wong M., and Carter D.R. Articular cartilage functional histomorphology and mechanobiology: a research perspective. Bone 33 (2003) 1-13
81. Levy A.S., Lohnes J., Sculley S., et al. Chondral delamination of the knee in soccer players. Am J Sports Med 24 (1996) 634-639
82. Holderbaum D., Malvitz T., Ciesielski C.J., et al. A newly described hereditary cartilage debonding syndrome. Arthritis Rheum 52 (2005) 3300-3304
83. Kendell S.D., Helms C.A., Rampton J.W., et al. MRI appearance of chondral delamination injuries of the knee. AJR Am J Roentgenol 184 (2005) 1486-1489
84. Keinan-Adamsky K., Shinar H., and Navon G. The effect of detachment of the articular cartilage from its calcified zone on the cartilage microstructure, assessed by 2H-spectroscopic double quantum filtered MRI. J Orthop Res 23 (2005) 109-117
85. Beaule P.E., Zaragoza E., and Copelan N. Magnetic resonance imaging with gadolinium arthrography to assess acetabular cartilage delamination. A report of four cases. J Bone Joint Surg Am 86-A (2004) 2294-2298
86. Sanders R.K., and Crim J.R. Osteochondral injuries. Semin Ultrasound CT MR 22 (2001) 352-370
87. Felson D.T. An update on the pathogenesis and epidemiology of osteoarthritis. Radiol Clin North Am 42 (2004) 1-9 [v]
88. Hofmann S., Kramer J., Vakil-Adli A., et al. Painful bone marrow edema of the knee: differential diagnosis and therapeutic concepts. Orthop Clin North Am 35 (2004) 321-333
89. Mandalia V., Fogg A.J., Chari R., et al. Bone bruising of the knee. Clin Radiol 60 (2005) 627-636
90. Lazzarini K.M., Troiano R.N., and Smith R.C. Can running cause the appearance of marrow edema on MR images of the foot and ankle?. Radiology 202 (1997) 540-542
91. Yao L., Stanczak J., and Boutin R.D. Presumptive subarticular stress reactions of the knee: MRI detection and association with meniscal tear patterns. Skeletal Radiol 33 (2004) 260-264
92. Zanetti M., Pfirrmann C.W., Schmid M.R., et al. Patients with suspected meniscal tears: prevalence of abnormalities seen on MRI of 100 symptomatic and 100 contralateral asymptomatic knees. AJR Am J Roentgenol 181 (2003) 635-641
93. Arndt III W.F., Truax A.L., Barnett F.M., et al. MR diagnosis of bone contusions of the knee: comparison of coronal T2- weighted fast spin-echo with fat saturation and fast spin-echo STIR images with conventional STIR images. AJR Am J Roentgenol 166 (1996) 119-124
94. Zanetti M., Bruder E., Romero J., et al. Bone marrow edema pattern in osteoarthritic knees: correlation between MR imaging and histologic findings. Radiology 215 (2000) 835-840
95. Rangger C., Kathrein A., Freund M.C., et al. Bone bruise of the knee: histology and cryosections in 5 cases. Acta Orthop Scand 69 (1998) 291-294
96. Roemer F.W., and Bohndorf K. Long-term osseous sequelae after acute trauma of the knee joint evaluated by MRI. Skeletal Radiol 31 (2002) 615-623
97. Boks S.S., Vroegindeweij D., Koes B.W., et al. Follow-up of occult bone lesions detected at MR imaging: systematic review. Radiology 238 (2006) 853-862
98. Vellet A.D., Marks P.H., Fowler P.J., et al. Occult posttraumatic osteochondral lesions of the knee: prevalence, classification, and short-term sequelae evaluated with MR imaging. Radiology 178 (1991) 271-276
99. Bergman A.G., Willen H.K., Lindstrand A.L., et al. Osteoarthritis of the knee: correlation of subchondral MR signal abnormalities with histopathologic and radiographic features. Skeletal Radiol 23 (1994) 445-448
100. Nolte-Ernsting C.C., Adam G., Buhne M., et al. MRI of degenerative bone marrow lesions in experimental osteoarthritis of canine knee joints. Skeletal Radiol 25 (1996) 413-420
101. De Smet A.A., Ilahi O.A., and Graf B.K. Reassessment of the MR criteria for stability of osteochondritis dissecans in the knee and ankle. Skeletal Radiol 25 (1996) 159-163
102. De Smet A.A., Fisher D.R., Graf B.K., et al. Osteochondritis dissecans of the knee: value of MR imaging in determining lesion stability and the presence of articular cartilage defects. AJR Am J Roentgenol 155 (1990) 549-553
103. Kramer J., Stiglbauer R., Engel A., et al. MR contrast arthrography (MRA) in osteochondrosis dissecans. J Comput Assist Tomogr 16 (1992) 254-260
104. O'Connor M.A., Palaniappan M., Khan N., et al. Osteochondritis dissecans of the knee in children. A comparison of MRI and arthroscopic findings. J Bone Joint Surg Br 84 (2002) 258-262
105. Adam G., Buhne M., Prescher A., et al. Stability of osteochondral fragments of the femoral condyle: magnetic resonance imaging with histopathologic correlation in an animal model. Skeletal Radiol 20 (1991) 601-606
106. De Smet A.A., Ilahi O.A., and Graf B.K. Untreated osteochondritis dissecans of the femoral condyles: prediction of patient outcome using radiographic and MR findings. Skeletal Radiol 26 (1997) 463-467
107. Chung C.B., Lektrakul N., and Resnick D. Straight and rotational instability patterns of the knee: concepts and magnetic resonance imaging. Radiol Clin North Am 40 (2002) 203-216
108. Sanders T.G., Medynski M.A., Feller J.F., et al. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Radiographics 20 (2000) S135-S151
109. Bealle D., and Johnson D.L. Subchondral contusion of the knee caused by axial loading from dashboard impact: detection by magnetic resonance imaging. J South Orthop Assoc 9 (2000) 13-18
110. Shelbourne K.D., and Nitz P.A. The O'Donoghue triad revisited. Combined knee injuries involving anterior cruciate and medial collateral ligament tears. Am J Sports Med 19 (1991) 474-477
111. Sallay P.I., Poggi J., Speer K.P., et al. Acute dislocation of the patella. A correlative pathoanatomic study. Am J Sports Med 24 (1996) 52-60
112. Elias D.A., White L.M., and Fithian D.C. Acute lateral patellar dislocation at MR imaging: injury patterns of medial patellar soft-tissue restraints and osteochondral injuries of the inferomedial patella. Radiology 225 (2002) 736-743
113. Kirsch M.D., Fitzgerald S.W., Friedman H., et al. Transient lateral patellar dislocation: diagnosis with MR imaging. AJR Am J Roentgenol 161 (1993) 109-113
114. Quinn S.F., Brown T.R., and Demlow T.A. MR imaging of patellar retinacular ligament injuries. J Magn Reson Imaging 3 (1993) 843-847
115. Tomatsu T., Imai N., Takeuchi N., et al. Experimentally produced fractures of articular cartilage and bone. The effects of shear forces on the pig knee. J Bone Joint Surg Br 74 (1992) 457-462
116. Hinton R.Y., and Sharma K.M. Acute and recurrent patellar instability in the young athlete. Orthop Clin North Am 34 (2003) 385-396
117. Maenpaa H., and Lehto M.U. Patellofemoral osteoarthritis after patellar dislocation. Clin Orthop 339 (1997) 156-162
118. Obedian R.S., and Grelsamer R.P. Osteochondritis dissecans of the distal femur and patella. Clin Sports Med 16 (1997) 157-174
119. Edwards D.H., and Bentley G. Osteochondritis dissecans patellae. J Bone Joint Surg Br 59 (1977) 58-63
120. Peters T.A., and McLean I.D. Osteochondritis dissecans of the patellofemoral joint. Am J Sports Med 28 (2000) 63-67
121. Murray J. Chronic knee pain in the athlete. Pediatr Ann 13 (1984) 613-615 618-619; 621
122. Mori Y., Kubo M., Shimokoube J., et al. Osteochondritis dissecans of the patellofemoral groove in athletes: unusual cases of patellofemoral pain. Knee Surg Sports Traumatol Arthrosc 2 (1994) 242-244
123. Schwarz C., Blazina M.E., Sisto D.J., et al. The results of operative treatment of osteochondritis dissecans of the patella. Am J Sports Med 16 (1988) 522-529
124. Boutin R.D., Januario J.A., Newberg A.H., et al. MR imaging features of osteochondritis dissecans of the femoral sulcus. AJR Am J Roentgenol 180 (2003) 641-645
125. Smith J.B. Osteochondritis dissecans of the trochlea of the femur. Arthroscopy 6 (1990) 11-17
126. Amendola A., Petrik J., and Webster-Bogaert S. Ankle arthroscopy: outcome in 79 consecutive patients. Arthroscopy 12 (1996) 565-573
127. Huylebroek J.F., Martens M., and Simon J.P. Transchondral talar dome fracture. Arch Orthop Trauma Surg 104 (1985) 238-241
128. Takao M., Ochi M., Uchio Y., et al. Osteochondral lesions of the talar dome associated with trauma. Arthroscopy 19 (2003) 1061-1067
129. Sorrento D.L., and Mlodzienski A. Incidence of lateral talar dome lesions in SER IV ankle fractures. J Foot Ankle Surg 39 (2000) 354-358
130. Flick A.B., and Gould N. Osteochondritis dissecans of the talus (transchondral fractures of the talus): review of the literature and new surgical approach for medial dome lesions. Foot Ankle 5 (1985) 165-185
131. Athanasiou K.A., Niederauer G.G., and Schenck Jr. R.C. Biomechanical topography of human ankle cartilage. Ann Biomed Eng 23 (1995) 697-704
132. Bauer M., Jonsson K., and Linden B. Osteochondritis dissecans of the ankle. A 20-year follow-up study. J Bone Joint Surg Br 69 (1987) 93-96
133. Chen D.S., and Wertheimer S.J. Centrally located osteochondral fracture of the talus. J Foot Surg 31 (1992) 134-140
134. Labovitz J.M., and Schweitzer M.E. Occult osseous injuries after ankle sprains: incidence, location, pattern, and age. Foot Ankle Int 19 (1998) 661-667
135. Sijbrandij E.S., van Gils A.P., Louwerens J.W., et al. Posttraumatic subchondral bone contusions and fractures of the talotibial joint: occurrence of "kissing" lesions. AJR Am J Roentgenol 175 (2000) 1707-1710
136. Miller T.T., Bucchieri J.S., Joshi A., et al. Pseudodefect of the talar dome: an anatomic pitfall of ankle MR imaging. Radiology 203 (1997) 857-858
137. Linklater J. Ligamentous, chondral, and osteochondral ankle injuries in athletes. Semin Musculoskelet Radiol 8 (2004) 81-98
138. Busconi B.D., and Pappas A.M. Chronic, painful ankle instability in skeletally immature athletes. Ununited osteochondral fractures of the distal fibula. Am J Sports Med 24 (1996) 647-651