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American Journal of Medical Case Reports. 2015, 3(11), 374-376
DOI: 10.12691/AJMCR-3-11-7
Original Research

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
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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

Copyright

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/

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