Current Problems in Diagnostic Radiology
Volume 37, Issue 6 , Pages 243-261 , November 2008

Magnetic Resonance Imaging Features of the Discrete Epiphyseal Radiolucency: A Problem-Solving Approach to Differential Diagnosis

  • José M. Mellado, MD

      Affiliations

    • Hospital Reina Sofía, Tudela, Spain
    • Institut de Diagnòstic per la Imatge, Hospital Universitari Joan XXIII, Tarragona, Spain
    • Corresponding Author InformationReprint requests: José M. Mellado, MD, Servicio de Radiodiagnóstico, Hospital Reina Sofía de Tudela, Carretera Tarazona, KM 4, 31500 Tudela, Navarra, Spain
    • ,
  • Jenny T. Bencardino, MD

      Affiliations

    • Medical Arts Radiology, Huntington Hospital, Huntington, NY
    • ,
  • Laura Pérez del Palomar, MD

      Affiliations

    • Hospital Ernest Lluch, Calatayud, Spain

References 

  1. Bullough PG, Bansal M. The differential diagnosis of geodes. Radiol Clin North Am. 1988;26:1165–1184
  2. Bancroft LW, Peterson JJ, Kransdorf MJ. Cysts, geodes, and erosions. Radiol Clin North Am. 2004;42:73–87
  3. Llauger J, Palmer J, Roson N, et al. Nonseptic monoarthritis: Imaging features with clinical and histopathologic correlation. Radiographics. 2000;20:S263–S278
  4. Mohana-Borges AVR, Chung CB, Resnick D. Monoarticular arthritis. Radiol Clin North Am. 2004;42:135–149
  5. Guermazi A, Zaim S, Taouli B, et al. MR findings in knee osteoarthritis. Eur Radiol. 2003;13:1370–1386
  6. Ostlere SJ, Seeger LL, Eckardt JJ. Subchondral cysts of the tibia secondary to osteoarthritis of the knee. Skeletal Radiol. 1990;19:287–289
  7. Lohse A, Carbillet JP, Onimus M, et al. Giant intraosseous cyst-like lesions in rheumatoid arthritis report of a case. Joint Bone Spine. 2003;70:67–70
  8. Gubler FM, Algra PR, Maas M, et al. Gadolinium-DTPA enhanced magnetic resonance imaging of bone cysts in patients with rheumatoid arthritis. Ann Rheum Dis. 1993;52:716–719
  9. Jacoby RK, Ellis RE, Fry ME, et al. Demonstration of a geode by magnetic resonance imaging: A new light on the cause of juxta-articular bone cysts in rheumatoid arthritis. Ann Rheum Dis. 1990;49:785–787
  10. Moore EA, Rabar D, Crozes P, et al. Large geodes in rheumatoid arthritis without joint destruction. Joint Bone Spine. 2002;69:617–621
  11. Maher MM, Kennedy J, Hynes D, et al. Giant distal humeral geode. Skeletal Radiol. 2000;29:165–167
  12. Monu JUV, Pope TL. Gout: A clinical and radiologic review. Radiol Clin North Am. 2004;42:169–184
  13. Chen CK, Yeh LR, Pan HB, et al. Intra-articular gouty tophi of the knee: CT and MR imaging in 12 patients. Skeletal Radiol. 1999;28:75–80
  14. Cope R, Marsan R, Castelli MJ. Gout presenting as a large pseudo tumor (tophus) in the proximal end of the tibia. Skeletal Radiol. 1992;21:269–270[Case report 732].
  15. Narvaez JA, Narvaez J, Ortega R, et al. Hypointense synovial lesions on T2-weighted images: differential diagnosis with pathologic correlation. AJR. 2003;181:761–769
  16. Bencardino JT, Hassankhani A. Calcium pyrophosphate dihydrate crystal deposition disease. Semin Musculoskelet Radiol. 2003;7:175–185
  17. Llauger J, Palmer J, Roson N, et al. Pigmented villonodular synovitis and giant cell tumors of the tendon sheath: Radiologic and pathologic features. AJR. 1999;172:1087–1091
  18. Narvaez JA, Narvaez J, Aguilera C, et al. MR imaging of synovial tumors and tumor-like lesions. Eur Radiol. 2001;11:2549–2560
  19. Bardin T, Kuntz D. The arthropathy of chronic hemodialysis. Clin Exp Rheumatol. 1987;5:379–386
  20. Escobedo EM, Hunter JC, Zink-Brody GC, et al. Magnetic resonance imaging of dialysis-related amyloidosis of the shoulder and hip. Skeletal Radiol. 1996;25:41–48
  21. Mellado JM, Salvado E, Camins A, et al. Fluid collections and juxta-articular cystic lesions of the shoulder: Spectrum of MRI findings. Eur Radiol. 2002;12:650–659
  22. Lan HC, Eustace SJ, Dorfman D. Hemophilic arthropathy. Radiol Clin North Am. 1996;34:446–450
  23. Soler R, López-Fernández F, Rodríguez E, et al. Hemophilic arthropathy (A scoring system for magnetic resonance imaging). Eur Radiol. 2002;12:836–843
  24. Chan M, Chowchuen P, Workman T, et al. Silicone synovitis: MR imaging in five patients. Skeletal Radiol. 1998;27:13–17
  25. Ekfors TO, Aro H, Maki J, et al. Cystic osteolysis induced by silicone rubber prosthesis. Arch Pathol Lab Med. 1984;108:225–227
  26. Jones EA, Manaster BJ, May DA, et al. Neuropathic osteoarthropathy: Diagnostic dilemmas and differential diagnosis. Radiographics. 2000;20:S279–S293Spec No.
  27. Aliabadi P, Nikpoor N, Alparslan L. Imaging of neuropathic arthropathy. Semin Musculoskelet Radiol. 2003;7:217–225
  28. Cohen EK, Kressel HY, Frank TS, et al. Hyaline cartilage-origin bone and soft-tissue neoplasms: MR appearance and histologic correlation. Radiology. 1988;167:477–481
  29. Weatherall PT, Maale GE, Mendelsohn DB, et al. Chondroblastoma: Classic and confusing appearance at MR imaging. Radiology. 1994;190:467–474
  30. Yamamura S, Sato K, Sugiura H, et al. Inflammatory reaction in chondroblastoma. Skeletal Radiol. 1996;25:371–376
  31. Stacy GS, Peabody TD, Dixon LB. Mimics on radiography of giant cell tumor of bone. AJR. 2003;181:1583–1589
  32. Woertler K. Benign bone tumors and tumor-like lesions: Value of cross-sectional imaging. Eur Radiol. 2003;13:1820–1835
  33. Schajowicz F, Clavel Sainz M, Slullitel JA. Juxta-articular bone cysts (intraosseous ganglia): A clinicopathological study of eighty-eight cases. J Bone Joint Surg Br. 1979;61:107–116
  34. Pope TL, Fechner RE, Keats TE. Intraosseous ganglion: Report of four cases and review of the literature. Skeletal Radiol. 1989;18:185–187
  35. Dungan DH, Seeger LL, Mirra JM. Case report 555: Intraosseous ganglion cyst of the distal end of the tibia. Skeletal Radiol. 1989;18:385–388
  36. Rozbruch SR, Chang V, Bohne WH, et al. Ganglion cysts of the lower extremity: An analysis of 54 cases and review of the literature. Orthopedics. 1998;21:141–148
  37. Coulier B, Devyver B, Hamels J. Imaging demonstration of fistulous gas communication between joint and ganglion of medial malleollus. Skeletal Radiol. 2002;31:57–60
  38. Williams HJ, Davies AM, Allen G, et al. Imaging features of intraosseous ganglia: A report of 45 cases. Eur Radiol. 2004;14:1761–1769
  39. McCarthy CL, McNally EG. The MRI appearance of cystic lesions around the knee. Skeletal Radiol. 2004;33:187–209
  40. Kendell SD, Collins MS, Adkins MC, et al. Radiographic differentiation of enchondroma from low-grade chondrosarcoma in the fibula. Skeletal Radiol. 2004;33:458–466
  41. Potter BK, Freedman BA, Lehman RA, et al. Solitary epiphyseal enchondromas. J Bone Joint Surg Am. 2005;87:1551–1560
  42. Kransdorf MJ, Sweet DE. Aneurysmal bone cyst: concept, controversy, clinical presentation, and imaging. AJR. 1995;164:573–580
  43. Campanacci M, Cervellati G. Osteosarcoma: A review of 345 cases. Ital J Orthop Traumatol. 1975;1:5–22
  44. Rosenberg ZS, Lev S, Schmahmann S, et al. Osteosarcoma: Subtle, rare, and misleading plain film features. AJR. 1995;165:1209–1214
  45. Collins MS, Koyama T, Swee RG, et al. Clear cell chondrosarcoma: Radiographic, computed tomographic, and magnetic resonance findings in 34 patients with pathologic correlation. Skeletal Radiol. 2003;32:687–694
  46. Dashefsky JH. Post-traumatic subarticular cyst of bone (A case report). J Bone Joint Surg Am. 1971;53:154–156
  47. Phillips CD, Keats TE. The development of post-traumatic cyst-like lesions in bone. Skeletal Radiol. 1986;15:631–634
  48. Mitchell DG, Steinberg ME, Dalinka MK, et al. Magnetic resonance imaging of the ischemic hip (Alterations within the osteonecrotic, viable, and reactive zones). Clin Orthop. 1989;244:60–77
  49. Norman A, Bullough P. The radiolucent crescent line—An early diagnostic sign of avascular necrosis of the femoral head. Bull Hosp Joint Dis. 1963;24:99–104
  50. Hinshaw MH, Tuite MJ, De Smet AA. “Dem bones”: Osteochondral injuries of the knee. Magn Reson Imaging Clin North Am. 2000;8:335–348
  51. Longjohn DB, Zionts LE, Stott NS. Acute hematogenous osteomyelitis of the epiphysis. Clin Orthop. 1995;316:227–234
  52. Davies AM, Grimer R. The penumbra sign in subacute osteomyelitis. Eur Radiol. 2005;15:1268–1270

PII: S0363-0188(07)00054-0

doi: 10.1067/j.cpradiol.2007.08.003

Current Problems in Diagnostic Radiology
Volume 37, Issue 6 , Pages 243-261 , November 2008

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