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Osteochondroses and Related Diseases

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Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases

Abstract

This chapter discusses two etiologically and clinically similar but pathohistologically dissimilar groups of bone diseases. The first group of osteochondroses is basically characterized by ischemic osteonecrosis caused by trauma or physical injury, and the second group is primarily associated with fracture of a developing apophysis or secondary ossification center in infancy and adolescence. The diseases of the first group include Legg-Calvé-Perthes disease, Friedrich’s disease, Freiberg’s disease, Kienböck’s disease, and osteochondrosis of the first metatarsal sesamoid, while those of the second group consist of Osgood-Schlatter disease, Scheuermann’s disease, Sever’s disease, slipped capital femoral epiphysis, and osteochondritis dissecans. A related disease is congenital dislocation of the hip that is caused by intrauterine deformity (Dunn PM (1976) Perinatal observations on the etiology of congenital dislocation of the hip. Clin Orthop Rel Research 119:12–22). It is to be mentioned that the actual existence of Sever’s disease of the calcaneal apophysis was once debated and even denied by some authors, but it is an established entity (Madden CC, Mellion MB (1996) Sever’s disease and other causes of heel pain in adolescents. Am Fam Physician 54:1995–2000; Volpon JB, de Calvalho FG (2002) Calcaneal apophysitis: a quantitative radiographic evaluation of the secondary ossification center. Arch Orhop Traum Surg 122:338–341). As such, contrary to the earlier unitary concept of ischemic osteonecrosis, osteochondroses are currently recognized as a group of diseases the pathology of which is heterogeneous.

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Authors and Affiliations

  1. Department of Nuclear Medicine and Radiology, Sun Ae General Hospital, Seoul, South Korea

    Yong-Whee Bahk MD, PhD, FACS

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  1. Yong-Whee Bahk MD, PhD, FACS
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Correspondence to Yong-Whee Bahk MD, PhD, FACS .

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Bahk, YW. (2017). Osteochondroses and Related Diseases. In: Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-10-2759-8_13

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  • DOI: https://doi.org/10.1007/978-981-10-2759-8_13

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  • Online ISBN: 978-981-10-2759-8

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