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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2008

01-08-2008 | Knee

Spontaneous osteonecrosis of the knee involving both the medial femoral condyle and the medial tibial plateau: report of three cases

Authors: Kwang Am Jung, Su Chan Lee, Seung Hyun Hwang, Duk Su Kim, Taek Keun Kim

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 8/2008

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Abstract

Spontaneous osteonecrosis of the knee (SPONK) usually involves a single condyle or plateau. The medial femoral condyle (MFC) is most often involved and spontaneous osteonecrosis of the medial tibial plateau (MTP) is a rare condition, representing only 2% of all necroses reported in the knee. SPONK involving both the MFC and the MTP is extremely rare. SPONK occurring in either the MFC or the MTP individually might extend to the corresponding side of the knee in the advanced end-stage; however, in that situation, significant degenerative changes would exist and it might be difficult to differentiate end-stage SPONK form severe osteoarthritis. SPONK affecting both the MFC and the MTP without significant secondary osteoarthritic changes has not been reported, even though it is difficult to know which occurs first. We have cared for three patients with histologically proven osteonecrosis of the MFC and MTP and report their radiologic features.
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Metadata
Title
Spontaneous osteonecrosis of the knee involving both the medial femoral condyle and the medial tibial plateau: report of three cases
Authors
Kwang Am Jung
Su Chan Lee
Seung Hyun Hwang
Duk Su Kim
Taek Keun Kim
Publication date
01-08-2008
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 8/2008
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-008-0561-7

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