(Fig 5-B.33) Poor Prognostic Factors in Subchondral Insufficiency Fracture

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📌 Poor Prognostic Factors in Subchondral Insufficiency Fracture

✅ Predictive of Irreversible Lesions

• Lesions with collapse should be reported as irreversible. It is important to assess for associated cartilage loss and, in the knee, meniscal abnormalities that can contribute to an unfavorable prognosis for SIF healing.
• Reference: AJR 2019; 213:963–982

 

✅  Case Study

1. Frank collapse of the subchondral bone plate
2. Subchondral fluid-filled fracture cleft
3. Medial meniscus posterior root tears with associated extrusion
4. Extensive low signal intensity subchondral areas
5. High-grade chondral loss

 

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#Radiology #SubchondralInsufficiencyFracture #PrognosticFactors #IrreversibleLesions #MeniscalTears #CartilageLoss #MedicalResearch #Orthopedics #KneeInjuries #MusculoskeletalRadiology