✅ Knee MRI Mastery/Chap 5CD. Cartilage Repair and TKA

(Fig 5-D.07) Polyethylene Wear-Induced Synovitis and Osteolysis

MSK MRI 2024. 7. 19. 23:49

https://youtu.be/SJ2s-ss085Y

https://youtu.be/POoP1plqOoI

 

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📌 Polyethylene Wear-Induced Synovitis and Osteolysis

  • Polyethylene wear-induced synovitis and osteolysis are significant complications that can occur following joint replacement surgery.

✅  Polyethylene Wear-Induced Synovitis

  • Frond-like synovial proliferation 
  • Dense synovial proliferation
  • Debris with low-to-intermediate signal intensity
  • Variable amounts of joint fluid and distention

 

✅  Polyethylene Wear-Induced Osteolysis

  • Geographic pattern
  • Particulate debris with intermediate signal intensity
  • Replacement of normal periprosthetic trabecular bone and marrow fat

 

 ✅  Complications of Polyethylene Wear

  • Bone Erosion: Occurs with increasing burden of intracapsular synovial proliferation and debris
  • Neurovascular Compression: Formation of polyethylene granulomas and Focal expansion of the joint capsule
  • Diagnostic Value: Sharp contrast resolution for accurate diagnosis and Allows segmentational quantitative volumetry for longitudinal monitoring

 

References

  1. RadioGraphics 2015; 35:1483–1501

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