Semin Musculoskelet Radiol 2018; 22(01): 057-065
DOI: 10.1055/s-0037-1608006
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pediatric Osteochondral Lesions

Selwan B. Abdullah
1  Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, Maryland
Ramesh S. Iyer
2  Department of Radiology, Seattle Children's Hospital, Seattle, Washington
Narendra S. Shet
3  Department of Diagnostic Imaging and Radiology, Children's National Medical Center, Washington, DC
› Author Affiliations
Further Information

Publication History

Publication Date:
06 February 2018 (online)


Osteochondral lesions are common in children and may arise from a variety of etiologies. Although they most frequently occur in the knee, other joints may be involved including the ankle and elbow. We describe the typical imaging appearance of osteochondral lesions with a focus on radiographs and magnetic resonance imaging. Assessment of the stability of these lesions is of paramount importance in directing management. As such, we describe staging schemes as well as imaging features differentiating stable from unstable lesions. Finally, we briefly discuss management strategies as they correlate to imaging findings.