Subchondral cysts

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Bone cysts are bags of fluid that form inside the joints. They occur in the subchondral bone, the layer of bone just below the cartilage.

Description

  • Subchondral cysts appear to be precursors of osteoarthritis.
  • Osteoarthritis causes the progressive breakdown of cartilage and bones in a joint.
  • Subchondral cysts are usually found in the hip joint.
  • Subchondral means under the cartilage and refers to the fluid-filled cavities in the bone that lie under the cartilage.
  • Subchondral cysts are often part of the degenerative process of the joint and occur when there are ruptures in the cartilage of the joint.
Subchondral cysts
  • Subchondral cysts are considered one of the four cardinal radiologic findings of osteoarthritis.
  • Rheumatoid arthritis also causes cysts to form on the bone joints.

Risk factors

  • Sex – more common in women
  • Genetic predisposition – appears to be more common in those who have an affected family member
  • Alignment and Shape of the Joints – Poor alignment of the joint will cause more friction in some places, which increases the chances of cysts forming.
  • Obesity – excess weight puts extra strain on the joints of the body, increasing the risk of joint problems.
  • Smoking – tobacco contains chemicals that contribute to cartilage damage. Some research has shown that male smokers with osteoarthritis experience greater loss of cartilage.
  • Joint injuries

Therapeutic approach

  • Low impact activities.
  • Weight management.
  • Stop smoking.
  • Ultrasound therapy.
  • Physical therapy.

X-ray

Subchondral cyst
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