A Study on Post Covid Musculoskeletal Manifestations on Mri

Abstract

The Musculoskeletal manifestations of COVID have been well characterized and include bone infarcts, osteonecrosis, osteitis, fasciitis, tenosynovitis, myositis, myonecrosis, and joint effusion. The mechanism for myositis includes immune-mediated damage, ICU-acquired weakness, toxic myopathies, and possibly direct viral muscle destruction. Corticosteroids induced suppression of osteoblasts, apoptosis of osteocytes and reduced blood ow to the bone result in weak bones. Risk factors include male gender, use of multiple type of corticosteroids, higher dose of corticosteroid for prolonged duration, alcohol or tobacco abuse and cardio vascular ailments. We aimed at providing MRI evidence of postCOVID musculoskeletal manifestations. Patients with musculoskeletal symptoms from among the many cases of post-COVID sequelae admitted to the G. G. hospital in Jamnagar based on MRI results were studied along with review of the literature. Most common observation was osteonecrosis with most common site being femoral head. Post diagnosis, most patients with high grade of osteonecrosis were managed surgically, meanwhile, myonecrosis was managed with physiotherapy and medical management.