From bone marrow edema to osteonecrosis. New concepts

Fernandez-Canton, G.

doi:10.1016/s2173-5743(09)70125-x

Cited by 6 publications

(6 citation statements)

References 29 publications

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“…ONFH affects young subjects between 20 and 40 years old and may lead to permanent joint failure 46 , resulting from an idiopathic process or secondary to an ischemic lesion caused by trauma, alcoholism, corticosteroid use, or hematological disorders 45,47 . It is caused by a decrease in blood flow to the femoral head, leading to cellular death, fracture, and collapse of the articular surface [48][49][50] .…”

Section: Onfhmentioning

confidence: 99%

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Bone Marrow Edema

Tarantino

Greggi

Cariati

et al. 2021

Journal of Bone and Joint Surgery

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Bone marrow edema (BME) is a nonspecific but relevant finding, usually indicating the presence of an underlying pathology.ä The gold standard technique for detecting BME is magnetic resonance imaging (MRI), as it allows for a correct diagnosis to be made, which is extremely important given the heterogeneity of BME-related diseases.ä Depending on the severity of painful symptomatology and the MRI evidence, different treatment strategies can be followed: physical modalities, pharmacological options, and surgical therapy.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJS/G779).

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Section: Onfhmentioning

confidence: 99%

“…MRI shows BME-related findings with possible involvement of the subchondral bone of the femoral head. The condition can also migrate to the contralateral hip or other joints after a few years 45 . It resolves spontaneously in each joint within 4 to 6 months.…”

Section: Reversible and Progressive Bmementioning

confidence: 99%

Bone Marrow Edema

Tarantino

Greggi

Cariati

et al. 2021

Journal of Bone and Joint Surgery

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“…MR-tomogra sch präsentiert sich die transiente Osteoporose als signalarmes Knochenmarködem in der T1-Gewichtung sowie als Signalanreicherung in T2-gewichteten Aufnahmen [8]. Weiterhin kann im MRT durch die Abwesenheit von subchondralen Läsionen die transiente Osteoporose von chronischen Erkrankungszuständen unterschieden werden [7,8] (s. auch Kasten oben).…”

Section: Transiente Osteoporose Der Hüfteunclassified

“…Weiterhin kann im MRT durch die Abwesenheit von subchondralen Läsionen die transiente Osteoporose von chronischen Erkrankungszuständen unterschieden werden [7,8] (s. auch Kasten oben). Therapie erapeutisch werden vor allem eine konservative erapie mit Entlastung und symptomatischer Schmerztherapie sowie in einigen Fällen eine Kombination mit Bisphosphonaten empfohlen [4].…”

Section: Transiente Osteoporose Der Hüfteunclassified

Hätten Sie bei einem 38-Jährigen an eine Osteoporose gedacht?

Lamers¹

2015

MMW - Fortschritte der Medizin

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Hätten Sie bei einem 38-Jährigen an eine Osteoporose gedacht? 2014 suchte ein 38-jähriger Patient die hausärztliche Sprechstunde auf. Er gab an, seit fünf Tagen unter Schmerzen im Bereich der rechten Hüfte zu leiden. Den Schmerzcharakter beschrieb er als ziehend und in den rechten Oberschenkel ausstrahlend. Dr. med. Henrik Lamers Niedergelassener Hausarzt in einer Gemeinschaftspraxis in Heidelberg FORTBILDUNG KASUISTIK Abb. 1 In der MRT mit Kontrastmittel zeigte sich ein deutliches Knochenmark ödem im rechten Hüftkopf und Schenkelhals. Plötzlich Schmerzen in der Hüfte, die sich beim Laufen noch verstärken: Was steckt wohl dahinter? © Jan-Otto / iStock © Radiologische Praxis Prof. Dr. med. Rieden, Heidelberg 54 MMW Fortschritte der Medizin 2015 . 19 / 157

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“…BME is most commonly diagnosed in middle-aged men (aged 30-60 years) and younger women (aged 20-40 years) 16 , 20 and is often symptomatic, is associated with pain-producing pathology, and may be accompanied by stress fractures. 7 In athletes, symptomatic BME can prevent participation in sports practices or competition; a number of treatments are available, ranging from nonoperative regimens with weightbearing restrictions, analgesics, physical therapy, and pharmacologic management to surgical interventions.…”

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confidence: 99%

Prevalence of Asymptomatic Talar Bone Marrow Edema in Professional Ballet Dancers: Preliminary Data From a 2-Year Prospective Study

Miskovsky

Khambete

Faraji

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Compared with symptomatic bone marrow edema (BME) associated with stress fractures, asymptomatic BME seen on magnetic resonance imaging (MRI) is a phenomenon that has been described in high-level athletes and is thought to be related to bone adaptation to biomechanical loading unique to each sport. However, the prevalence, natural history, and management of these lesions remain poorly understood, particularly in dance, which places tremendous stress on the feet and ankles. Purposes/Hypothesis: The purposes of this study were to (1) determine the prevalence of asymptomatic BME in the talus before the start of the performance season, (2) identify contributing demographic and training factors, and (3) compare the radiological evidence of talar BME with validated functional foot and ankle scores. We hypothesized that talar BME would be highly prevalent among asymptomatic professional dancers. Study Design: Case series; Level of evidence, 4. Methods: A total of 14 professional ballet dancers (6 female and 8 male; mean age, 24 years) were included in this 2-year prospective study. For each participant, we recorded complete medical and surgical history along with scores on the Foot and Ankle Ability Measure (FAAM) and the Foot and Ankle Disability Index. Bilateral foot and ankle 3.0-T MRI scans without contrast were completed before the start of the performance season and were evaluated for BME of the talus using the Fredericson criteria. Results: Evidence of talar BME was seen in 15 of the 28 (54%) ankles examined and in 9 of 14 (64%) dancers. We found that 6 dancers demonstrated bilateral talar BME, 3 dancers demonstrated unilateral BME, and 5 dancers demonstrated no evidence of BME. The most common location of BME was the posterior talus, seen in 8 of 15 (53%) ankles. No statistically significant differences were noted in dancers with versus those without talar BME with regard to functional scores, demographic characteristics, or weekly training hours. Conclusion: Asymptomatic talar BME was highly prevalent (64%) in professional ballet dancers and tended to occur posteriorly. Long-term clinical and radiographic follow-up is necessary to determine the natural history of these lesions.

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From bone marrow edema to osteonecrosis. New concepts

Cited by 6 publications

References 29 publications

Bone Marrow Edema

Bone Marrow Edema

Hätten Sie bei einem 38-Jährigen an eine Osteoporose gedacht?

Prevalence of Asymptomatic Talar Bone Marrow Edema in Professional Ballet Dancers: Preliminary Data From a 2-Year Prospective Study

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