Prevalence of bone marrow edema in a study population with foot and/or ankle pain

González-Martín, David; Herrera-Pérez, Mario; Martín-Vélez, P.; Rendón-Díaz, Diego

doi:10.1016/j.foot.2019.04.004

Cited by 5 publications

(8 citation statements)

References 33 publications

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“…Bone marrow edema (BME) represents an important cause of ankle pain [1][2][3]. Several causes of BME have been described, including vitamin D deficiency, osteoporosis, microtrauma, pregnancy, chronic liver failure, diabetes mellitus, peripheral arterial disease, and immunosuppression [4][5][6][7][8][9]. In one recent study, the prevalence of BME in patients with ankle pain, detected by magnetic resonance imaging (MRI), was 23% [5].…”

Section: Introductionmentioning

confidence: 99%

“…Several causes of BME have been described, including vitamin D deficiency, osteoporosis, microtrauma, pregnancy, chronic liver failure, diabetes mellitus, peripheral arterial disease, and immunosuppression [4][5][6][7][8][9]. In one recent study, the prevalence of BME in patients with ankle pain, detected by magnetic resonance imaging (MRI), was 23% [5]. BME in the ankle often affects young individuals [5,10] and in the absence of trauma, can be the sole imaging finding, as is noted in bone marrow edema syndrome [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…In one recent study, the prevalence of BME in patients with ankle pain, detected by magnetic resonance imaging (MRI), was 23% [5]. BME in the ankle often affects young individuals [5,10] and in the absence of trauma, can be the sole imaging finding, as is noted in bone marrow edema syndrome [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…In one recently published paper assessing the prevalence of ankle BME by MRI [5], the talus was the most involved site. BME was depicted in the absence of previous trauma, because of degenerative changes in 34.7% of cases [5]. Subchondral BME may represent a negative prognostic indicator for clinical outcomes [11,13].…”

Section: Introductionmentioning

confidence: 99%

“…MRI is the modality of choice to diagnose BME [5,9]. However, MRI cannot be routinely used in all patients owing to its reduced availability, contraindications and/or metal artifacts.…”

Section: Introductionmentioning

confidence: 99%

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Identification of bone marrow edema around the ankle joint in non-traumatic patients: Diagnostic accuracy of dual-energy computed tomography

et al. 2021

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…MRI is the modality of choice to diagnose BME [5,9]. However, MRI cannot be routinely used in all patients owing to its reduced availability, contraindications and/or metal artifacts.…”

Section: Introductionmentioning

confidence: 99%

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Identification of bone marrow edema around the ankle joint in non-traumatic patients: Diagnostic accuracy of dual-energy computed tomography

et al. 2021

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Klinische Aspekte der Knochenmarködeme: eine Literaturübersicht

Stojanovska¹,

Schirmer²

2022

J. Miner. Stoffwechs. Muskuloskelet. Erkrank.

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ZusammenfassungÜber das primäre Knochenmarködemsyndrom (KM-Ödemsyndrom) ist in der Literatur relativ wenig bekannt. Aufgrund dieser Übersichtsarbeit erscheint es sinnvoll, Klassifikationskriterien zu entwickeln, mit klarer Unterscheidung zwischen primärem und sekundärem KM-Ödemsyndrom. Auf dieser Basis können dann in der Folge Outcomeparameter besser definiert und validiert werden, um größere randomisierte, möglichst doppelblinde Studien sowohl für pharmakologische als auch nichtpharmakologische Therapieverfahren zu initiieren.

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Retrograde Drilling for Osteochondral Lesion of the Talus in Juvenile Patients

Ikuta

Nakasa

Ota

et al. 2020

Foot & Ankle Orthopaedics

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Background: Retrograde drilling (RD) is generally used for treating osteochondral lesion of the talus (OLT) with a stable osteochondral fragment and nearly normal articular cartilage surface. Previous studies that included participants of various ages have reported good clinical results. This study aimed to clarify the clinical outcomes of RD for OLT in juvenile patients whose bone-forming ability and physical activity might affect the healing process. Methods: This retrospective study included 8 juvenile patients who underwent RD for OLT (5 boys and 3 girls, mean age 14.9 years, mean follow-up 2 years, 7 medial and 1 central lesion). American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score and ankle activity score were evaluated, and arthroscopic findings were graded according to the International Cartilage Research Society (ICRS) classification system. The condition of the underlying bone was assessed on preoperative computed tomographic images. The stability, incorporation, and subsidence of the osteochondral fragment, articular surface congruity, and the area of the bone marrow lesion (BML) were evaluated using magnetic resonance imaging (MRI). Results: AOFAS ankle-hindfoot score and ankle activity score significantly improved postoperatively. Arthroscopically, the lesions were classified as ICRS grade 0 or 1. Bone sclerosis or multiple small cysts of the underlying bone were observed in all patients. MRI demonstrated no signs of osteochondral fragment instability or subsidence, good or fair fragment incorporation, good articular surface congruity, or slight irregularity. The postoperative BML was reduced; however, these BMLs were still detectable at 1 year after surgery. Conclusion: Our data suggested that RD is an option for treating juvenile patients with OLT refractory to nonoperative treatment at short-term follow-up. Although bone sclerosis or multiple small cysts were identified in the underlying bone preoperatively and the BML under the osteochondral fragment remained postoperatively, clinical status such as pain and physical activity level were improved by RD. Level of Evidence: Level IV, retrospective case series.

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Prevalence of bone marrow edema in a study population with foot and/or ankle pain

Cited by 5 publications

References 33 publications

Identification of bone marrow edema around the ankle joint in non-traumatic patients: Diagnostic accuracy of dual-energy computed tomography

Identification of bone marrow edema around the ankle joint in non-traumatic patients: Diagnostic accuracy of dual-energy computed tomography

Klinische Aspekte der Knochenmarködeme: eine Literaturübersicht

Retrograde Drilling for Osteochondral Lesion of the Talus in Juvenile Patients

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