Subtendinous Bone Marrow Edema Patterns on MR Images of the  Ankle

Morrison, William B.; Carrino, John A.; Schweitzer, Mark E.; Sanders, Timothy G.; Raiken, David P.; Johnson, Charles E.

doi:10.2214/ajr.176.5.1761149

Cited by 32 publications

(19 citation statements)

References 23 publications

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“…2). Accompanying the BML at the insertion point of the tendon into bone is often cortical erosions and calciWcations [25][26][27][28][29]. Often the tendon appears swollen, which has been related to increased vascularization [30].…”

Section: Tendinitsmentioning

confidence: 99%

Bone marrow lesions: a universal bone response to injury?

Eriksen

Ringe

2011

Rheumatol Int

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The ever increasing use of magnetic resonance imaging in clinical practice has led to the recognition of a new entity, bone marrow lesions (BMLs). These lesions are characterized by excessive water signals in the marrow space and have emerged as a central component of many different diseases affecting the musculoskeletal system. BMLs have in particular been associated with a wide variety of inflammatory and non-inflammatory rheumatologic conditions and are not only considered significant sources of pain, but also linked to the worsening of patient prognosis in many disease states. In this review, we summarize the current knowledge on BMLs with an emphasis on the clinical and histological features of this entity in inflammatory and non-inflammatory disease and provide a unifying hypothesis based on the appearance with various imaging technologies. We also try to pair this hypothesis with the apparent beneficial effects of various treatment regimens, mainly within the group of bone antiresorptive drugs (calcitonin, bisphosphonates) on symptoms associated with BMLs.

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Section: Tendinitsmentioning

confidence: 99%

Bone marrow lesions: a universal bone response to injury?

Eriksen

Ringe

2011

Rheumatol Int

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“…Mechanically related ankle and foot pain is also associated with bone edema seen by MRI in wraparound regions of tendons (32). Like true insertions, these sites are also prone to adjacent periostitis (33).…”

Section: Second International Enthesitis Workhop 899mentioning

confidence: 99%

Report on the Second International Enthesitis Workshop

McGonagle¹,

Marzo‐Ortega²,

Benjamin³

et al. 2003

Arthritis & Rheumatism

105

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“…However, as these are prone to inflammation in the seronegative spondyloarthropathies, we have likened the tendon-bone association to functional entheses -signifying that, as at a true enthesis, there is tendon-bone contact, even if the former does not attach to the latter 3 . It is thus worth noting that the magnetic resonance image appearance of "wraparound tendon disease" at the ankle is associated with a diffuse osteitis in the adjacent bone 6 , i.e., recalling the pattern of abnormality associated with enthesitis-related pathology elsewhere 7 .…”

Section: Rheumatologymentioning

confidence: 99%