Bone marrow edema in the foot—MRI findings after conservative therapy

2005 ◽  
Vol 11 (2) ◽  
pp. 87-91 ◽  
Author(s):  
N. Aigner ◽  
C. Radda ◽  
R. Meizer ◽  
G. Petje ◽  
S. Kotsaris ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Bone Marrow Edema ◽  
Conservative Therapy ◽  
Mri Findings ◽  
Marrow Edema

scholarly journals Factors associated with failure of bony union after conservative treatment of acute cases of unilateral lumbar spondylolysis

2021 ◽  
Author(s):  
Masaki Tatsumura ◽  
Hisanori Gamada ◽  
Shun Okuwaki ◽  
Fumihiko Eto ◽  
Katsuya Nagashima ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Bone Marrow Edema ◽  
Conservative Therapy ◽  
Bony Union ◽  
Pathological Stage ◽  
Factors Associated ◽  
Lumbar Spondylolysis ◽  
Lesion Level ◽  
Advanced Pathological Stage ◽  
Marrow Edema

Abstract Background: If bone union is expected, conservative treatment is generally selected for lumbar spondylolysis. However, sometimes conservative treatments are unsuccessful. We sought to determine the factors associated with failure of bony union in acute unilateral lumbar spondylolysis with bone marrow edema including contralateral pseudoarthrosis.Methods: This study targeted unilateral lumbar spondylolysis treated conservatively in high school or younger students. Conservative therapy was continued until the bone marrow edema disappeared on MRI and bone union was investigated by CT. We conducted a univariate analysis of sex, age, pathological stage, lesion level complicating the contralateral bone defect, lesion level, and intercurrent spina bifida occulta, and variables with p < 0.1 were considered in a logistic regression analysis. An item with p < 0.05 was defined as a factor associated with failure of bony union.Results: We found 92 cases of unilateral spondylolysis with bone marrow edema and 66 cases were successfully treated conservatively. Failure of bony union in unilateral lumbar spondylolysis with bone marrow edema was associated with advanced pathological stage (p = 0.004), contralateral pseudoarthrosis (p < 0.001), and L5 lesion level (p = 0.002). The odds ratio was 20.0 (95% CI 3.0–193.9) for advanced pathological stage, 78.8 (95% CI 13–846) for contralateral pseudoarthrosis, and 175 (95% CI 8.5–8192) for L5 lesion level.Conclusions: Conservative therapy aiming at bony union is contraindicated in cases of acute unilateral spondylolysis when the pathological stage is advanced, the lesion level is L5, or there is contralateral pseudoarthrotic spondylolysis.

MRI Findings of Bone Marrow Edema in a Division I NCAA Women’s Soccer Team During a Competitive Season

2016 ◽  
Vol 48 ◽  
pp. 1007
Author(s):  
Karen M. Myrick ◽  
Bernadette Mele ◽  
David Wallace ◽  
Thomas Martin ◽  
Richard Feinn ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Bone Marrow Edema ◽  
Division I ◽  
Mri Findings ◽  
Competitive Season ◽  
Soccer Team ◽  
Marrow Edema ◽  
Women's Soccer

scholarly journals Factors associated with failure of bony union after conservative treatment of acute cases of unilateral lumbar spondylolysis

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Masaki Tatsumura ◽  
Hisanori Gamada ◽  
Shun Okuwaki ◽  
Fumihiko Eto ◽  
Katsuya Nagashima ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Conservative Treatment ◽  
Bone Marrow Edema ◽  
Conservative Therapy ◽  
Bony Union ◽  
Pathological Stage ◽  
Factors Associated ◽  
Lumbar Spondylolysis ◽  
Lesion Level ◽  
Marrow Edema

Abstract Background If bone union is expected, conservative treatment is generally selected for lumbar spondylolysis. However, sometimes conservative treatments are unsuccessful. We sought to determine the factors associated with failure of bony union in acute unilateral lumbar spondylolysis with bone marrow edema including contralateral pseudarthrosis. Methods This study targeted unilateral lumbar spondylolysis treated conservatively in high school or younger students. Conservative therapy was continued until the bone marrow edema disappeared on MRI and bone union was investigated by CT. We conducted a univariate analysis of sex, age, pathological stage, lesion level complicating the contralateral bone defect, lesion level, and intercurrent spina bifida occulta, and variables with p < 0.1 were considered in a logistic regression analysis. An item with p < 0.05 was defined as a factor associated with failure of bony union. Results We found 92 cases of unilateral spondylolysis with bone marrow edema and 66 cases were successfully treated conservatively. Failure of bony union in unilateral lumbar spondylolysis with bone marrow edema was associated with progressive pathological stage (p = 0.004), contralateral pseudarthrosis (p < 0.001), and L5 lesion level (p = 0.002). The odds ratio was 20.0 (95% CI 3.0–193.9) for progressive pathological stage, 78.8 (95% CI 13–846) for contralateral pseudarthrosis, and 175 (95% CI 8.5–8192) for L5 lesion level. Conclusions Conservative therapy aiming at bony union is contraindicated in cases of acute unilateral spondylolysis when the pathological stage is progressive, the lesion level is L5, or there is contralateral pseudarthrotic spondylolysis.

scholarly journals Factors Associated with Failure of Bony Union After Conservative Treatment of Acute Cases of Unilateral Lumbar Spondylolysis

2020 ◽  
Author(s):  
Masaki Tatsumura ◽  
Hisanori Gamada ◽  
Shun Okuwaki ◽  
Fumihiko Eto ◽  
Katsuya Nagashima ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Bone Marrow Edema ◽  
Conservative Therapy ◽  
Bony Union ◽  
Pathological Stage ◽  
Factors Associated ◽  
Lumbar Spondylolysis ◽  
Lesion Level ◽  
Advanced Pathological Stage ◽  
Marrow Edema

Abstract Background: If bone union is expected, conservative treatment is generally selected for lumbar spondylolysis. However, sometimes conservative treatments are unsuccessful. We sought to determine the factors associated with failure of bony union in acute unilateral lumbar spondylolysis with bone marrow edema including contralateral pseudoarthrosis.Methods: This study targeted unilateral lumbar spondylolysis treated conservatively in high school or younger students. Conservative therapy was continued until the bone marrow edema disappeared on MRI and bone union was investigated by CT. We conducted a univariate analysis of sex, age, pathological stage, lesion level complicating the contralateral bone defect, lesion level, and intercurrent spina bifida occulta, and variables with p < 0.1 were considered in a logistic regression analysis. An item with p < 0.05 was defined as a factor associated with failure of bony union.Results: We found 92 cases of unilateral spondylolysis with bone marrow edema and 66 cases were successfully treated conservatively. Failure of bony union in unilateral lumbar spondylolysis with bone marrow edema was associated with advanced pathological stage (p = 0.004), contralateral pseudoarthrosis (p < 0.001), and L5 lesion level (p = 0.002). The odds ratio was 20.0 (95% CI 3.0–193.9) for advanced pathological stage, 78.8 (95% CI 13–846) for contralateral pseudoarthrosis, and 175 (95% CI 8.5–8192) for L5 lesion level.Conclusions: Conservative therapy aiming at bony union is contraindicated in cases of acute unilateral spondylolysis when the pathological stage is advanced, the lesion level is L5, or there is contralateral pseudoarthrotic spondylolysis.

Osteochondral Lesions of the Talus: Change in MRI Findings Over Time in Talar Lesions Without Operative Intervention and Implications for Staging Systems

2006 ◽  
Vol 27 (3) ◽  
pp. 157-166 ◽  
Author(s):  
Ilan Elias ◽  
Jennifer W. Jung ◽  
Steven M. Raikin ◽  
Mark W. Schweitzer ◽  
John A. Carrino ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Bone Marrow Edema ◽  
Operative Intervention ◽  
Osteochondral Lesions ◽  
Mr Images ◽  
Mri Findings ◽  
Appropriate Treatment ◽  
Staging Systems ◽  
Mri Characteristics ◽  
Marrow Edema

Background: MRI findings are used in several staging systems to help determine appropriate treatment. The purposes of this study were to evaluate longitudinal changes in MRI characteristics of osteochondral lesions of the talus (OLT) and to evaluate published staging systems in a cohort of nonoperatively treated patients. Methods: Twenty-nine patients were identified; MR images were reviewed for location, size, and interface signal of OLT as well as cysts, marrow edema and osteoarthritis. Lesions were classified as unchanged, progressed, or improved based on changes in size or interface signal. Each lesion was assigned a stage based on four different staging systems. Results: Of the 29 lesions, 13 progressed, seven improved, and nine were unchanged over an average followup of 13.7 months. In the 13 that progressed, marrow edema remained present in ten and developed in two. Four had persistent cysts and four developed new cysts. Two had progression of osteoarthritis and two developed it anew. In the seven that improved, six had some degree of marrow edema that persisted and one had a persistent cyst. Initial staging changed for at least one classification system in 16 (55%) of the 29 lesions at followup. Change in stage was primarily due to development (four of 16) or disappearance of cysts or progression of the lesion in the extent of bone marrow edema (five of 16). Conclusions: OLT did not invariably progress over the short-term without operative intervention. Because some cysts and bone marrow edema resolved on MRI, they may not be reliable signs of lesion severity nor show progression of degenerative changes. Since these findings determine the stage and severity of OLT in some staging systems, they may require reconsideration and adjustment of the current staging systems.

Migrating transient bone marrow edema syndrome of the knee: MRI findings in a new case

2002 ◽  
Vol 12 (S3) ◽  
pp. S40-S42 ◽  
Author(s):  
Michele Gaeta ◽  
Silvio Mazziotti ◽  
Fabio Minutoli ◽  
Sergio Vinci ◽  
Alfredo Blandino
Keyword(s):  
Bone Marrow ◽  
Bone Marrow Edema ◽  
Mri Findings ◽  
Bone Marrow Edema Syndrome ◽  
Knee Mri ◽  
Transient Bone Marrow Edema ◽  
Marrow Edema

scholarly journals Factors associated with failure of bony union after conservative treatment of acute cases of unilateral lumbar spondylolysis

2020 ◽  
Author(s):  
Masaki Tatsumura ◽  
Hisanori Gamada ◽  
Shun Okuwaki ◽  
Fumihiko Eto ◽  
Katsuya Nagashima ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Bone Marrow Edema ◽  
Conservative Therapy ◽  
Bony Union ◽  
Pathological Stage ◽  
Factors Associated ◽  
Lumbar Spondylolysis ◽  
Lesion Level ◽  
Advanced Pathological Stage ◽  
Marrow Edema

Abstract Background: If bone union is expected, conservative treatment is generally selected for lumbar spondylolysis. However, sometimes conservative treatments are unsuccessful. We sought to determine the factors associated with failure of bony union in acute unilateral lumbar spondylolysis with bone marrow edema including contralateral pseudoarthrosis.Methods: This study targeted unilateral lumbar spondylolysis treated conservatively in high school or younger students. Conservative therapy was continued until the bone marrow edema disappeared on MRI and bone union was investigated by CT. We conducted a univariate analysis of sex, age, pathological stage, lesion level complicating the contralateral bone defect, lesion level, and intercurrent spina bifida occulta, and variables with p < 0.1 were considered in a logistic regression analysis. An item with p < 0.05 was defined as a factor associated with failure of bony union.Results: We found 92 cases of unilateral spondylolysis with bone marrow edema and 66 cases were successfully treated conservatively. Failure of bony union in unilateral lumbar spondylolysis with bone marrow edema was associated with advanced pathological stage (p = 0.004), contralateral pseudoarthrosis (p < 0.001), and L5 lesion level (p = 0.002). The odds ratio was 20.0 (95% CI 3.0–193.9) for advanced pathological stage, 78.8 (95% CI 13–846) for contralateral pseudoarthrosis, and 175 (95% CI 8.5–8192) for L5 lesion level.Conclusions: Conservative therapy aiming at bony union is contraindicated in cases of acute unilateral spondylolysis when the pathological stage is advanced, the lesion level is L5, or there is contralateral pseudoarthrotic spondylolysis.

scholarly journals Prevalence of AALTF and relevant associated MR findings in persons with and without sinus tarsi pain

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0037
Author(s):  
Chul-Hyun Park
Keyword(s):  
Bone Marrow ◽  
Cortical Thickness ◽  
Bone Marrow Edema ◽  
Mr Images ◽  
Mri Findings ◽  
Sinus Tarsi ◽  
Calcaneal Cyst ◽  
Surface Angle ◽  
Marrow Edema ◽  
Age And Sex

Category: Ankle Introduction/Purpose: Sinus tarsi pain is very common, however, etiology of this condition has not been well understood. The purpose of this study was to evaluate differences of MRI findings between persons with and without sinus tarsi pain and to investigate the relationships of sinus tarsi pain and accessory anterolateral talar facet (AALTF). Methods: We reviewed MR images of 120 ankles with sinus tarsi pain in 115 consecutively registered patients. And age- and sex-matched MR images of 120 ankles without pain were also reviewed. We compared the presence of AALTF, calcaneal cyst (CC), bone marrow edema (BME), sinus tarsi fat obliteration (STFO) at the Gissane angle, and coalition between persons with and without sinus tarsi pain. We also compared Gissane angle, talar infero-lateral surface angle (TILSA), and calcaneal cortical thickness (CCT). Of persons with sinus tarsi pain, we compared these parameters between persons with and without AALTF. Results: AALTF was present in 61 ankles (50.8%) with sinus tarsi pain and 34 ankles (28.3%) without sinus tarsi pain (P<0.001). BME (P=0.001) and STFO (P=0.009) were significantly more frequent in persons with sinus tarsi pain. Presences of CC (P=0.108) and coalition (P=0.605) were not different. The Gissane angle was significantly smaller in persons with sinus tarsi pain than in persons without sinus tarsi pain (P<0.001) and TILSA (P=0.032), and CCT (P<0.001) were significantly larger in persons without sinus tarsi pain (Table 1). Of persons with sinus tarsi pain, BME was significantly more frequent in persons with AALTF and TILSA (P=0.032) and CCT were significantly larger in persons with AALTF (Table 2). Conclusion: The MRI findings of patients with sinus tarsi pain showed higher prevalence of AALTF, BME, and STFO. The AALTF may be associated with the MRI findings of talar and calcaneal BME.

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