MR Imaging of Bone Marrow Edema and Joint Effusion in Patients with Osteonecrosis of the Femoral Head: Relationship to Pain

2003 ◽  
Vol 181 (2) ◽  
pp. 545-549 ◽  
Author(s):  
Guo-Shu Huang ◽  
Wing P. Chan ◽  
Yue-Cune Chang ◽  
Cheng-Yen Chang ◽  
Cheng-Yu Chen ◽  
...  
Radiology ◽  
1999 ◽  
Vol 212 (2) ◽  
pp. 527-535 ◽  
Author(s):  
Bruno C. Vande Berg ◽  
Jacques J. Malghem ◽  
Frederic E. Lecouvet ◽  
Jacques Jamart ◽  
Baudouin E. Maldague

2002 ◽  
Vol 402 ◽  
pp. 171-175 ◽  
Author(s):  
Kyung-Hoi Koo ◽  
In-Oak Ahn ◽  
Hae-Ryong Song ◽  
Shin-Yoon Kim ◽  
John Paul Jones

Radiology ◽  
2000 ◽  
Vol 215 (3) ◽  
pp. 835-840 ◽  
Author(s):  
Marco Zanetti ◽  
Elisabeth Bruder ◽  
José Romero ◽  
Juerg Hodler

Diagnostics ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. 885
Author(s):  
Chul-Hyun Cho ◽  
Byung-Woo Min ◽  
Kyung-Jae Lee ◽  
Jun-Young Kim ◽  
Du-Han Kim

The purpose of our study was the clinical characteristics, radiographic appearance, and outcomes after treatment in patients with rapid destructive arthrosis (RDA) due to subchondral insufficiency fracture (SIF) of the shoulder. Twenty-two cases of RDA of the shoulder were retrospectively reviewed. Clinical outcomes for 15 cases who underwent shoulder arthroplasty were evaluated at an average of 41.4 months. The mean age of patients was 73.7 years (range 50–83 years), and there were 20 women and 2 men. The mean time from onset of symptoms to head collapse was 6.8 months (range 1–12 months). The mean t-score of bone mineral density was −3.1. Nine patients had pseudoparalysis. Based on radiographic appearance, a diversity of types of head destruction with subchondral fracture, bone marrow edema, joint effusion, and synovitis were observed in all cases. In conclusion, RDA due to SIF of the shoulder, presenting with severe short-term pain and functional disability, commonly occurred in elderly women with bone fragility. MRI revealed bone marrow edema, extensive joint effusion, and synovitis as well as a diversity of types of head destruction with subchondral fracture within several months from onset of symptoms.


2010 ◽  
Vol 13 (01) ◽  
pp. 39-42
Author(s):  
Itay Fenichel ◽  
Moshe Salai ◽  
Steven Velkes

Bone marrow edema is a sign that can be accompanied with osteonecrosis of the femoral head. There is still controversy as to whether it is a reversible form of avascular necrosis or it is a disease entity of its own. The probability and extent of the edema correlate well with the pain and stage of the necrosis. Unlike transient osteoporosis of the hip and regional migratory osteoporosis which are spontaneously resolving conditions, osteonecrosis can cause significant changes in the hip joint. We present a case of a displaced fracture of the femoral neck complicating bone marrow edema in osteonecrosis of the femoral head, in a 42-year-old man, treated with a cementless total hip replacement. This case emphasizes a potential complication associated with the state of diffuse bone marrow edema of the hip.


Radiology ◽  
2010 ◽  
Vol 256 (3) ◽  
pp. 855-862 ◽  
Author(s):  
Michel D. Crema ◽  
Frank W. Roemer ◽  
Yanyan Zhu ◽  
Monica D. Marra ◽  
Jingbo Niu ◽  
...  

2007 ◽  
Vol 17 (9) ◽  
pp. 2225-2236 ◽  
Author(s):  
Apostolos H. Karantanas

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