Bone marrow edema in sports: General concepts

Vanhoenacker, Filip; Snoeckx, Annemiek

doi:10.1016/j.ejrad.2007.01.013

Cited by 42 publications

(30 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In man, BMLs associated with sports activities are most frequently of traumatic aetiology, and the underlying mechanism may be either acute or chronic (Sanders et al 2000). Variable incidences have been published, but BMLs are often encountered in acute trauma (Vanhoenacker and Snoeckx 2007). Most of the horses of our report had an insidious onset of lameness and there was no well documented episode of trauma for any of them.…”

Section: Discussionmentioning

confidence: 68%

Use of standing low‐field magnetic resonance imaging to diagnose middle phalanx bone marrow lesions in horses

Olive¹,

Mair

Charles

2009

Equine Veterinary Education

View full text Add to dashboard Cite

Summary Bone marrow lesions (BMLs) (also known as ‘bone bruises’, ‘bone oedema’, ‘bone contusions’ and ‘occult fractures’) within the middle phalanx were diagnosed by standing low field magnetic resonance imaging (MRI) in 7 horses. The lesions were characterised by low signal intensity on T1‐ and T2*‐weighted gradient echo sequences, mildly increased signal intensity on T2 fast spin echo sequences, and high signal intensity on short tau inversion recovery (STIR) sequences. Four distinct patterns of abnormal signal were identified: BML associated with osteoarthritis of either the proximal or distal interphalangeal joints; BML associated with soft tissue injury; BML associated with acute trauma; and BML unassociated with any other injury or lameness (assumed to represent bone response to biomechanical stress). Repeat MRI was undertaken in 4 cases. In most cases the BML resolved with rest and time, although lameness was persistent in 2 horses (one of which had an associated osteoarthritis of the proximal interphalangeal joint).

show abstract

Section: Discussionmentioning

confidence: 68%

Use of standing low‐field magnetic resonance imaging to diagnose middle phalanx bone marrow lesions in horses

Olive¹,

Mair

Charles

2009

Equine Veterinary Education

View full text Add to dashboard Cite

show abstract

“…When it is linked with sport, it is generally the result of trauma, which may be acute or chronic. 32,33 With increased use of MRI for musculoskeletal assessment of athletes, the attention of radiologists and orthopedists has been drawn to the high prevalence of foci of bone marrow edema in asymptomatic athletes and this fact has been the motive for several different studies and is a challenge for interpretation of images, and in terms of choosing the best clinical management. 34,35 The cause of the bone marrow edema that is seen in asymptomatic athletes has not been elucidated, but there are hypotheses based on the suggestion that the biomechanics involved in specific sports may be responsible for these abnormalities.…”

Section: Discussionmentioning

confidence: 99%

MRI of the knees in asymptomatic adolescent soccer players: A case-control study

Matiotti

Soder

Becker

et al. 2016

J. Magn. Reson. Imaging

View full text Add to dashboard Cite

show abstract

“…Finding an “active” osseous lesion in MRI is predominantly based on the prevalence of “bone marrow edema”, a pattern of ill-defined hyperintense signal on T2-weighted images. However, this feature is considered non-specific [27–31]. Bone marrow edema and radiotracer uptake do not necessarily prevail concurrently [6].…”

Section: Discussionmentioning

confidence: 99%

Imaging Non-Specific Wrist Pain: Interobserver Agreement and Diagnostic Accuracy of SPECT/CT, MRI, CT, Bone Scan and Plain Radiographs

et al. 2013

View full text Add to dashboard Cite

PurposeChronic hand and wrist pain is a common clinical issue for orthopaedic surgeons and rheumatologists. The purpose of this study was 1. To analyze the interobserver agreement of SPECT/CT, MRI, CT, bone scan and plain radiographs in patients with non-specific pain of the hand and wrist, and 2. to assess the diagnostic accuracy of these imaging methods in this selected patient population.Materials and MethodsThirty-two consecutive patients with non-specific pain of the hand or wrist were evaluated retrospectively. All patients had been imaged by plain radiographs, planar early-phase imaging (bone scan), late-phase imaging (SPECT/CT including bone scan and CT), and MRI. Two experienced and two inexperienced readers analyzed the images with a standardized read-out protocol. Reading criteria were lesion detection and localisation, type and etiology of the underlying pathology. Diagnostic accuracy and interobserver agreement were determined for all readers and imaging modalities. ResultsThe most accurate modality for experienced readers was SPECT/CT (accuracy 77%), followed by MRI (56%). The best performing, though little accurate modality for inexperienced readers was also SPECT/CT (44%), followed by MRI and bone scan (38% each). The interobserver agreement of experienced readers was generally high in SPECT/CT concerning lesion detection (kappa 0.93, MRI 0.72), localisation (kappa 0.91, MRI 0.75) and etiology (kappa 0.85, MRI 0.74), while MRI yielded better results on typification of lesions (kappa 0.75, SPECT/CT 0.69). There was poor agreement between experienced and inexperienced readers in SPECT/CT and MRI. ConclusionsSPECT/CT proved to be the most helpful imaging modality in patients with non-specific wrist pain. The method was found reliable, providing high interobserver agreement, being outperformed by MRI only concerning the typification of lesions. We believe it is beneficial to integrate SPECT/CT into the diagnostic imaging algorithm of chronic wrist pain.

show abstract

Bone marrow edema in sports: General concepts

Cited by 42 publications

References 30 publications

Use of standing low‐field magnetic resonance imaging to diagnose middle phalanx bone marrow lesions in horses

Use of standing low‐field magnetic resonance imaging to diagnose middle phalanx bone marrow lesions in horses

MRI of the knees in asymptomatic adolescent soccer players: A case-control study

Imaging Non-Specific Wrist Pain: Interobserver Agreement and Diagnostic Accuracy of SPECT/CT, MRI, CT, Bone Scan and Plain Radiographs

Contact Info

Product

Resources

About