L’œdème médullaire : définition, valeur diagnostique et pronostique

Blum, Alain; Roch, D.; Lœuille, Damien; Louis, M.; Batch, T.; Lecocq, S.; Witte, Yvonne

doi:10.1016/s0221-0363(09)73586-3

Cited by 27 publications

(7 citation statements)

References 162 publications

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“…In this condition, bone marrow edema is believed to indicate bone or joint contusion, osteitis, or stress-induced trabecular microfracture [14-16,18,19], respectively.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Sudeck's disease stage 1, or diabetic Charcot's foot stage 0? Case report and assessment of the diagnostic value of MRI

Poll

Weber

Böhm

et al. 2010

Diabetol Metab Syndr

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BackgroundThe diagnosis of Sudeck's syndrome stage 1 (nowadays termed complex regional pain syndrome I, abbreviated CRPS I) is based on clinical features, namely swelling and pain in a limb. Plain X-ray may be normal. In the absence of pain sensitivity, e.g. in diabetic neuropathy, CRPS I of the foot can be mistaken for Charcot's foot stage 0 (so-called neuro-osteoarthropathy).Case presentationThe case of a type-1 diabetic woman is reported, in whom CRPS I following a calcaneal fracture was mistaken for Charcot's osteoarthropathy (because of bone marrow edema displayed by conventional MR imaging). In addition, a review is presented on 6 consecutive cases with CRPS I of the foot, and on 20 cases with Charcot's foot stage 0, with particular emphasis on MR imaging findings. The number of bones per foot affected with marrow edema was similar in either condition, with a tendency towards a more patchy, diffuse distribution of bone marrow edema in CRPS I. Bone marrow edema apparently regressed more promptly in response to treatment in Charcot's foot stage 0.ConclusionDifferentiation of CRPS I from Charcot's foot stage 0 remains a diagnostic dilemma in patients with pain insensitivity. Conventional MRI may be helpful, when repeated for monitoring the treatment response.

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“…In this condition, bone marrow edema is believed to indicate bone or joint contusion, osteitis, or stress-induced trabecular microfracture [14-16,18,19], respectively.…”

Section: Discussionmentioning

confidence: 99%

“…On fat-suppressed T2-weighted STIR- sequences (short-tau inversion recovery), bone marrow edema appears hyperintense compared to normal low signal intense marrow [15,16]. …”

Section: Methodsmentioning

confidence: 99%

Sudeck's disease stage 1, or diabetic Charcot's foot stage 0? Case report and assessment of the diagnostic value of MRI

Poll

Weber

Böhm

et al. 2010

Diabetol Metab Syndr

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show abstract

“…The appearance is patchy/reticular and more diffuse compared to the bone marrow edema in stress reaction. [26] Depending upon the stage of disease, soft tissue edema(acute/subacute stage) and soft tissue atrophy (chronic stage) may be associated. [2627] However, two important pitfalls should be kept in mind.…”

Section: Category I Lesionsmentioning

confidence: 99%

“…[26] Depending upon the stage of disease, soft tissue edema(acute/subacute stage) and soft tissue atrophy (chronic stage) may be associated. [2627] However, two important pitfalls should be kept in mind. In children and adolescents, patchy/reticular appearance of the marrow may be normally observed with patchy red marrow conversion.…”

Section: Category I Lesionsmentioning

confidence: 99%

Bone marrow lesions: A systematic diagnostic approach

Grande

Farahani

Carrino

et al. 2014

Indian Journal of Radiology and Imaging

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Bone marrow lesions on magnetic resonance (MR) imaging are common and may be seen with various pathologies. The authors outline a systematic diagnostic approach with proposed categorization of various etiologies of bone marrow lesions. Utilization of typical imaging features on conventional MR imaging techniques and other problem-solving techniques, such as chemical shift imaging and diffusion-weighted imaging (DWI), to achieve accurate final diagnosis has been highlighted.

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“…Introduction the term bone marrow edema (BMe) describes a wide range of focal bone lesions of different origin and is most likely a vascular reaction to external or internal disorders [1]. although the correlations with other diseases such as aseptic osteonecrosis, algodistrophy, trabecular microfractures and osteoporosis of pregnancy are still debated, bone marrow edema syndrome (BMeS) is now an accepted clinical entity.…”

mentioning

confidence: 99%