Peculiar Aspects of the Anatomy and Development of the Growing Skeleton

Viana, Sergio Lopes; Ribeiro, Maria Custódia Machado; Machado, Bruno Beber

doi:10.1007/978-3-642-35876-0_2

Cited by 1 publication

(5 citation statements)

References 14 publications

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“…The edema is typically slightly eccentrically centered in the central portion of the physis with a great deal of variability in the extent of edema present. The physis has previously been described as being narrowed but open in the region of periphyseal edema [1, 2]. However, in one of our cases, the central portion of the physis was closed with surrounding periphyseal edema, which has not been previously described.…”

Section: Discussioncontrasting

confidence: 47%

“…Physeal closure starts centrally and proceeds peripherally. The central portion of the physis has increased susceptibility to trauma, which is believed to be due to decreased elasticity of the central physis relative to the periphery during the early closure of the central physis [2]. This decreased elasticity could also potentially predispose the central physis to increased stress during physeal closure.…”

Section: Discussionmentioning

confidence: 99%

“…FOPE zones appear as areas of T1 hypointense and T2 hyperintense marrow edema on both the epiphyseal and metaphyseal sides of the physis with the areas of edema demonstrating contrast enhancement [2]. The edema is typically slightly eccentrically centered in the central portion of the physis with a great deal of variability in the extent of edema present.…”

Section: Discussionmentioning

confidence: 99%

“…However, in one of our cases, the central portion of the physis was closed with surrounding periphyseal edema, which has not been previously described. Multiple physes can be involved at the same time [1, 2]. …”

Section: Discussionmentioning

confidence: 99%

“…They coined these areas of marrow edema focal periphyseal edema, or FOPE, zones. Since their original case series in 2011, FOPE zones have been referred to in a few other review publications [2–4], but, to the best of our knowledge, there have not been any additional published case studies describing the imaging and clinical features of FOPE zones. The three adolescent patients presented in this series have areas of periphyseal edema around the knee consistent with FOPE zones previously described by Zbojniewicz and Laor.…”

Section: Introductionmentioning

confidence: 99%

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Unusual Presentations of Focal Periphyseal Edema Zones: A Report of Bilateral Symmetric Presentation and Partial Physeal Closure

Beckmann

Spence

2015

Case Reports in Radiology

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Focal periphyseal edema (FOPE) zones are areas of periphyseal edema seen near the time of physeal closure which are believed to be a physiologic phenomenon related to changes in distribution of forces around the physis as it closes. Since the original case series describing these areas of periphyseal edema, there has been little published in regard to FOPE zone outside of review articles. We present a set of three patients identified with focal periphyseal edema zones around the knee and compare our findings with the initial case series. We include a patient presenting with bilateral, nearly symmetric, focal periphyseal edema zones of the proximal tibia physis and a patient with partial closure of the physis at time of presentation, which were not reported in the original case series.

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Section: Discussioncontrasting

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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