Article
Endocrinology & Metabolism
C. Gaggiano, M. Bardelli, M. Tarsia, S. Gentileschi, A. Maselli, S. Grosso, L. Cantarini, B. Frediani
Summary: Transient osteoporosis of the hip (TOH) is a common self-limiting condition that usually occurs in middle-aged men and pregnant women. This article reports a case of TOH in a child and summarizes previous literature on pediatric cases of TOH. The case presented an unusual complication of TOH with a femoral physis fracture, which was successfully treated with bisphosphonates. Interventional medical treatment should be considered in selected cases of juvenile TOH to prevent irreversible damage to the femoral physis.
OSTEOPOROSIS INTERNATIONAL
(2022)
Article
Medicine, General & Internal
Daniel A. Rauch, Teresa Victoria, Heidi H. Pfeifer
Summary: This article describes a case of an 18-year-old man with Dravet syndrome presenting with fever and increased seizure activity. The patient also had a history of foot swelling for 2 months, and imaging revealed bone marrow edema and fractures.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Cheng Xie, Sarim Ather, Ramy Mansour, Fergus Gleeson, Rajat Chowdhury
Summary: DECT is more sensitive in detecting acute scaphoid edema as well as cortical fractures, showing higher sensitivity in detecting cortical disruption compared to MRI. However, DECT has lower contrast resolution and is less sensitive in the detection of mild edema compared to MRI.
EUROPEAN RADIOLOGY
(2021)
Article
Orthopedics
Tomoyuki Nakasa, Yasunari Ikuta, Junichi Sumii, Akinori Nekomoto, Shingo Kawabata, Nobuo Adachi
Summary: The clinical outcomes of osteochondral fragment fixation are superior to those of bone marrow stimulation (BMS) in osteochondral lesions of the talus (OLTs), even for smaller lesions. Fixation is recommended, especially for lesions that are more centralized on the medial and lateral sides of the talus.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Theresa J. Yu, Abdulai Bangura, Uttam Bodanapally, Jason Nascone, Robert O'Toole, Yuanyuan Liang, David Dreizin
Summary: This study aimed to evaluate the additional diagnostic value of dual-energy CT and cinematic rendering in assessing pelvic fracture instability in patients with pelvic binders. The results showed that the combination of single-energy CT, dual-energy CT, and cinematic rendering improved the diagnostic performance for discriminating any instability and translational instability compared to single-energy CT alone.
Article
Cell & Tissue Engineering
Jeimylo C. de Castro, Elvira L. Henares-Esguerra, Maria Bida Olivia S. Tamayo-Shih, Daniel Wang, George C. Chang Chien
Summary: This article describes the successful treatment of bone marrow edema in hip osteoarthritis using ultrasound-guided injection of photoactivated leukocyte-rich platelet-rich plasma (LR-PRP). The patient experienced a significant reduction in pain, with MRI showing extensive resolution of bone marrow edema.
REGENERATIVE MEDICINE
(2022)
Review
Endocrinology & Metabolism
Lars Grovle, Anne Julsrud Haugen, Madelene Johansen, Eivind Hasvik
Summary: This study investigated the terminology and vocabulary used for entities related to hip symptoms. The results revealed that the terminology for these entities is diverse and lacks standardized definitions, which hinders accurate diagnosis, research on disease mechanisms, and effective treatment.
OSTEOPOROSIS INTERNATIONAL
(2023)
Article
Surgery
Hua-zhang Xiong, Yan-li Peng, Yu-hong Deng, Ying Jin, Ming-hong Tu, Shu-hong Wu
Summary: This study aimed to evaluate whether hip effusion/synovitis affects the therapeutic effect of Multiple Drilling Core Decompression (MDCD) in patients with Bone Marrow Edema Syndrome of Hip (BMESH). The data of patients undergoing arthroscopic-assisted MDCD for BMESH with hip effusion/synovitis were retrospectively analyzed. The results showed that hip effusion/synovitis could affect the clinical outcomes after MDCD, and arthroscopic procedure can shorten postoperative pain relief time, disappearance time of bone marrow edema on MRI, diagnose and treat other concomitant intraarticular pathologies, and have fewer complications.
Review
Orthopedics
Alberto Di Martino, Matteo Brunello, Eleonora Villari, Piergiorgio Cataldi, Claudio D'Agostino, Cesare Faldini
Summary: Bone marrow edema (BME) of the hip is a condition characterized by increased fluid within the bone marrow of the femur. It can be classified as primary or secondary, with various etiologies including trauma, degeneration, inflammation, and neoplasms. Diagnosis is challenging, but MRI is the gold standard imaging technique. Treatment options vary depending on the form of BME, ranging from conservative management to surgical intervention such as core decompression or hip arthroplasty.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Medicine, Research & Experimental
Chun-Chi Lu, Guo-Shu Huang, Tony Szu-Hsien Lee, En Chao, Hsiang-Cheng Chen, Yong-Si Guo, Shi-Jye Chu, Feng-Cheng Liu, San-Yuan Kao, Tsung-Yun Hou, Chen-Hung Chen, Deh-Ming Chang, Sin-Yi Lyu
Summary: Structural damage to the sacroiliac joints on MRI, including sclerosis, erosions, and focal joint space widening, may be present in nr-axSpA patients without detectable inflammation. Focal joint space widening is significantly correlated with the severity of inflammation seen on MRI, contributing to the accurate diagnosis of nr-axSpA, especially in populations with less common BME, HLA-B27-negative individuals, Asian patients without BME, or patients with normal inflammatory biomarkers.
JOURNAL OF TRANSLATIONAL MEDICINE
(2021)
Article
Orthopedics
Elizaveta Kon, Angelo Boffa, Luca Andriolo, Alessandro Di Martino, Berardo Di Matteo, Nicola Magarelli, Nicoletta Trenti, Stefano Zaffagnini, Giuseppe Filardo
Summary: The combination of subchondral and intra-articular BMAC injections showed positive clinical and imaging outcomes for the treatment of knee osteoarthritis. The treatment resulted in stable subjective scores and improvements in KOOS subscales, while VAS pain worsened over time. The MRI findings showed a reduction in bone marrow edema.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
ChunSu Park, MinWoo Kim, Chankue Park, Wookon Son, Sang-Min Lee, Hee Seok Jeong, JeongWoon Kang, Min-Hyeok Choi
Summary: The study aimed to compare the diagnostic performance of a deep learning model with that of musculoskeletal physicians and radiologists for detecting bone marrow edema on dual-energy CT. The results showed that the deep learning model had higher AUC and sensitivity compared to non- or less-experienced readers, without loss of specificity, and comparable performance to a trained reader.
EUROPEAN JOURNAL OF RADIOLOGY
(2022)
Article
Orthopedics
Riccardo Compagnoni, Jedrzej Lesman, Paolo Ferrua, Alessandra Menon, Carlo Minoli, Mauro Gallazzi, Marcin Domzalski, Pietro Randelli
Summary: The study proposed and validated a highly reproducible six-location classification of knee bone marrow lesions in MRI images, which can assist researchers in conducting studies and sharing information in a more accurate and reliable manner.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Endocrinology & Metabolism
Lothar Seefried, Franca Genest, Jasmin Baumann, Anke Heidemeier, Rainer Meffert, Franz Jakob
Summary: A study showed that single-dose intravenous zoledronic acid combined with vitamin D can improve the resolution of bone marrow lesions and reduce pain within 6 weeks.
JOURNAL OF BONE AND MINERAL RESEARCH
(2022)
Review
Medicine, General & Internal
Jeffrey N. Katz, Kaetlyn R. Arant, Richard F. Loeser
Summary: Osteoarthritis is a prevalent joint disease that can impact various joints, with risk factors including age, gender, obesity, genetics, and major joint injury. Treatment typically involves exercise, weight management, education, and medication therapy. Advanced cases may require surgical intervention for pain relief and improved function.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)