Edema de la médula ósea de la rodilla / Bone marrow edema of knee
Rev. chil. reumatol
;
23(1): 29-32, 2007. ilus
Artículo
en Español
| LILACS
| ID: lil-475707
ABSTRACT
Bone marrow edema (BME) or transient bone marrow edema syndrome (TMES) affects the joints, particularly thehip and less frequently the knee and ankle. Knee problemsare usually related to traumatic causes, nevertheless, this can also be caused by micro traumatisms brought on bydaily life or overload. Diagnosis is confirmed by usingnuclear magnetic resonance (NMR), since both x-rays andcomputer assisted tomographies (CAT) are unsupportive,and scintigraph, though sensitive, is none specific. It isdescribed as the cause of pain in osteoarthritis and canalso be observed in transitory osteoporosis, in migratoryregional osteoporosis, and in the first stage of avascularbone necrosis (ABN), which is its main differential diagnosis. We present three cases of patients with knee pain, with no history of contusion. Two cases presented minor signs of osteoarthritis, two presented a decrease in bone density, and one presented hyperlaxity. NMRs were required, since normal procedures led to no results, and showed the existence of BME. Treatment was conservative, specially oriented towards unloading the joints, with a favorable evolution prior to six months.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Espectroscopía de Resonancia Magnética
/
Edema
/
Articulación de la Rodilla
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. chil. reumatol
Asunto de la revista:
Reumatología
Año:
2007
Tipo del documento:
Artículo
País de afiliación:
Colombia
Institución/País de afiliación:
Hospital San Juan de Dios/CL
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