“Bone marrow edema” in the differential diagnosis of traumatic injuries of the knee
A. N. Torgashin,
S. S. Rodionova,
A. K. Morozov,
A. V. Torgashina,
R. M. Magomedgadzhiev,
I. A. Fedotov https://doi.org/10.29001/2073-8552-2023-39-3-223-230
Abstract
Bone marrow edema is MR images is defined by the presence of hypointense infiltration on T1-weighted images and clear high signal intensity on fat-saturated T2-weighted sequences (T2 FSE FAT SATURATED, T2-weighted short-tau inversion recovery (T2w-STIR)).
Aim: To demonstrate the features of manifestation of “bone marrow edema” at different severity and character of traumatic injury of the knee.
Materials and Methods. A series of clinical cases with subchondral bone involvement in the form of “bone marrow edema” resulting from trauma is presented using the example of the knee joint as the most common area of MRI for differential diagnosis.
Results. The features of “marrow edema” of the femoral and tibial condyles were analyzed using clinical examples. It was shown that the severity and nature of injury can be judged by the nature of the edema, presence of linear hypointensities, articular surface deforms and the bone defects.
Conclusion. Evaluation of “bone marrow edema” revealed on MRI examination in case of pain syndrome after a knee joint injury allows timely clarification of the diagnosis and adequate treatment.
About the Authors
A. N. Torgashin
National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov
Russian Federation
Russian Federation
Alexander N. Torgashin, Cand. Sci. (Med.), Traumatologist-Orthopedist
10, Priorova str., Moscow, 127299, Russian Federation
S. S. Rodionova
National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov
Russian Federation
Russian Federation
Svetlana S. Rodionova, Dr. Sci. (Med.), Professor, Head of the Scientific Department of Metabolic Osteopathies and Bone Tumors
10, Priorova str., Moscow, 127299, Russian Federation
A. K. Morozov
National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov
Russian Federation
Russian Federation
Alexander K. Morozov, Dr. Sci. (Med.), Professor, Head of Radiation Diagnostics Department
10, Priorova str., Moscow, 127299, Russian Federation
A. V. Torgashina
V.A. Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
Anna V. Torgashina, Cand. Sci. (Med.), Rheumatologist
35a, Kashirskoe shosse, Moscow, 115522, Russian Federation
R. M. Magomedgadzhiev
National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov
Russian Federation
Russian Federation
Ruslan M. Magomedgadzhiev, Traumatologist-Orthopedist
10, Priorova str., Moscow, 127299, Russian Federation
I. A. Fedotov
Therapeutic and diagnostic center “Kutuzovsky”
Russian Federation
Russian Federation
Ivan A. Fedotov, Radiologist
5, Davydkovskaya str., Moscow, 121352, Russian Federation
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Review
For citations:
Torgashin A.N., Rodionova S.S., Morozov A.K., Torgashina A.V., Magomedgadzhiev R.M., Fedotov I.A. “Bone marrow edema” in the differential diagnosis of traumatic injuries of the knee. Siberian Journal of Clinical and Experimental Medicine. 2023;38(3):223-230. (In Russ.) https://doi.org/10.29001/2073-8552-2023-39-3-223-230
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