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Bone Marrow Lesion: Image, Clinical Presentation, and Treatment
In this article, the cause, histology, imaging characteristics, clinical presentation, and treatment of these lesions are thoroughly discussed. Bone marrow edema is the generic term classically used to describe the high-signal-intensity alterations detected on magnetic resonance fluid-sensitive sequ...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5428162/ https://www.ncbi.nlm.nih.gov/pubmed/28579795 http://dx.doi.org/10.1177/1178623x17703382 |
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author | Bonadio, Marcelo Batista Ormond Filho, Alipio Gomes Helito, Camilo Partezani Stump, Xavier MGRG Demange, Marco Kawamura |
author_facet | Bonadio, Marcelo Batista Ormond Filho, Alipio Gomes Helito, Camilo Partezani Stump, Xavier MGRG Demange, Marco Kawamura |
author_sort | Bonadio, Marcelo Batista |
collection | PubMed |
description | In this article, the cause, histology, imaging characteristics, clinical presentation, and treatment of these lesions are thoroughly discussed. Bone marrow edema is the generic term classically used to describe the high-signal-intensity alterations detected on magnetic resonance fluid-sensitive sequences. The significance of bone marrow edema for the patient’s clinical condition and the prognosis of the affected joint is being increasingly investigated and discussed, and situations characterized by subchondral insufficiency are receiving increasing attention. More recent studies found some important correlations between bone marrow lesions and patient’s pain and osteoarthritis progression. Conservative treatment is based on anti-inflammatory and analgesic uses according to the patient’s pain, combined with reduced load on the affected limb. Regarding surgical treatment, subchondroplasty is an option still in development, albeit with promising initial results. |
format | Online Article Text |
id | pubmed-5428162 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-54281622017-06-02 Bone Marrow Lesion: Image, Clinical Presentation, and Treatment Bonadio, Marcelo Batista Ormond Filho, Alipio Gomes Helito, Camilo Partezani Stump, Xavier MGRG Demange, Marco Kawamura Magn Reson Insights Review In this article, the cause, histology, imaging characteristics, clinical presentation, and treatment of these lesions are thoroughly discussed. Bone marrow edema is the generic term classically used to describe the high-signal-intensity alterations detected on magnetic resonance fluid-sensitive sequences. The significance of bone marrow edema for the patient’s clinical condition and the prognosis of the affected joint is being increasingly investigated and discussed, and situations characterized by subchondral insufficiency are receiving increasing attention. More recent studies found some important correlations between bone marrow lesions and patient’s pain and osteoarthritis progression. Conservative treatment is based on anti-inflammatory and analgesic uses according to the patient’s pain, combined with reduced load on the affected limb. Regarding surgical treatment, subchondroplasty is an option still in development, albeit with promising initial results. SAGE Publications 2017-04-17 /pmc/articles/PMC5428162/ /pubmed/28579795 http://dx.doi.org/10.1177/1178623x17703382 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Review Bonadio, Marcelo Batista Ormond Filho, Alipio Gomes Helito, Camilo Partezani Stump, Xavier MGRG Demange, Marco Kawamura Bone Marrow Lesion: Image, Clinical Presentation, and Treatment |
title | Bone Marrow Lesion: Image, Clinical Presentation, and Treatment |
title_full | Bone Marrow Lesion: Image, Clinical Presentation, and Treatment |
title_fullStr | Bone Marrow Lesion: Image, Clinical Presentation, and Treatment |
title_full_unstemmed | Bone Marrow Lesion: Image, Clinical Presentation, and Treatment |
title_short | Bone Marrow Lesion: Image, Clinical Presentation, and Treatment |
title_sort | bone marrow lesion: image, clinical presentation, and treatment |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5428162/ https://www.ncbi.nlm.nih.gov/pubmed/28579795 http://dx.doi.org/10.1177/1178623x17703382 |
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