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Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach
Bone marrow edema (BME) is defined as an area of low signal intensity on T1-weighted (T1W) MRI images and associated with intermediate or high signal intensity findings on T2-weighted (T2W) MRI images. BME represents a typical imaging finding that characterizes common stress-related bone injuries of...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8625152/ https://www.ncbi.nlm.nih.gov/pubmed/34833361 http://dx.doi.org/10.3390/medicina57111143 |
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author | Tarantino, Umberto Greggi, Chiara Cariati, Ida Manenti, Guglielmo Primavera, Matteo Ferrante, Paolo Iundusi, Riccardo Gasbarra, Elena Gatti, Andrea |
author_facet | Tarantino, Umberto Greggi, Chiara Cariati, Ida Manenti, Guglielmo Primavera, Matteo Ferrante, Paolo Iundusi, Riccardo Gasbarra, Elena Gatti, Andrea |
author_sort | Tarantino, Umberto |
collection | PubMed |
description | Bone marrow edema (BME) is defined as an area of low signal intensity on T1-weighted (T1W) MRI images and associated with intermediate or high signal intensity findings on T2-weighted (T2W) MRI images. BME represents a typical imaging finding that characterizes common stress-related bone injuries of professional and amateur athletes. The etiology of stress-related injuries is influenced by numerous factors, including the initiation of a new sports activity or changes in an existing training protocol. The clinical significance of BME remains unclear. However, a correlation between the imaging pattern of BME, the clinical history of the patient and the type of sports activity practiced is essential for correct diagnosis and adequate therapeutic treatment. It is also important to clarify whether there is a specific threshold beyond which exercise can adversely affect the bone remodeling process, as the clinical picture may degenerate into the presence of BME, pain and, in the most severe cases, bone loss. In our review, we summarize the current knowledge on the etiopathogenesis and treatment options for BME and highlight the main aspects that make it difficult to formulate a correct diagnosis and establish an adequate therapeutic treatment. |
format | Online Article Text |
id | pubmed-8625152 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-86251522021-11-27 Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach Tarantino, Umberto Greggi, Chiara Cariati, Ida Manenti, Guglielmo Primavera, Matteo Ferrante, Paolo Iundusi, Riccardo Gasbarra, Elena Gatti, Andrea Medicina (Kaunas) Review Bone marrow edema (BME) is defined as an area of low signal intensity on T1-weighted (T1W) MRI images and associated with intermediate or high signal intensity findings on T2-weighted (T2W) MRI images. BME represents a typical imaging finding that characterizes common stress-related bone injuries of professional and amateur athletes. The etiology of stress-related injuries is influenced by numerous factors, including the initiation of a new sports activity or changes in an existing training protocol. The clinical significance of BME remains unclear. However, a correlation between the imaging pattern of BME, the clinical history of the patient and the type of sports activity practiced is essential for correct diagnosis and adequate therapeutic treatment. It is also important to clarify whether there is a specific threshold beyond which exercise can adversely affect the bone remodeling process, as the clinical picture may degenerate into the presence of BME, pain and, in the most severe cases, bone loss. In our review, we summarize the current knowledge on the etiopathogenesis and treatment options for BME and highlight the main aspects that make it difficult to formulate a correct diagnosis and establish an adequate therapeutic treatment. MDPI 2021-10-22 /pmc/articles/PMC8625152/ /pubmed/34833361 http://dx.doi.org/10.3390/medicina57111143 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Tarantino, Umberto Greggi, Chiara Cariati, Ida Manenti, Guglielmo Primavera, Matteo Ferrante, Paolo Iundusi, Riccardo Gasbarra, Elena Gatti, Andrea Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach |
title | Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach |
title_full | Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach |
title_fullStr | Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach |
title_full_unstemmed | Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach |
title_short | Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach |
title_sort | reviewing bone marrow edema in athletes: a difficult diagnostic and clinical approach |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8625152/ https://www.ncbi.nlm.nih.gov/pubmed/34833361 http://dx.doi.org/10.3390/medicina57111143 |
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