How We Manage Bone Marrow Edema-An Interdisciplinary Approach

被引：38

作者：

Baumbach, Sebastian F. ^{[1
,2
]}

Pfahler, Vanessa ^{[1
,3
]}

Bechtold-Dalla Pozza, Susanne ^{[1
,4
]}

Feist-Pagenstert, Isa ^{[1
,5
]}

Fuermetz, Julian ^{[1
,2
]}

Baur-Melnyk, Andrea ^{[1
,3
]}

Stumpf, Ulla C. ^{[1
,2
]}

Saller, Maximilian M. ^{[1
,2
,6
]}

Straube, Andreas ^{[1
,7
]}

Schmidmaier, Ralf ^{[1
,8
]}

Leipe, Jan ^{[1
,9
,10
]}

机构：

[1] Ludwig Maximilians Univ Munchen, Comprehens Osteol Ctr Munich, Univ Hosp, D-80336 Munich, Germany

[2] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Gen Trauma & Reconstruct Surg, Nussbaumstr 20, D-80336 Munich, Germany

[3] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Radiol, Marchioninistr 15, D-81377 Munich, Germany

[4] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Pediat Endocrinol & Diabetol, Lindwurmstr 4, D-80337 Munich, Germany

[5] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Orthopaed Surg Phys Med & Rehabil, Marchioninistr 15, D-81377 Munich, Germany

[6] LMU, Dept Gen Trauma & Reconstruct Surg, Expt Surg & Regenerat Med ExperiMed, Fraunhoferstr 20, D-82152 Planegg Martinsried, Germany

[7] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Neurol, Marchioninistr 15, D-81377 Munich, Germany

[8] Ludwig Maximilians Univ Munchen, Dept Endocrinol & Diabetol, Dept Internal Med 4, Ziemssenstr 1, D-80336 Munich, Germany

[9] Ludwig Maximilians Univ Munchen, Div Rheumatol & Clin Immunol, Dept Internal Med 4, Ziemssenstr 1, D-80336 Munich, Germany

[10] Heidelberg Univ, Univ Hosp Mannheim, Med Fac Mannheim, Div Rheumatol,Dept Med 5, Ludolf Krehl Str 13-17, D-68167 Mannheim, Germany

来源：

JOURNAL OF CLINICAL MEDICINE | 2020年 / 9卷 / 02期

关键词：

Bone marrow edema (BME); magnetic resonance imaging (MRI); management; diagnosis; treatment; MR-IMAGING FINDINGS; OSTEOCHONDRAL AUTOGRAFT TRANSPLANTATION; RECURRENT MULTIFOCAL OSTEOMYELITIS; FEMORAL-HEAD; TRANSIENT OSTEOPOROSIS; KNEE OSTEOARTHRITIS; NONTRAUMATIC OSTEONECROSIS; AVASCULAR NECROSIS; ARTICULAR DEFECTS; SURGICAL OPTIONS;

D O I：

10.3390/jcm9020551

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Bone marrow edema (BME) is a descriptive term for a common finding in magnetic resonance imaging (MRI). Although pain is the major symptom, BME differs in terms of its causal mechanisms, underlying disease, as well as treatment and prognosis. This complexity together with the lack of evidence-based guidelines, frequently makes the identification of underlying conditions and its management a major challenge. Unnecessary multiple consultations and delays in diagnosis as well as therapy indicate a need for interdisciplinary clinical recommendations. Therefore, an interdisciplinary task force was set up within our large osteology center consisting of specialists from internal medicine, endocrinology/diabetology, hematology/oncology, orthopedics, pediatrics, physical medicine, radiology, rheumatology, and trauma surgery to develop a consenus paper. After review of literature, review of practical experiences (expert opinion), and determination of consensus findings, an overview and an algorithm were developed with concise summaries of relevant aspects of the respective underlying disease including diagnostic measures, clinical features, differential diagnosis and treatment of BME. Together, our single-center consensus review on the management of BME may help improve the quality of care for these patients.

引用

页数：17

共 114 条

[1] Treatment of bone-marrow oedema of the talus with the prostacyclin analogue iloprost - An MRI-controlled investigation of a new method [J].