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2021, Number 4

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Correo Científico Médico 2021; 25 (4)

Bone edema around the knee

Alvarez LA, Fuentes-Véjar R, Soto-Carrasco SR, García LYC

Language: Spanish
References: 34
Page:
PDF size: 733.48 Kb.


ABSTRACT

Knee pain can have multiple causes, including bone edema that is associated with a large group of entities. A bibliographic review was carried out in order to update on the most important elements regarding bone edema around the knee. Specific features detected by magnetic resonance imaging are noted. Reference is made to the most used classification for this entity, dividing it into four grades. The main groups are exposed in ischemic, mechanical and reactive and their relationship with diseases. Regarding treatment, conservative and surgical modalities are mentioned, the first one includes the use of analgesics, non-steroidal anti-inflammatory drugs, suspension of body weight support, among others. Surgical modalities are justified in the most advanced cases, and include perforations, curettages, osteochondral or chondrocyte transplantation.


REFERENCES

  1. Berger N, Andreisek G, Karer AT, Bouaicha S, Naraghi A, Manoliu A, et al. Association between traumatic bone marrow abnormalities of the knee, the trauma mechanism and associated soft-tissue knee injuries. Eur Radiol. 2017[citado 07/08/2021];27(1):393-403. Disponible en: https://link.springer.com/article/10.1007/s00330-016-4339-x

  2. Collins JA, Beutel BG, Strauss E, Youm T, Jazrawi L. Bone marrow edema: chronic bone marrow lesions of the knee and the association with osteoarthritis. Bull Hosp Jt Dis (2013).2016[citado 07/08/2021];74(1):24-36.Disponible en: https://hjdbulletin.org/files/archive/pdfs/BHJD%2074(1)2016%20pp%2024-36%20Collins.pdf

  3. Wilson AJ, Murphy DA, Hardt DC, Totty WG.Transient osteoporosis: transient bone marrow edema?Radiology.1988[citado 10/01/2021];167(3):757-760. Disponible en: https://pubs.rsna.org/doi/abs/10.1148/radiology.167.3.3363136

  4. Yang HY, Kang SJ, Kwak WK, Song EK, Seon JK. The influence of preoperative tibial bone marrow edema on outcomes after medial opening-wedge high tibial osteotomy. J Bone Joint Surg Am. 2020[citado 10/01/2021];102(23):2068-2076.Disponible en: https://journals.lww.com/jbjsjournal/Abstract/2020/12020/The_Influence_of_Preoperative_Tibial_Bone_Marrow.7.aspx

  5. Dong B, Kong Y, Zhang L, Qiang Y. Severity and distribution of cartilage damage and bone marrow edema in the patellofemoral and tibiofemoral joints in knee osteoarthritis determined by MRI. Exp Ther Med. 2017[citado 10/05/2021];13(5):2079-2084.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/28565811/

  6. Mandalia V, Williams C, Kosy J, Brown K, Schranz P, Redfern A, et al. Bone marrow oedema in the knees of asymptomatic high-level athletes: prevalence and associated factors. Indian J Orthop. 2020[citado 10/01/2021];54(3):324-331. Disponible en: https://link.springer.com/article/10.1007/s43465-020-00052-3

  7. Kon E, Ronga M, Filardo G, Farr J, Madry H, Milano G, et al. Bone marrow lesions and subchondral bone pathology of the knee. Knee Surg Sports Traumatol Arthrosc.2016 [citado 10/01/2021];24(6):1797-1814. Disponible en: https://link.springer.com/article/10.1007/s00167-016-4113-2

  8. Speirs JN, Shields TG, Morrison MJ. Focal periphyseal edema: an uncommon cause of adolescent knee pain: a report of three cases. JBJS Case Connect. 2019[citado 10/08/2020];9(3):0391.Disponible en: https://journals.lww.com/jbjscc/Abstract/2019/09000/Focal_Periphyseal_Edema__An_Uncommon_Cause_of.13.aspx

  9. Kasik CS, Martinkovich S, Mosier B, Akhavan S. Short-term outcomes for the biologic treatment of bone marrow edema of the knee using bone marrow aspirate concentrate and injectable demineralized bone matrix. Arthrosc Sports Med Rehabil. 2019[citado 10/08/2021];1(1):7-14. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7120815/

  10. Stark M, DeBernardis D, McDowell C, Ford E, McMillan S. Percutaneous skeletal fixation of painful subchondral bone marrow edema utilizing an injectable, synthetic, biocompatible hyaluronic acid-based bone graft substitute. Arthrosc Tech. 2020[citado 10/01/2021];9(11):1645-1650.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7695546/

  11. Budzik JF, Ding J, Norberciak L, Pascart T, Toumi H, Verclytte S, et al. Perfusion of subchondral bone marrow in knee osteoarthritis: a dynamic contrast-enhanced magnetic resonance imaging preliminary study. Eur J Radiol. 2017[citado 10/02/2021];88:129-134. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0720048X1630417X

  12. Gorbachova T, Melenevsky Y, Cohen M, Cerniglia BW. Osteochondral lesions of the knee: differentiating the most common entities at MRI. Radiographics.2018[citado 15/01/ 2021];38(5):1478-1495. Disponible en: https://pubs.rsna.org/doi/full/10.1148/rg.2018180044

  13. Muratovic D, Cicuttini F, Wluka A, Findlay D, Wang Y, Otto S, et al. Bone marrow lesions detected by specific combination of MRI sequences are associated with severity of osteochondral degeneration. Arthritis Res Ther. 2016[citado 10/01/2021];18:54. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4766616/

  14. Sahoo K, Garg A, Saha P, Valjibhai Dodia J, Rajappa Raj V, Jagadish Bhairagond S. Study of imaging pattern in bone marrow oedema in MRI in recent knee injuries and its correlation with type of knee injury. J Clin Diagn Res. 2016[citado 10/05/2021];10(4):06-11.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4866212/

  15. Pappas GP, Vogelsong MA, Staroswiecki E, Gold GE, Safran MR. Magnetic resonance imaging of asymptomatic knees in collegiate basketball players: the effect of one season of play. Clin J Sport Med. 2016[citado 10/08/2021];26(6):483-489. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/27347867/

  16. Livia K, Thomas F, Raphael J. Pain control with ibandronate for bone marrow oedema of the knee. Swiss Med Wkly. 2020 [citado 10/04/2021]; 150:20384. Disponible en: https://smw.ch/article/doi/smw.2020.20384

  17. Hofmann S, Kramer J, Vakil Adli A, Aigner N, Breitenseher M. Painful bone marrow edema of the knee: differential diagnosis and therapeutic concepts. Orthop Clin North Am. 2004[citado 25/08/2020];35(3):321-333.Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0030589804000380?via%3Dihub

  18. Marcacci M, Andriolo L, Kon E, Shabshin N, Filardo G. Aetiology and pathogenesis of bone marrow lesions and osteonecrosis of the knee. EFORT Open Rev. 2017[citado 10 /02/2021];1(5):219-224. Disponible en: https://online.boneandjoint.org.uk/doi/full/10.1302/2058-5241.1.000044

  19. Benchouk S, Buchard PA, Luthi F. Complex regional pain syndrome and bone marrow oedema syndrome: family ties potentially closer than expected. BMJ Case Rep.2020[citado 10/08/2021];13(8):234600. Disponible en: https://casere

  20. Faruch Bilfeld M, Lapègue F, Brun C, Bakouche S, Cambon Z, Brucher N, et al. Bone abnormalities of the knee: MRI features. Diagn Interv Imaging. 2016[citado 15/08/2020];97(7-8):779-788. Disponible en: https://www.sciencedirect.com/science/article/pii/S221156841600084X

  21. Foti G, Mantovani W, Faccioli N, Crivellari G, Romano L, Zorzi C, et al. Identification of bone marrow edema of the knee: diagnostic accuracy of dual-energy CT in comparison with MRI. Radiol Med. 2021[citado 10/05/2021];126:(3)405-413. Disponible en: https://link.springer.com/article/10.1007/s11547-020-01267-y

  22. Fischer W. Perspective on idiopathic subchondral, osteochondral, and chondral lesions with emphasis on the knee. Semin Musculoskelet Radiol. 2019[citado 10/01/2021];23(5):534-546. Disponible en: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0039-1693978

  23. Saltzman BM, Riboh JC. Subchondral bone and the osteochondral unit: basic science and clinical implications in sports medicine. Sports Health. 2018[citado 10/08/2020];10(5):412-418.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116098/

  24. 24.Sampson MJ, Kabbani M, Krishnan R, Nganga M, Theodoulou A, Krishnan J. Improved clinical outcome measures of knee pain and function with concurrent resolution of subchondral bone marrow edema lesion and joint effusion in an osteoarthritic patient following pentosan polysulphate sodium treatment: a case report. BMC Musculoskelet Disord. 2017[citado 10 /05/2021];18(1):396. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/28899386/

  25. Ueyama H, Kitano T, Nakagawa K, Aono M. Clinical experiences of focal periphyseal edema zones in adolescent knees: case reports. J Pediatr Orthop B.2018[citado 10/01/ 2021];27(1):26-30. Disponible en: https://journals.lww.com/jpo-b/Fulltext/2018/01000/Clinical_experiences_of_focal_periphyseal_edema.5.aspxports.bmj.com/content/13/8/e234600.long

  26. Kang S, Gao F, Han J, Mao T, Sun W, Wang B, et al. Extracorporeal shock wave treatment can normalize painful bone marrow edema in knee osteoarthritis: A comparative historical cohort study. Medicine (Baltimore). 2018[citado 10/08/2021];97(5):9796. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/29384878/

  27. Krych AJ, Wu IT, Desai VS, Kennedy NI, Littrell LA, Collins MS, et al. Osteomeniscal impact edema (OMIE): description of a distinct MRI finding in displaced flap tears of the medial meniscus, with comparison to posterior root tears. J Knee Surg. 2020[citado 10/08/2021];33(7):659-665. Disponible en: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0039-1683938

  28. Rolvien T, Krause M, Zustin J, Yastrebov O, Oheim R, Barvencik F, et al. Intra-articular osteoid osteoma accompanied by extensive bone marrow edema. A clinical and micro-morphological analysis. J Bone Oncol. 2019[citado 10/05/2021];18:100256. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722254/

  29. Tsintzas D, Mahesh S, Vithoulkas G. Individualized treatment of bone marrow edema of the knee with the aid of classical homeopathy: a report of 2 cases. Clin Med Insights Case Rep.2020[citado 10/08/ 2021];13. Disponible en:

  30. Ververidis AN, Paraskevopoulos K, Tilkeridis K, Riziotis G, Tottas S, Drosos GI. Surgical modalities for the management of bone marrow edema of the knee joint. J Orthop. 2019 [citado 10/08/2021];17:30-37 Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919352/

  31. Agarwala S, Sharoff L, Jagani N. Effect of zoledronic acid and alendronate on bone edema and pain in spontaneous osteonecrosis of the knee: a new paradigm in the medical management. Rev Bras Ortop (Sao Paulo).2020[citado 10/05/ 2021];55(5):543-550.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7575358/

  32. DeBernardis D, Stark M, Ford E, McDowell C, McMillan S. Percutaneous skeletal fixation of painful subchondral bone marrow edema of the knee. Arthrosc Sports Med Rehabil. 2020 [citado 10/09/2021];2(5):583-590. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7588638/

  33. López Alcorocho JM, Aboli L, Rodríguez Iñigo E, Guillén Vicente I, Guillén Vicente M, Caballero R, et al. Clinical outcome and subchondral bone edema presence at two-year follow-up after high density autologous chondrocyte implantation treatment in the knee. Rev Esp Cir Ortop Traumatol.2019[citado 10/08/2021];63(4):253-260. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1888441519300463?via%3Dihub

  34. Vitali M, Naim Rodriguez N, Pedretti A, Drossinos A, Pironti P, Di Carlo G, et al. Bone marrow edema syndrome of the medial femoral condyle treated with extracorporeal shock wave therapy: a clinical and MRI retrospective comparative study. Arch Phys Med Rehabil. 2018 [citado 10/08/2021];99(5):873-879. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0003999317313928?via%3Dihub




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