Abstract
This chapter discusses the value of imaging in the detection and follow-up of bone marrow edema (BME) that may occur in sports.
The use of fluid-sensitive MR sequences is most helpful for detection of BME, whereas dual-energy CT with virtual non-calcium images may be used as an alternative in patients with contraindications for MRI.
The extent of bone marrow edema reflects the biomechanics of trauma. Compressive forces between two bony structures will result in extensive areas of BME, whereas distraction forces provoke more subtle areas of BME at the insertion of supporting structures of joints. Analysis of the distribution of BME around a joint can reveal the underlying mechanism of trauma and may help to analyze the supporting structures at risk.
Plain films have no role for depiction of BME, but may be useful to detect avulsion fractures such as a Segond fracture.
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Vanhoenacker, F.M. (2021). Bone Marrow Edema in Sports Injuries/General Concept. In: Vanhoenacker, F.M., Maas, M., Gielen, J.L. (eds) Imaging of Orthopedic Sports Injuries. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2020_241
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