Abstract
The histology of bone marrow edema syndrome (BMES) is similar to that of early stage osteonecrosis (ON) [1]. This similarity results in a diagnostic confusion between these two diseases. However, their natural courses are quite different from each other. While ON is frequently progressive, BMES usually recovers completely without any medical or surgical intervention. Thus, it is practically important to differentiate these two diseases.
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References
Hofmann S, Engel A, Neuhold A, Leder K, Kramer J, Plenk H. Bone-marrow oedema syndrome and transient osteoporosis of the hip: an MRI-controlled study of treatment after core decompression. J Bone Joint Surg Br. 1993;75B:210–6.
Curtiss Jr PH, Kincaid WE. Transitory demineralization of the hip in pregnancy. A report of three cases. J Bone Joint Surg Am. 1959;41-A:1327–33.
Hunder GG, Kelly PJ. Roentgenologic transient osteoporosis of the hip. Ann Intern Med. 1968;68(3):539.
Bloem JL. Transient osteoporosis of the hip: MR imaging. Radiology. 1988;167(3):753–5.
Wilson AJ, Murphy WA, Hardy DC, Totty WG. Transient osteoporosis: transient bone marrow edema? Radiology. 1988;167(3):757–60.
Mont MA, Zywiel MG, Marker DR, McGrath MS, Delanois RE. The natural history of untreated asymptomatic osteonecrosis of the femoral head: a systematic literature review. J Bone Joint Surg Am. 2010;92(12):2165–70.
Cheng EY, Thongtrangan I, Laorr A, Saleh KJ. Spontaneous resolution of osteonecrosis of the femoral head. J Bone Joint Surg Am. 2004;86-A(12):2594–9.
Steinberg ME, Hayken GD, Steinberg DR. A quantitative system for staging avascular necrosis. J Bone Joint Surg Br. 1995;77(1):34–41.
Koo KH, Kim R. Quantifying the extent of osteonecrosis of the femoral head. A new method using MRI. J Bone Joint Surg Br. 1995;77(6):875–80.
Cherian SF, Laorr A, Saleh KJ, Kuskowski MA, Bailey RF, Cheng EY. Quantifying the extent of femoral head involvement in osteonecrosis. J Bone Joint Surg Am. 2003;85-A(2):309–15.
Koo KH, Ahn IO, Kim R, Song HR, Jeong ST, Na JB, Kim YS, Cho SH. Bone marrow edema and associated pain in early stage osteonecrosis of the femoral head: prospective study with serial MR images. Radiology. 1999;213(3):715–22.
Mitchell DG, Rao VM, Dalinka MK, Spritzer CE, Alavi A, Steinberg ME, Fallon M, Kressel HY. Femoral head avascular necrosis: correlation of MR imaging, radiographic staging, radionuclide imaging, and clinical findings. Radiology. 1987;162(3):709–15.
Korompilias AV, Karantanas AH, Lykissas MG, Beris AE. Transient osteoporosis. J Am Acad Orthop Surg. 2008;16(8):480–9. Review.
Jones Jr JP. Intravascular coagulation and osteonecrosis. Clin Orthop Relat Res. 1992;277:41–53.
Koo KH, Jeong ST, Jones Jr JP. Borderline necrosis of the femoral head. Clin Orthop Relat Res. 1999;358:158–65.
Jones LC, Hungerford DS. The pathogenesis of osteonecrosis. Instr Course Lect. 2007;56:179–96. Review.
Koo KH, Ahn IO, Song HR, Kim SY, Jones Jr JP. Increased perfusion of the femoral head in transient bone marrow edema syndrome. Clin Orthop Relat Res. 2002;402:171–5.
Duncan H, Frame B, Frost H, Arnstein AR. Regional migratory osteoporosis. South Med J. 1969;62(1):41–4.
Malizos KN, Zibis AH, Dailiana Z, Hantes M, Karachalios T, Karantanas AH. MR imaging findings in transient osteoporosis of the hip. Eur J Radiol. 2004;50(3):238–44.
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Hungerford, M.W., Koo, KH. (2014). Distinguishing Bone Marrow Edema Syndrome from Osteonecrosis. In: Koo, KH., Mont, M., Jones, L. (eds) Osteonecrosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35767-1_31
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DOI: https://doi.org/10.1007/978-3-642-35767-1_31
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