title: [Bone marrow edema and joint injuries].
abstract: BACKGROUND
  The development of bone marrow edema in body regions adjacent to joints can have many causes and a differentiation is not possible using magnetic resonance imaging (MRI).
  
  
  BACKGROUND
  Bone marrow edema is not necessarily an indication for microfractures. The definition of bone marrow edema is a purely radiological description. There is no uniform classification of bone marrow edema. The clinical significance, therapy and course are heterogeneous; therefore, there are no uniform recommendations for therapy.
  
  
  METHODS
  A bone marrow edema visible in MRI does not always lead to certain inferences regarding the pathogenesis. In order to be able to detect fractures it is necessary to carry out a biopsy and a histological examination.
  
  
  CONCLUSIONS
  The interpretation of MRI results and the derivation of a therapy in every case need a balanced assessment of the MRI results, medical history, clinical investigations and clinical symptoms.
authors: Klinik für Orthopädie und Unfallchirurgie, Krankenhaus Nord West, Steinbacher Hohl 2-26, 60488, Frankfurt, Deutschland, rangger.christoph@khnw.de.
authors: C
authors: C
authors: Rangger
authors: S
authors: S
authors: Rogmans
mesh_terms: D001855:Bone Marrow Diseases / Q000209:etiology* / Q000473:pathology*; D003937:Diagnosis, Differential; D004487:Edema / Q000175:diagnosis* / Q000209:etiology*; D050723:Fractures, Bone / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008487:Medical History Taking / Q000379:methods
references: Radiology. 1997 Feb;202(2):540-2
references: 9015087
references: Clin Orthop Relat Res. 1996 Sep;(330):133-42
references: 8804283
references: Arch Orthop Trauma Surg. 2006 Nov;126(9):582-7
references: 16331520
references: Am J Sports Med. 1998 Jan-Feb;26(1):15-9
references: 9474396
references: Radiology. 1991 Jan;178(1):271-6
references: 1984319
references: Am J Sports Med. 2014 Jun;42(6):1401-7
references: 24668872
references: Acta Orthop Scand. 1998 Jun;69(3):291-4
references: 9703406
references: Knee Surg Sports Traumatol Arthrosc. 1993;1(1):20-7
references: 8535992
references: Am J Sports Med. 2006 Jan;34(1):78-83
references: 16170041
references: Injury. 2014 Jun;45(6):981-7
references: 24552768
references: Knee. 2005 Aug;12(4):267-9
references: 16026695
references: Skeletal Radiol. 2008 Jul;37(7):627-38
references: 18463868
references: J Orthop Res. 1995 Nov;13(6):936-44
references: 8544032
references: Clin Radiol. 2004 May;59(5):439-45
references: 15081849
references: J Hand Surg Am. 2013 Oct;38(10):2047-54
references: 24079527
references: AJR Am J Roentgenol. 2004 Sep;183(3):635-8
references: 15333349
references: Vet Radiol Ultrasound. 2007 Mar-Apr;48(2):105-12
references: 17385365
references: Acta Radiol. 2012 Mar 1;53(2):197-202
references: 22250139
references: Semin Musculoskelet Radiol. 2006 Dec;10(4):249-57
references: 17387639
references: Eur Radiol. 2011 Jul;21(7):1509-16
references: 21380741
references: Knee. 2005 Jan;12(1):51-5
references: 15664878
references: J Orthop Sci. 2010 Sep;15(5):641-6
references: 20953925
references: Knee Surg Sports Traumatol Arthrosc. 1994;2(3):147-9
references: 7584196
references: Am J Sports Med. 1998 May-Jun;26(3):409-14
references: 9617404
references: Eur J Radiol. 2007 Apr;62(1):6-15
references: 17317067
references: Arthroscopy. 2001 May;17 (5):445-9
references: 11337710
references: Arch Orthop Trauma Surg. 2007 Apr;127(3):171-7
references: 17216478
references: Clin Radiol. 2013 Oct;68(10):e519-23
references: 23849561
references: J Bone Joint Surg Am. 1991 Aug;73(7):990-1001
references: 1714911
references: Eur Radiol. 2000;10 (2):230-41
references: 10663752
references: Skeletal Radiol. 2002 Nov;31(11):615-23
references: 12395272
references: J Sport Rehabil. 2012 Feb;21(1):79-82
references: 21904001
references: AJR Am J Roentgenol. 2006 Jan;186(1):255-8
references: 16357412
references: Am J Sports Med. 2014 May;42(5):1242-6
references: 24557860
references: Eur Radiol. 2006 Jan;16(1):97-107
references: 15841383
references: Radiology. 1989 Mar;170(3 Pt 1):823-9
references: 2916038
references: BMC Musculoskelet Disord. 2008 Jan 09;9:1
references: 18182116
references: AJR Am J Roentgenol. 2004 Jan;182(1):131-6
references: 14684526
references: Scand J Med Sci Sports. 2012 Oct;22(5):635-42
references: 21477165
references: Acta Radiol. 2008 Sep;49(7):771-86
references: 18608031
references: Am J Sports Med. 2000 Sep-Oct;28(5):663-7
references: 11032221
references: Eur Radiol. 2007 Sep;17(9):2225-36
references: 17340103
references: Radiographics. 2000 Oct;20 Spec No:S135-51
references: 11046168
references: Eur Radiol. 2002 Feb;12(2):416-26
references: 11870444
references: Am J Sports Med. 2014 Jul;42(7):1549-57
references: 24753239
references: BMC Musculoskelet Disord. 2008 Apr 11;9:45
references: 18405354
references: Knee Surg Sports Traumatol Arthrosc. 2002 Mar;10(2):96-101
references: 11914767
references: J Magn Reson Imaging. 2013 May;37(5):1005-19
references: 23606139
references: Acta Orthop Scand. 2004 Dec;75(6):762-7
references: 15762269
references: Knee Surg Sports Traumatol Arthrosc. 2006 Dec;14 (12 ):1252-8
references: 16786336
references: Am J Sports Med. 2013 Aug;41(8):1801-7
references: 23744907
references: Skeletal Radiol. 2001 Feb;30(2):61-6
references: 11310200
references: J Orthop Res. 1992 Nov;10(6):759-65
references: 1403288
references: Knee Surg Sports Traumatol Arthrosc. 1997;5(2):113-7
references: 9228318
references: Sports Med. 2014 Feb;44(2):281-93
references: 24158783
references: Radiology. 1988 Jun;167(3):757-60
references: 3363136
references: Am J Sports Med. 2005 Jun;33(6):894-9
references: 15827362
references: Br J Sports Med. 2012 Mar;46(4):268-72
references: 21460400