Transient bone marrow oedema in a child

[...]it seems to be a relatively rare cause of foot and ankle pain also in adults. 5 In another study of 1123 patients referred for MRI imaging of the foot, 72 patients with oedema-like bone marrow abnormalities were registered. 6 The aetiology of TBMO is unknown but it may be associated with local...

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Bibliographic Details
Published in:Annals of the rheumatic diseases 2004-11, Vol.63 (11), p.1528-1529
Main Authors: Kröger, L, Arikoski, P, Komulainen, J, Seuri, R, Kröger, H
Format: Article
Language:English
Subjects:
Bone marrow
Bone Marrow Diseases - diagnosis
bone oedema
Bone Remodeling
Child
children
Edema - diagnosis
Foot Bones - pathology
Humans
Letter
limping
Magnetic Resonance Imaging
Male
NMR
Nuclear magnetic resonance
Osteoporosis
Pain
Phosphatase
transient osteoporosis
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Summary:[...]it seems to be a relatively rare cause of foot and ankle pain also in adults. 5 In another study of 1123 patients referred for MRI imaging of the foot, 72 patients with oedema-like bone marrow abnormalities were registered. 6 The aetiology of TBMO is unknown but it may be associated with local vascular disturbances, microtrauma, bone contusion, or altered biomechanics. 6, 7 The x ray examination is usually either normal or shows localised osteoporosis, as in our case. Bone contusion and bone bruises normally manifest as focal areas of low signal intensity in T1 weighted images and increased signal intensity in T2 weighted images, whereas bone oedema shows diffuse changes of intensity. 1 In our patient marked bone marrow oedema was seen in both feet and hands. Because of the unknown aetiology of bone changes we measured biochemical markers of bone metabolism.
ISSN:0003-4967
1468-2060
DOI:10.1136/ard.2003.018804