Rangger C, Rogmans S
Klinik für Orthopädie und Unfallchirurgie, Krankenhaus Nord West, Steinbacher Hohl 2-26, 60488, Frankfurt, Deutschland,
Unfallchirurg. 2015 Mar;118(3):206-12. doi: 10.1007/s00113-014-2691-3.
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).
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.
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.
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.
关节邻近身体区域骨髓水肿的发生可能有多种原因，使用磁共振成像（MRI）无法进行鉴别。
骨髓水肿不一定意味着存在微骨折。骨髓水肿的定义纯粹是一种影像学描述。目前尚无骨髓水肿的统一分类。其临床意义、治疗方法和病程各不相同；因此，也没有统一的治疗建议。
MRI上可见的骨髓水肿并不总是能对发病机制得出确切结论。为了能够检测骨折，有必要进行活检和组织学检查。
在每种情况下，对MRI结果的解读以及治疗方案的推导都需要对MRI结果、病史、临床检查和临床症状进行综合评估。
