Yi Seung Rim, Lee Ye Hyun, Kim Hae Min
Department of Orthopedic Surgery, National Police Hospital, Seoul, Korea.
Hip Pelvis. 2015 Dec;27(4):273-7. doi: 10.5371/hp.2015.27.4.273. Epub 2015 Dec 30.
Bone marrow edema syndrome (BMES) is a rare condition which mainly affects the hip area. The etiology and pathogenesis of BMES is still unclear. Pain near the affected area, regional osteoporosis, bone marrow edema (identified using magnetic resonance imaging) and spontaneous regression within 6-12 months are the main characteristics of BMES. In this case, a 52-year-old male was diagnosed with BMES of the right hip followed by spontaneous subsiding of symptoms. After 3 years, and under nearly the same social and physical conditions, he was admitted again with newly developed left hip pain and again diagnosed with BMES. We report this rare case since a similar one has not been previously reported in the domestic literature and may be considered valuable for basic research relating to the pathogenesis of BMES.
骨髓水肿综合征(BMES)是一种主要累及髋部区域的罕见病症。BMES的病因及发病机制尚不清楚。患侧区域疼痛、局部骨质疏松、骨髓水肿(通过磁共振成像确诊)以及在6至12个月内自发消退是BMES的主要特征。在此病例中,一名52岁男性被诊断为右髋部骨髓水肿综合征,随后症状自发缓解。3年后,在几乎相同的社会及身体状况下,他因新发左髋部疼痛再次入院,并再次被诊断为骨髓水肿综合征。我们报告这一罕见病例,因为国内文献此前尚未报道过类似病例,该病例可能被认为对骨髓水肿综合征发病机制的基础研究具有价值。