From the Department of Physical Medicine & Rehabilitation, Centro Hospitalar de São João, Porto, Portugal.
Am J Phys Med Rehabil. 2020 May;99(5):e60-e63. doi: 10.1097/PHM.0000000000001210.
Bone marrow edema represents a typical pattern on magnetic resonance imaging consisting of an area of abnormal bone signal with low to intermediate intensity on T1-weighted images and a high intensity on fat-suppressed T2-weighted images. Bone marrow edema syndromes are a group of entities characterized by idiopathic bone marrow edema and osteoporosis. Regional migratory osteoporosis is a bone marrow edema syndrome characterized by a self-limited migrating arthralgia of the lower limbs not related to trauma or other events. Its clinical presentation is variable and may include a less frequent form of migration of the bone marrow edema within the same joint, illustrated here by means of a case report. Conservative treatment is the preferred approach to this condition, and usually, it resolves completely and with no sequelae. Physicians should be made aware of this condition to avoid unnecessary and costly diagnostic and therapeutic measures.
骨髓水肿在磁共振成像上表现为一种典型的模式,由一个异常的骨信号区域组成,在 T1 加权图像上呈低到中等强度,在脂肪抑制 T2 加权图像上呈高强度。骨髓水肿综合征是一组以特发性骨髓水肿和骨质疏松为特征的疾病。区域性游走性骨质疏松症是一种骨髓水肿综合征,其特征是下肢关节的一种自限性游走性关节痛,与创伤或其他事件无关。其临床表现多种多样,可能包括同一关节内骨髓水肿更频繁的迁移形式,这里通过一个病例报告来说明。对这种情况,首选保守治疗,通常可完全缓解,且无后遗症。医生应了解这种情况,以避免不必要的和昂贵的诊断和治疗措施。