局灶性骨骺周围水肿：青少年膝关节疼痛的罕见原因：三例报告

Focal Periphyseal Edema: An Uncommon Cause of Adolescent Knee Pain: A Report of Three Cases.

作者信息

Speirs Joshua N, Shields Troy G, Morrison Martin J

机构信息

Department of Orthopaedic Surgery, Loma Linda University, Loma Linda, California.

出版信息

JBJS Case Connect. 2019 Jul-Sep;9(3):e0391. doi: 10.2106/JBJS.CC.18.00391.

DOI:10.2106/JBJS.CC.18.00391

PMID:31365360

Abstract

CASE

Focal periphyseal edema (FOPE) zones have only recently been described as a cause of joint pain in adolescence. The literature is limited to a few case reports and radiologic studies describing this symptomatic physeal pathology. This series describes 3 adolescent patients with magnetic resonance imaging (MRI) confirmed FOPE zones of the distal femur. Repeat MRI of 2 of the 3 patients showed improvement yet incomplete resolution of the bone edema, corresponding with persistent knee pain.

CONCLUSIONS

FOPE zones usually improve with conservative treatment, but may be a cause of persistent knee pain in adolescents.

摘要

病例

局灶性骨骺周围水肿（FOPE）区域直到最近才被描述为青少年关节疼痛的一个原因。文献仅限于少数病例报告和描述这种有症状的骨骺病理的放射学研究。本系列描述了3例经磁共振成像（MRI）证实股骨远端存在FOPE区域的青少年患者。3例患者中的2例进行了重复MRI检查，结果显示骨水肿有所改善但未完全消退，这与持续的膝关节疼痛相对应。