短暂性骨髓水肿：一种骶骨应力性骨折的变异类型。

Transient bone marrow oedema: a variant pattern of sacral insufficiency fractures.

作者信息

Peh W C, Cheng K C, Ho W Y, Chan I K

机构信息

Department of Diagnostic Radiology, University of Hong Kong, Queen Mary Hospital.

出版信息

Australas Radiol. 1998 May;42(2):102-5. doi: 10.1111/j.1440-1673.1998.tb00583.x.

DOI:10.1111/j.1440-1673.1998.tb00583.x

PMID:9599822

Abstract

A 71-year-old woman presenting with severe low back pain was found to have a large oval area of increased sacral uptake on Tc-99m MDP scan, with corresponding T1-hypointense and T2-hyperintense areas on magnetic resonance (MR) images, highly suggestive of malignancy. Open biopsies showed only callus formation. The patient responded clinically to conservative measures, with twice-repeated follow-up Tc-99m MDP and MR scans documenting resolution of transient bone marrow oedema. We suggest that this form of marrow oedema represents a variant pattern of sacral insufficiency fractures.

摘要

一名71岁女性因严重腰痛就诊，Tc-99m亚甲基二膦酸盐（MDP）骨扫描发现骶骨有一个大的椭圆形摄取增加区域，磁共振（MR）图像上相应区域T1加权像呈低信号、T2加权像呈高信号，高度怀疑为恶性病变。开放活检仅显示骨痂形成。患者对保守治疗有临床反应，两次重复的随访Tc-99m MDP骨扫描和MR扫描显示短暂性骨髓水肿消退。我们认为这种骨髓水肿形式代表了骶骨应力性骨折的一种变异类型。