“Disaster Medicine” Journal

DISASTER MEDICINE No. 2•2022

https://doi.org/10.33266/2070-1004-2022-2

Review report

Edema-Like Lesions: According to Magnetic Resonance Imaging of the Knee Joint in Highly Qualified Athletes

Velichko M.N.¹, Belyakova A.M.¹, Terskov A.Yu.¹, Umnikov A.S.¹

¹ State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation

UDK 612.82:614.2:616.8-005

P. 42–46

Abstract. The aim of the study is to substantiate the relevance of the problem of edematous changes in knee joint bones in highly qualified athletes.

Materials and research methods. Materials of the study — relevant literature on edema-like magnetic resonance changes of knee joint bones in highly qualified athletes.

Results of the study and their analysis. Magnetic resonance imaging plays a key role in the differential diagnosis of edema-like bone injuries. It is important to correlate magnetic resonance imaging findings with anamnestic history. In athletes, the peculiarities of diagnosis and treatment of edema-like bone conditions are related to the need to take into account athlete-specific conditions, such as the “athlete’s triad”, and to comply with anti-doping legislation.

It is concluded that it is fundamental to treat the underlying disease that caused the local metabolic disorder in the bone, while techniques aimed at local reduction of the pressure in the bone and at bone metabolism improvement can be used as a supplement. An important factor is the ability of bone tissue to self-repair, which should be taken into account when choosing a treatment method.

Keywords: anterior cruciate ligament rupture, bone marrow edema, doping, magnetic resonance imaging, edema-like injuries, highly qualified athletes, knee injury, osteopenia, osteoporosis, stress fracture

For citation: Velichko M.N., Belyakova A.M., Terskov A.Yu., Umnikov A.S. Edema-Like Lesions: According to Magnetic Resonance Imaging of the Knee Joint in Highly Qualified Athletes. Meditsina Katastrof = Disaster Medicine. 2022;2:42-46 (In Russ.). https://doi.org/10.33266/2070-1004-2022-2-42-46

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The material was received 06.04.22; the article after peer review procedure 10.06.22; the Editorial Board accepted the article for publication 23.06.22