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

Download the article in pdf format

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

 

REFERENCES / СПИСОК ИСТОЧНИКОВ

  1. Wilson A.J., Murphy W.A., Hardy D.C., Totty W.G. Transient Osteoporosis: Transient Bone Marrow Edema? Radiology. 1988;167:757-60.
  2. Sofat N. Drilling Down the Bone: Evaluating Bone Marrow Lesions in Osteoarthritis. EMJ. 2018;3;4:103-110.
  3. Ludwig Maximilians University LMU. Consensus classification of BME. 2020.
  4. Sebastian F. Baumbach, Vanessa Pfahler, Susanne Bechtold-Dalla Pozza, Isa Feist-Pagenstert, Julian Fümetz, Andrea Baur-Melnyk, Ulla C. Stumpf, Maximilian M. Saller, Andreas Straube, Ralf Schmidmaier and Jan Leipe. How We Manage Bone Marrow Edema – An Interdisciplinary Approach. J. Clin. Med. 2020;9;2:551. doi:10.3390/jcm9020551.
  5. Sanjeev Patel. Primary Bone Marrow Oedema Syndromes. Rheumatology. 2014;53;5:785792 doi:10.1093.
  6. Gorbachova T., Melenevsky Y., Cohen M., Cerniglia B.W. Osteochondral Lesions of the Knee: Differentiating the Most Common Entities at MRI. Radiographics. 2018;38;5:1478-1495. doi: 10.1148/rg.2018180044.
  7. Mason R.W., Moore T.E., Walker C.W., Kathol M.H. Patellar Fatigue Fractures. Skeletal Radiol. 1996;5;4:329–332.
  8. Uchio Y., Ochi M., Adachi N., et al. Intraosseous Hypertension and Venous Congestion in Osteonecrosis of the Knee. Clinical Orthopaedics and Related Research. 2001;384:217–223.
  9. Filardo G., Andriolo L., et. al. Bone Bruise in Anterior Cruciate Ligament Rupture Entails a more Severe Joint Damage Affecting Joint Degenerative Progression. Knee Surgery, Sports Traumatology, Arthroscopy. 2019;27;1:44-59. doi: 10.1007/s00167-018-4993-4. Epub 2018 Jun 5.
  10. Kia С., Cavanaugh Z., Gillis E., Dwyer C., Chadayammuri V., Muench L.N., Berthold D.P, Murphy M., Pacheco R., Arciero R.A. Size of Initial Bone Bruise Predicts Future Lateral Chondral Degeneration in ACL Injuries. A Radiographic Analysis. The Orthopaedic Journal of Sports Medicine. 2020;8;5:2325967120916834 DOI: 10.1177/2325967120916834.
  11. Gong J., Pedoia V., Facchetti L., Link T.M., Ma C.B., Li X. Bone Marrow Edema-Like Lesions (BMELs) are Associated with Higher T1ρ and T2 Values of Cartilage in Anterior Cruciate Ligament (ACL)-Reconstructed Knees: a Longitudinal Study. Quant. Imaging. Med. Surg. 2016;6;6:661-670. doi: 10.21037/qims.2016.12.11.
  12. Brown G.A., Stringer M.R., Arendt E.A. Stress Fractures of the Patella. Stress Fractures in Athletes. Eds Miller T., Kaeding C. Springer, Cham, 2015. https://doi.org/10.1007/978-3-319-09238-6_9.
  13. Akhavan S., Martinkovich Stephen C., Kasik C., DeMeo Patrick J. Bone Marrow Edema, Clinical Significance, and Treatment Options: A Review. Journal of the American Academy of Orthopaedic Surgeons. 2020;28;20: p e888-e899. doi: 10.5435/JAAOS-D-20-00142.
  14. Costa-Paz M., Muscolo D.L., Ayerza M., Makino A., Aponte-Tinao L. Magnetic Resonance Imaging Follow-Up Study of Bone Bruises Associated with Anterior Cruciate Ligament Ruptures. Arthroscopy. 2001;17;5:445–449.

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