Transient Bone Marrow Edema of the Foot and Ankle and its Association with Reduced Systemic Bone Mineral Density
| Autor: | Andrew D. Beischer, Anna E. Sprinchorn, Richard O'Sullivan |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Bone density Osteoporosis Avascular necrosis Absorptiometry Photon Bone Density Edema Humans Medicine Orthopedics and Sports Medicine Bone Marrow Diseases Aged Bone mineral medicine.diagnostic_test Foot business.industry Magnetic resonance imaging Middle Aged Vitamin D Deficiency medicine.disease Magnetic Resonance Imaging Surgery Bruise medicine.anatomical_structure Female Ankle medicine.symptom business |
| Zdroj: | Foot & Ankle International. 32:508-512 |
| ISSN: | 1944-7876 1071-1007 |
| DOI: | 10.3113/fai.2011.0508 |
| Popis: | Background: Transient bone marrow edema in the foot and ankle is an uncommon condition that should be distinguished from early avascular necrosis, stress fracture, or bone bruise. The diagnosis is based on the clinical presentation of pain with weightbearing without a history of trauma, combined with typical findings on magnetic resonance imaging. The etiology is not known, but recent case reports have suggested a possible link to systemic osteoporosis. This study examined the relationship between transient bone marrow edema of the foot and ankle and low systemic bone mineral density. Material and Methods: Over a period of 2 years, ten patients (eight women and two men) who were referred to our foot and ankle clinic were diagnosed as having transient bone marrow edema. Their mean age was 59 years. All underwent dual energy X-ray absorptiometry (DEXA) scan and were tested for serum vitamin D levels. The patients were treated with either a controlled ankle motion (CAM) walker or a stiff-soled postoperative shoe and all recovered in 5 to 10 months. Results: Four patients were found to have osteoporosis and five had osteopenia. Only one patient had normal bone density. Serum vitamin D levels were low in nine patients, and normal in one. Conclusion: Our study found a strong association with transient bone marrow edema in the foot and ankle and low systemic bone mineral density, which appears to be due to a vitamin D deficiency. We recommend that, when TBME is diagnosed, patients should be referred for assessment and treatment of their bone mineral density. Level of Evidence: IV, Retrospective Case Series |
| Databáze: | OpenAIRE |
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