Bone marrow edema--an early form of femur head necrosis
We examined 15 patients (16 hips) with painful hips whose radiographs were either normal (n = 9) or showed a minimal decrease in radiodensity (n = 7). The available bone scintigrams of 9 cases were positive. T1-weighted images visualised a diffuse signal loss of the bone marrow in all hips, with var...
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| Veröffentlicht in: | RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren 1993-08, Vol.159 (2), p.120-125 |
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| container_title | RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren |
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| creator | Neuhold, A Hofmann, S Engel, A Leder, K Kramer, J Stiskal, M Plenk, H Wicke, L |
| description | We examined 15 patients (16 hips) with painful hips whose radiographs were either normal (n = 9) or showed a minimal decrease in radiodensity (n = 7). The available bone scintigrams of 9 cases were positive. T1-weighted images visualised a diffuse signal loss of the bone marrow in all hips, with various extensions in the head, neck, and intertrochanteric area. These regions were hyperintensive on T2-weighted images. Focal anomalies were not seen in any of the cases. All patients underwent core decompression treatment. Histology of 13 hips confirmed not only the presence of bone marrow oedema but of bone changes corresponding to those of avascular necrosis. Follow-up examinations with MR after core decompression showed normal signal intensity in all cases. Magnetic resonance represents a viable diagnostic tool for identifying bone marrow oedema. Due to our histological results bone marrow oedema should be included in the differential diagnosis as an early stage of necrosis of the hip. |
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The available bone scintigrams of 9 cases were positive. T1-weighted images visualised a diffuse signal loss of the bone marrow in all hips, with various extensions in the head, neck, and intertrochanteric area. These regions were hyperintensive on T2-weighted images. Focal anomalies were not seen in any of the cases. All patients underwent core decompression treatment. Histology of 13 hips confirmed not only the presence of bone marrow oedema but of bone changes corresponding to those of avascular necrosis. Follow-up examinations with MR after core decompression showed normal signal intensity in all cases. Magnetic resonance represents a viable diagnostic tool for identifying bone marrow oedema. Due to our histological results bone marrow oedema should be included in the differential diagnosis as an early stage of necrosis of the hip.</description><identifier>ISSN: 1438-9029</identifier><identifier>PMID: 8353256</identifier><language>ger</language><publisher>Germany</publisher><subject>Adult ; Bone Marrow Diseases - diagnosis ; Bone Marrow Diseases - diagnostic imaging ; Edema - diagnosis ; Edema - diagnostic imaging ; Female ; Femur Head Necrosis - diagnosis ; Femur Head Necrosis - diagnostic imaging ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Pregnancy ; Pregnancy Complications - diagnosis ; Pregnancy Complications - diagnostic imaging ; Radiography ; Radionuclide Imaging</subject><ispartof>RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren, 1993-08, Vol.159 (2), p.120-125</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8353256$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Neuhold, A</creatorcontrib><creatorcontrib>Hofmann, S</creatorcontrib><creatorcontrib>Engel, A</creatorcontrib><creatorcontrib>Leder, K</creatorcontrib><creatorcontrib>Kramer, J</creatorcontrib><creatorcontrib>Stiskal, M</creatorcontrib><creatorcontrib>Plenk, H</creatorcontrib><creatorcontrib>Wicke, L</creatorcontrib><title>Bone marrow edema--an early form of femur head necrosis</title><title>RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren</title><addtitle>Rofo</addtitle><description>We examined 15 patients (16 hips) with painful hips whose radiographs were either normal (n = 9) or showed a minimal decrease in radiodensity (n = 7). The available bone scintigrams of 9 cases were positive. T1-weighted images visualised a diffuse signal loss of the bone marrow in all hips, with various extensions in the head, neck, and intertrochanteric area. These regions were hyperintensive on T2-weighted images. Focal anomalies were not seen in any of the cases. All patients underwent core decompression treatment. Histology of 13 hips confirmed not only the presence of bone marrow oedema but of bone changes corresponding to those of avascular necrosis. Follow-up examinations with MR after core decompression showed normal signal intensity in all cases. Magnetic resonance represents a viable diagnostic tool for identifying bone marrow oedema. Due to our histological results bone marrow oedema should be included in the differential diagnosis as an early stage of necrosis of the hip.</description><subject>Adult</subject><subject>Bone Marrow Diseases - diagnosis</subject><subject>Bone Marrow Diseases - diagnostic imaging</subject><subject>Edema - diagnosis</subject><subject>Edema - diagnostic imaging</subject><subject>Female</subject><subject>Femur Head Necrosis - diagnosis</subject><subject>Femur Head Necrosis - diagnostic imaging</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnosis</subject><subject>Pregnancy Complications - diagnostic imaging</subject><subject>Radiography</subject><subject>Radionuclide Imaging</subject><issn>1438-9029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotj81KxDAURrNQxnH0EYSs3AVueps0Wergz8CAm9mXtLnBStPUxCLz9hYc-ODbHA6cK7aVNRphobI37LaUL4AaJNoN2xhUWCm9Zc1zmohHl3P65eQpOiHcxMnl8cxDypGnwAPFJfNPcp5P1OdUhnLHroMbC91ffsdOry-n_bs4frwd9k9HMSvUQlVWWusrC1JLHQzVGKgL0IFyNTTrPDmtIMgKyQTre0nGEWqwCn0fcMce_7VzTt8LlZ82DqWncXQTpaW0jbIAaM0KPlzApYvk2zkPa9S5vYTiH48ETHc</recordid><startdate>199308</startdate><enddate>199308</enddate><creator>Neuhold, A</creator><creator>Hofmann, S</creator><creator>Engel, A</creator><creator>Leder, K</creator><creator>Kramer, J</creator><creator>Stiskal, M</creator><creator>Plenk, H</creator><creator>Wicke, L</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199308</creationdate><title>Bone marrow edema--an early form of femur head necrosis</title><author>Neuhold, A ; Hofmann, S ; Engel, A ; Leder, K ; Kramer, J ; Stiskal, M ; Plenk, H ; Wicke, L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p536-529199d2901616f8e43febf0b05a407407dea650f123e8f9dc1e8ae360953dcf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>1993</creationdate><topic>Adult</topic><topic>Bone Marrow Diseases - diagnosis</topic><topic>Bone Marrow Diseases - diagnostic imaging</topic><topic>Edema - diagnosis</topic><topic>Edema - diagnostic imaging</topic><topic>Female</topic><topic>Femur Head Necrosis - diagnosis</topic><topic>Femur Head Necrosis - diagnostic imaging</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnosis</topic><topic>Pregnancy Complications - diagnostic imaging</topic><topic>Radiography</topic><topic>Radionuclide Imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Neuhold, A</creatorcontrib><creatorcontrib>Hofmann, S</creatorcontrib><creatorcontrib>Engel, A</creatorcontrib><creatorcontrib>Leder, K</creatorcontrib><creatorcontrib>Kramer, J</creatorcontrib><creatorcontrib>Stiskal, M</creatorcontrib><creatorcontrib>Plenk, H</creatorcontrib><creatorcontrib>Wicke, L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Neuhold, A</au><au>Hofmann, S</au><au>Engel, A</au><au>Leder, K</au><au>Kramer, J</au><au>Stiskal, M</au><au>Plenk, H</au><au>Wicke, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bone marrow edema--an early form of femur head necrosis</atitle><jtitle>RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren</jtitle><addtitle>Rofo</addtitle><date>1993-08</date><risdate>1993</risdate><volume>159</volume><issue>2</issue><spage>120</spage><epage>125</epage><pages>120-125</pages><issn>1438-9029</issn><abstract>We examined 15 patients (16 hips) with painful hips whose radiographs were either normal (n = 9) or showed a minimal decrease in radiodensity (n = 7). The available bone scintigrams of 9 cases were positive. T1-weighted images visualised a diffuse signal loss of the bone marrow in all hips, with various extensions in the head, neck, and intertrochanteric area. These regions were hyperintensive on T2-weighted images. Focal anomalies were not seen in any of the cases. All patients underwent core decompression treatment. Histology of 13 hips confirmed not only the presence of bone marrow oedema but of bone changes corresponding to those of avascular necrosis. Follow-up examinations with MR after core decompression showed normal signal intensity in all cases. Magnetic resonance represents a viable diagnostic tool for identifying bone marrow oedema. Due to our histological results bone marrow oedema should be included in the differential diagnosis as an early stage of necrosis of the hip.</abstract><cop>Germany</cop><pmid>8353256</pmid><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1438-9029 |
| ispartof | RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren, 1993-08, Vol.159 (2), p.120-125 |
| issn | 1438-9029 |
| language | ger |
| recordid | cdi_proquest_miscellaneous_75900398 |
| source | MEDLINE; Thieme Connect Journals |
| subjects | Adult Bone Marrow Diseases - diagnosis Bone Marrow Diseases - diagnostic imaging Edema - diagnosis Edema - diagnostic imaging Female Femur Head Necrosis - diagnosis Femur Head Necrosis - diagnostic imaging Humans Magnetic Resonance Imaging Male Middle Aged Pregnancy Pregnancy Complications - diagnosis Pregnancy Complications - diagnostic imaging Radiography Radionuclide Imaging |
| title | Bone marrow edema--an early form of femur head necrosis |
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