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作 者:Peng Zhang Junjie Zhang Peng Chen Jianjing Lin Jiang Guo Weixuan Liu Zhiwen Luo Qing Wang Xintao Zhang
机构地区:[1]Department of Sports Medicine,Peking University Shenzhen Hospital,Shenzhen 518000,China [2]Department of Sports Medicine,Huashan Hospital,Fudan University,Shanghai 200040,China [3]Department of Orthopaedics,Kunshan Hospital of Traditional Chinese Medicine,Kunshan 215300,China
出 处:《World Journal of Emergency Medicine》2024年第4期325-327,共3页世界急诊医学杂志(英文)
基 金:Sanming Project of Medicine in Shenzhen(No.SZSM202211019).
摘 要:Bone marrow edema(BME)is characterized by an accumulation of interstitial fluid within the bone marrow,the cancellous,hematopoietic compartment within bones.[1]BME is divided into two principal categories:idiopathic or primary BME,with an unknown etiology,and secondary BME,which occurs as a result of an identifiable underlying pathology.[2]Although the prevalence of BME is not limited to specific demographic parameters,it shows a predilection for males or individuals assigned male at birth,predominantly aged between the ages of 30 and 60 years,especially in cases of bone marrow edema syndrome(BMES),a rare idiopathic variant.[3]The etiological spectrum of BME is diverse,including oncological entities(such as acute myeloid leukemia and osteosarcoma),degenerative diseases(such as osteoarthritis),infectious processes(osteomyelitis),ischemic conditions(avascular necrosis),metabolic dysfunctions(osteoporosis),inflammatory disorders(rheumatoid arthritis),and traumatic injuries(such as stress fractures).[1,2]Clinically,BME primarily manifests as localized pain,often accompanied by joint effusion and warmth near the affected joint.Diagnostic protocols typically include physical examination,serological assays,bone marrow biopsies,dual-energy X-ray absorptiometry(DEXA)scans,magnetic resonance imaging(MRI),and ultrasonography,with computed tomography(CT)scans and radiographs being less effective.
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