Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach

Bone marrow edema (BME) is defined as an area of low signal intensity on T1-weighted (T1W) MRI images and associated with intermediate or high signal intensity findings on T2-weighted (T2W) MRI images. BME represents a typical imaging finding that characterizes common stress-related bone injuries of...

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Autores principales:	Umberto Tarantino, Chiara Greggi, Ida Cariati, Guglielmo Manenti, Matteo Primavera, Paolo Ferrante, Riccardo Iundusi, Elena Gasbarra, Andrea Gatti
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	bone marrow edema magnetic resonance imaging athletes joint overuse pain Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/22710868cd514f2a8415cce713fea254
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spelling	oai:doaj.org-article:22710868cd514f2a8415cce713fea2542021-11-25T18:18:00ZReviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach10.3390/medicina571111431648-91441010-660Xhttps://doaj.org/article/22710868cd514f2a8415cce713fea2542021-10-01T00:00:00Zhttps://www.mdpi.com/1648-9144/57/11/1143https://doaj.org/toc/1010-660Xhttps://doaj.org/toc/1648-9144Bone marrow edema (BME) is defined as an area of low signal intensity on T1-weighted (T1W) MRI images and associated with intermediate or high signal intensity findings on T2-weighted (T2W) MRI images. BME represents a typical imaging finding that characterizes common stress-related bone injuries of professional and amateur athletes. The etiology of stress-related injuries is influenced by numerous factors, including the initiation of a new sports activity or changes in an existing training protocol. The clinical significance of BME remains unclear. However, a correlation between the imaging pattern of BME, the clinical history of the patient and the type of sports activity practiced is essential for correct diagnosis and adequate therapeutic treatment. It is also important to clarify whether there is a specific threshold beyond which exercise can adversely affect the bone remodeling process, as the clinical picture may degenerate into the presence of BME, pain and, in the most severe cases, bone loss. In our review, we summarize the current knowledge on the etiopathogenesis and treatment options for BME and highlight the main aspects that make it difficult to formulate a correct diagnosis and establish an adequate therapeutic treatment.Umberto TarantinoChiara GreggiIda CariatiGuglielmo ManentiMatteo PrimaveraPaolo FerranteRiccardo IundusiElena GasbarraAndrea GattiMDPI AGarticlebone marrow edemamagnetic resonance imagingathletesjoint overusepainMedicine (General)R5-920ENMedicina, Vol 57, Iss 1143, p 1143 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	bone marrow edema magnetic resonance imaging athletes joint overuse pain Medicine (General) R5-920
spellingShingle	bone marrow edema magnetic resonance imaging athletes joint overuse pain Medicine (General) R5-920 Umberto Tarantino Chiara Greggi Ida Cariati Guglielmo Manenti Matteo Primavera Paolo Ferrante Riccardo Iundusi Elena Gasbarra Andrea Gatti Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach
description	Bone marrow edema (BME) is defined as an area of low signal intensity on T1-weighted (T1W) MRI images and associated with intermediate or high signal intensity findings on T2-weighted (T2W) MRI images. BME represents a typical imaging finding that characterizes common stress-related bone injuries of professional and amateur athletes. The etiology of stress-related injuries is influenced by numerous factors, including the initiation of a new sports activity or changes in an existing training protocol. The clinical significance of BME remains unclear. However, a correlation between the imaging pattern of BME, the clinical history of the patient and the type of sports activity practiced is essential for correct diagnosis and adequate therapeutic treatment. It is also important to clarify whether there is a specific threshold beyond which exercise can adversely affect the bone remodeling process, as the clinical picture may degenerate into the presence of BME, pain and, in the most severe cases, bone loss. In our review, we summarize the current knowledge on the etiopathogenesis and treatment options for BME and highlight the main aspects that make it difficult to formulate a correct diagnosis and establish an adequate therapeutic treatment.
format	article
author	Umberto Tarantino Chiara Greggi Ida Cariati Guglielmo Manenti Matteo Primavera Paolo Ferrante Riccardo Iundusi Elena Gasbarra Andrea Gatti
author_facet	Umberto Tarantino Chiara Greggi Ida Cariati Guglielmo Manenti Matteo Primavera Paolo Ferrante Riccardo Iundusi Elena Gasbarra Andrea Gatti
author_sort	Umberto Tarantino
title	Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach
title_short	Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach
title_full	Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach
title_fullStr	Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach
title_full_unstemmed	Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach
title_sort	reviewing bone marrow edema in athletes: a difficult diagnostic and clinical approach
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/22710868cd514f2a8415cce713fea254
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Reviewing Bone Marrow Edema in Athletes: A Difficult Diagnostic and Clinical Approach

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