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Bone Marrow Edema

A Case of Regional Migratory Osteoporosis

Pimenta, Tiago MD; Parada, Fernando MD; Rocha, J Afonso MD

American Journal of Physical Medicine & Rehabilitation: April 26, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHM.0000000000001210
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Bone marrow edema represents a typical pattern on magnetic resonance imaging consisting of an area of abnormal bone signal with low to intermediate intensity on T1 weighted images and a high intensity on fat suppressed T2 weighted images. Bone marrow edema syndromes are a group of entities characterized by idiopathic bone marrow edema and osteoporosis. Regional migratory osteoporosis is a bone marrow edema syndrome characterized by a self-limited migrating arthralgia of the lower limbs not related to trauma or other events. Its clinical presentation is variable and may include a less frequent form of migration of the bone marrow edema within the same joint, illustrated here by means of a case report. Conservative treatment is the preferred approach to this condition and usually it resolves completely and with no sequelae. Physicians should be made aware of this condition in order to avoid unnecessary and costly diagnostic and therapeutic measures.

From the Department of Physical Medicine & Rehabilitation, Centro Hospitalar de São João, Porto

Correspondence: All correspondence and requests for reprints should be addressed to: Tiago Pimenta, Department of Physical Medicine & Rehabilitation, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, PORTUGAL.E-mail: tiago.pmt@gmail.com. Phone number: (+351) 22 551 2100

Disclosures: no conflicts of interest related to the manuscript have been reported by the authors or by any individuals in control of the content of this article. No funding or equipment was provided for the project from any source. There are no financial benefits to the authors. This manuscript has not been previously submitted to any other publication. Authorship has been granted only to those individuals who have contributed substantially to the manuscript.

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