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Correlation of MRI and histomorphological findings in bone marrow oedema syndrome of the hip

Abstract

In 15 patients (16 hip joints) we found the clinical and radiological signs of BMOS. On T1-weighted MRI images areas of low signal intensity could be observed in the head, neck and the intertrochanteric region of the femur in various extensions. These areas showed a significant increase in signal intensity on the T2-weighted images. Because pain was resistant to conservative therapy all these patients were treated by core decompression of the femoral head in a prospective study. Bone cores were evaluated histologically using undecalcified sections and quantitative microradiography. The existence of intramedullary oedema in exactly the regions exhibiting the MRI pattern of bone marrow oedema was verified histologically; however, bone and marrow changes similar to those of early avascular necrosis (AVN) were also visible. (orig.)
Authors:
Hofmann, S; [1]  Kramer, J; [2]  Leder, K; [3]  Neuhold, A; [4]  Plenk, H Jr; [5]  Engel, A [1] 
  1. Orthopaedic University Clinic, Vienna (Austria)
  2. MR Inst. of the University, Vienna (Austria)
  3. 2. General Dept., Orthopaedic Hospital Speising, Vienna (Austria)
  4. Inst. for Imaging Diagnostics, Rudolfinerhaus Hospital, Vienna (Austria)
  5. Bone and Biomaterial Research Lab. of the Histology-Embryology Inst., Vienna (Austria)
Publication Date:
Oct 01, 1993
Product Type:
Journal Article
Reference Number:
SCA: 550602; PA: DEN-95:0F8376; EDB-95:073426; SN: 95001386200
Resource Relation:
Journal Name: European Radiology; Journal Volume: 3; Journal Issue: 5; Other Information: PBD: Oct 1993
Subject:
55 BIOLOGY AND MEDICINE, BASIC STUDIES; NMR IMAGING; BONE MARROW; PELVIS; EDEMA; HISTOLOGY; COMPARATIVE EVALUATIONS; PATIENTS; FEMUR; NECROSIS
OSTI ID:
42138
Country of Origin:
Germany
Language:
English
Other Identifying Numbers:
Journal ID: EURAE3; ISSN 0938-7994; TRN: DE95F8376
Submitting Site:
DEN
Size:
pp. 408-412
Announcement Date:
May 22, 1995

Citation Formats

Hofmann, S, Kramer, J, Leder, K, Neuhold, A, Plenk, H Jr, and Engel, A. Correlation of MRI and histomorphological findings in bone marrow oedema syndrome of the hip. Germany: N. p., 1993. Web.
Hofmann, S, Kramer, J, Leder, K, Neuhold, A, Plenk, H Jr, & Engel, A. Correlation of MRI and histomorphological findings in bone marrow oedema syndrome of the hip. Germany.
Hofmann, S, Kramer, J, Leder, K, Neuhold, A, Plenk, H Jr, and Engel, A. 1993. "Correlation of MRI and histomorphological findings in bone marrow oedema syndrome of the hip." Germany.
@misc{etde_42138,
title = {Correlation of MRI and histomorphological findings in bone marrow oedema syndrome of the hip}
author = {Hofmann, S, Kramer, J, Leder, K, Neuhold, A, Plenk, H Jr, and Engel, A}
abstractNote = {In 15 patients (16 hip joints) we found the clinical and radiological signs of BMOS. On T1-weighted MRI images areas of low signal intensity could be observed in the head, neck and the intertrochanteric region of the femur in various extensions. These areas showed a significant increase in signal intensity on the T2-weighted images. Because pain was resistant to conservative therapy all these patients were treated by core decompression of the femoral head in a prospective study. Bone cores were evaluated histologically using undecalcified sections and quantitative microradiography. The existence of intramedullary oedema in exactly the regions exhibiting the MRI pattern of bone marrow oedema was verified histologically; however, bone and marrow changes similar to those of early avascular necrosis (AVN) were also visible. (orig.)}
journal = []
issue = {5}
volume = {3}
journal type = {AC}
place = {Germany}
year = {1993}
month = {Oct}
}