Top

Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-09-2009 | Knee

Bilateral transient bone marrow edema or transient osteoporosis of the knee in pregnancy

Authors: Athanasios N. Ververidis, G. I. Drosos, K. J. Kazakos, K. C. Xarchas, D. A. Verettas

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 9/2009

Abstract

Transient osteoporosis or transient bone marrow edema is an uncommon self-limiting condition of unknown etiology. The most commonly affected joint is the hip, followed by the knee, ankle, and the foot. Simultaneous involvement of both hips has been reported exclusively in pregnant women. Bilateral knee involvement during pregnancy seems to be extremely rare. We present a case of bilateral transient bone marrow knee edema during pregnancy with complete resolution of symptoms and radiological findings after 10 months.

Arjonillaa A, Calvob E, Alvarez L, Yruegas DF (2005) Transient bone marrow oedema of the knee. Knee 12:267–269CrossRef

Berger CE, Kröner AH, Kristen KH, Grabmeier GF, Kluger R, Minai-Pour MB, Leitha T, Engel A (2006) Transient Bone Marrow Edema Syndrome of the knee: clinical and magnetic resonance imaging results at 5 years after core decompression. Arthroscopy 22:866–871PubMedCrossRef

Berger CE, Kröner AH, Minai-Pour MB, Ogris E, Engel A (2003) Biochemical markers of bone metabolism in bone marrow edema syndrome of the hip. Bone 33:346–351PubMedCrossRef

Breitenseher MJ, Kramer J, Mayerhoefer ME, Aigner N, Hofmann S (2006) Differential diagnosis of bone marrow edema of the knee joint. Radiologe 46:46–54PubMedCrossRef

Curtiss PH Jr, Kincaid WE (1959) Transitory demineralization of the hip in pregnancy: a report of three cases. J Bone Joint Surg 41-A:1327–1333PubMed

Duncan H, Frame B, Frost H, Arnstein AR (1969) Regional migratory osteoporosis. South Med J 62:41–44PubMed

Fazekas JE, Losada R, Fruauff AA, Ortiz O, Katz DS (2002) Migratory transient osteoporosis of the hip occurring before and during pregnancy. J Women Imag 4:80–85CrossRef

Gruber HE, Gutteridge DH, Baylink DJ (1984) Osteoporosis associated with pregnancy and lactation: bone biopsy and skeletal features in three patients. Metab Bone Dis Relat Res 5:159–165PubMedCrossRef

Guerra JJ, Steinberg ME (1995) Distinguishing transient osteoporosis from avascular necrosis of the hip. J Bone Joint Surg 77-A:616–624

10.

Hofmann S, Kramer J, Vakil-Adli A, Aigner N, Breitenseher M (2004) Painful bone marrow edema syndrome of the knee: differential diagnosis and therapeutic concepts. Orthop Clin N Am 35:321–333CrossRef

11.

Karantanas AH, Acute bone marrow edema of the hip (2007) Role of MR imaging. Eur Radiol 17:2225–2236PubMedCrossRef

12.

Lakhanpal S, Ginsburg WW, Luthra HS, Hunder GG (1987) Transient regional osteoporosis. A study of 56 cases and review of the literature. Ann Intern Med 106:444–450PubMed

13.

Lequesne M (1968) Transient osteoporosis of the hip. A nontraumatic variety of Sudeck’s atrophy. Ann Rheum Dis 27:463–471PubMedCrossRef

14.

Lloyd JM, Lewis M, Jones A (2006) Transient Osteoporosis of the knee in pregnancy. J Knee Surg 19:121–123PubMed

15.

Malizos KN, Zibis AH, Dailiana Z, Hantes M, Karachalios T, Karantanas AH (2004) MR imaging findings in transient osteoporosis of the hip. Eur J Radiol 50:238–244PubMedCrossRef

16.

Plenk H, Hofmann S, Eschberger J, Gstettner M, Kramer J, Schneider W, Engel A (1997) Histomorphology and morphometry of the bone marrow edema syndrome of the hip. Clin Orthop 334:78–84

17.

Sergi S, Macule F, Lasurt S, Segur JM, Lozano L, Nunez M, Suso S (2007) Idiopathetic transient osteoporosis of the knee: five cases and revision of literature. EJOST 17:393–397

18.

Shapira D, Braun Moscovici Y, Gutierrez G, Nahir AM (2003) Severe transient osteoporosis of the hip during pregnancy. Clin Exp Rheumatol 21:107–110

19.

Stamp L, McLean L, Stewart N, Birdsall M (2001) Bilateral transient osteoporosis of the knee in pregnancy. Ann Rheum Dis 60:721–722PubMedCrossRef

20.

Travisan C, Ortolani S, Monteleone M, Marinoni C (2002) Regional migratory osteoporosis: a pathogenetic hypothesis based on three cases and a review of the literature. Clin Rheumatol 21:418–425CrossRef

21.

Vardi G, Turner PJ (2004) Transient osteoporosis of the knee. Knee 11:219–223PubMedCrossRef

22.

Wilson AJ, Murphy WA, Hardy DC, Torry WG (1988) Transient osteoporosis: transient bone marrow edema? Radiology 167:757–760PubMed

Title: Bilateral transient bone marrow edema or transient osteoporosis of the knee in pregnancy
Authors: Athanasios N. Ververidis
G. I. Drosos
K. J. Kazakos
K. C. Xarchas
D. A. Verettas
Publication date: 01-09-2009
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 9/2009
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-009-0781-5

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Bilateral transient bone marrow edema or transient osteoporosis of the knee in pregnancy

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 9/2009

Back pain and MRI changes in the thoraco-lumbar spine of top athletes in four different sports: a 15-year follow-up study

The effect of intra-operative knee flexion angle on determination of graft location in the anatomic double-bundle anterior cruciate ligament reconstruction

The role of preoperative MRI in knee arthroscopy: a retrospective analysis of 2,000 patients

Isometry of medial collateral ligament reconstruction

Popliteofibular ligament reconstruction for posterolateral external rotation instability of the knee

Surgical outcomes after traumatic open knee dislocation