Bone marrow lesions of the knee: longitudinal correlation between lesion size changes and pain before and after conservative treatment by extracorporeal shockwave therapy

European Journal of Physical and Rehabilitation Medicine
Valerio SansonePietro Romeo

Abstract

Bone marrow lesions (BMLs) of the knee have become a common finding on magnetic resonance imaging (MRI), leading to a growing interest in BML, not only for its potential role in the progression of several musculoskeletal conditions, but also for its clinical impact and treatment implications. At present, there is limited and conflicting evidence regarding whether or not pain may be correlated to BML size or not. To verify the longitudinal correlation between BML size and knee pain. Longitudinal. The study was conducted from January to December 2013, at the Galeazzi Institute of Orthopedics in Milan, Italy. The study sample was composed of 72 patients, 27 males and 45 females, with a mean age of 55.9 ± 10.22 years and a mean BMI of 26.1 ± 3.7 kg/m2. All patients presented with BMLs and acute knee pain. All 72 patients underwent a knee MRI before and 6 months after a course of high energy ESWT, in order to perform a quantitative measurement of the BML areas. KOOS (Knee Injury and Osteoarthritis Outcome Score) Pain subscale scores were obtained at the same time point. A regression analysis was performed to verify the correlation between knee BML size and KOOS pain subscale score before treatment and the correlation between the red...Continue Reading

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Citations

Aug 17, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Ramon Castellanos, Sean Tighe
Apr 4, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Riccardo CompagnoniPietro Randelli

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