Subtendinous bone marrow edema patterns on MR images of the ankle: association with symptoms and tendinopathy

AJR. American Journal of Roentgenology
W B MorrisonC E Johnson

Abstract

We sought to describe a pattern of subtendinous bone marrow edema on MR images of the ankle and to determine if there is an association with location of symptoms and overlying tendinopathy. At 1.5 T, 141 MR examinations of the ankle (116 clinical examinations of patients with chronic pain, 25 of asymptomatic control patients) were performed using T1-weighted, proton density-weighted fast spin-echo, and T2-weighted fat-suppressed fast spin-echo sequences. Images were retrospectively reviewed by two musculoskeletal radiologists for presence of bone marrow edema occurring in a subcortical location associated with the course of the medial or lateral tendon groups, as well as focal thickening or increased T2 signal within the tendons. These findings were correlated with clinical information regarding symptom location. The association of subtendinous marrow edema with tendinopathy and symptom location was statistically analyzed. Subtendinous bone marrow edema was present at 26 sites on 24 ankle MR examinations (17%) (at the medial malleolus [n = 17] associated with the posterior tibialis tendon, at the lateral malleolus [n = 6] and the calcaneus [n = 2] associated with the peroneus longus and brevis tendons, and at the cuboid [n = 1]...Continue Reading

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Citations

Jun 7, 2005·Skeletal Radiology·Paul O'Donnell, Asif Saifuddin
Aug 8, 2009·Skeletal Radiology·Nogah Shabshin, Mark E Schweitzer
Mar 4, 2011·Skeletal Radiology·Ron GefenNogah Shabshin
Sep 9, 2011·Rheumatology International·Erik Fink Eriksen, Johan Diederich Ringe
Jul 10, 2007·European Radiology·Veronika ZublerMarco Zanetti
Mar 29, 2008·BMC Musculoskeletal Disorders·Ilan EliasMark E Schweitzer
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Dec 5, 2008·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·Kimberly A AgnelloAmy S Kapatkin
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Sep 24, 2011·AJR. American Journal of Roentgenology·Adriana Martins RiosSara García Theran
Aug 15, 2003·Magnetic Resonance Imaging Clinics of North America·Adam C Zoga, Mark E Schweitzer
Aug 1, 2018·AJR. American Journal of Roentgenology·Min-Yung ChangSun Jeong Moon
Jun 3, 2017·The Journal of Rheumatology·Jill HalsteadPhilip G Conaghan
Jun 5, 2003·Topics in Magnetic Resonance Imaging : TMRI·William B Morrison
Sep 12, 2006·Clinics in Sports Medicine·Scot E Campbell
Aug 24, 2010·Seminars in Roentgenology·Brian PetersenKen Schreibman

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