Bone marrow edema is a self-limiting, under-recognized condition. It mainly involves the lower limbs. It is characterized by pain and inability to bear weight. Diagnosis is most often based on imaging and by excluding...Bone marrow edema is a self-limiting, under-recognized condition. It mainly involves the lower limbs. It is characterized by pain and inability to bear weight. Diagnosis is most often based on imaging and by excluding other causes. Its exact pathogenesis is still debated and various theories are postulated. Treatment ranges from anti-inflammatories to restricted weight bearing. This overview has tried to revisit this rare and perhaps forgotten clinical-radiological condition.展开更多
骨髓水肿综合征(bone marrow edema syndrome,BMES)是发病率较低的一种骨科疾病,病因尚不明确,以髋部最为常见,与股骨头坏死(osteonecrosis of the femoral head,ONFH)临床表现类似,因此常被误诊误治,二者可通过MRI相鉴别。BMES作为一...骨髓水肿综合征(bone marrow edema syndrome,BMES)是发病率较低的一种骨科疾病,病因尚不明确,以髋部最为常见,与股骨头坏死(osteonecrosis of the femoral head,ONFH)临床表现类似,因此常被误诊误治,二者可通过MRI相鉴别。BMES作为一种自限性疾病,骨髓水肿是可逆的,多采用非手术治疗,目标是减轻患者的疼痛,同时缩短临床病程,疾病预后良好。展开更多
目的观察中医三胶膏结合体外冲击波治疗髋关节骨髓水肿综合征(Bone marrow edema syndrome of the hip,BMES)的临床疗效。方法选取2015年3月—2018年10月许昌仁和骨伤医院收治的30例BMES患者,给予三胶膏及体外冲击波,治疗前后均采用髋关...目的观察中医三胶膏结合体外冲击波治疗髋关节骨髓水肿综合征(Bone marrow edema syndrome of the hip,BMES)的临床疗效。方法选取2015年3月—2018年10月许昌仁和骨伤医院收治的30例BMES患者,给予三胶膏及体外冲击波,治疗前后均采用髋关节Harris评分系统进行评分,并随访8个月。比较治疗前后患者的视觉疼痛模拟量表(Visual analogue scale,VAS)、功能评分、关节运动范围评分及总分。结果治疗后的疼痛功能、关节运动范围评分及总分高于治疗前,差异均有统计学意义(P <0.05)。结论三胶膏结合体外冲击波治疗BMES,可以明显改善患者疼痛症状及骨髓水肿征象,是治疗BMES的一种有效方法。展开更多
文摘Bone marrow edema is a self-limiting, under-recognized condition. It mainly involves the lower limbs. It is characterized by pain and inability to bear weight. Diagnosis is most often based on imaging and by excluding other causes. Its exact pathogenesis is still debated and various theories are postulated. Treatment ranges from anti-inflammatories to restricted weight bearing. This overview has tried to revisit this rare and perhaps forgotten clinical-radiological condition.
文摘骨髓水肿综合征(bone marrow edema syndrome,BMES)是发病率较低的一种骨科疾病,病因尚不明确,以髋部最为常见,与股骨头坏死(osteonecrosis of the femoral head,ONFH)临床表现类似,因此常被误诊误治,二者可通过MRI相鉴别。BMES作为一种自限性疾病,骨髓水肿是可逆的,多采用非手术治疗,目标是减轻患者的疼痛,同时缩短临床病程,疾病预后良好。
文摘目的观察中医三胶膏结合体外冲击波治疗髋关节骨髓水肿综合征(Bone marrow edema syndrome of the hip,BMES)的临床疗效。方法选取2015年3月—2018年10月许昌仁和骨伤医院收治的30例BMES患者,给予三胶膏及体外冲击波,治疗前后均采用髋关节Harris评分系统进行评分,并随访8个月。比较治疗前后患者的视觉疼痛模拟量表(Visual analogue scale,VAS)、功能评分、关节运动范围评分及总分。结果治疗后的疼痛功能、关节运动范围评分及总分高于治疗前,差异均有统计学意义(P <0.05)。结论三胶膏结合体外冲击波治疗BMES,可以明显改善患者疼痛症状及骨髓水肿征象,是治疗BMES的一种有效方法。
