Skeletal Radiology
04/19/2002
By Veronica Rose
Magnetic resonance imaging allows for confident diagnosis of transient bone marrow edema of the talus, encouraging the start of conservative treatment.
Radiologists at the University of San Diego, and the Veterans Affairs San Diego Healthcare System in San Diego, California, United States, acknowledged that, despite being unusual, transient bone marrow edema (TBME) could involve the talus despite no evidence of a fracture or history of injury.
Consequently, they designed a study to determine the results of magnetic resonance imaging (MRI) in five patients whose clinical history included pain, but without trauma. This enabled them to consider differential diagnoses.
The established criteria were the MRI findings which confirmed a diagnosis of transient bone marrow edema when compared with all clinical data and including the follow-up assessments. Reviews were undertaken following imaging, standard radiography and bone scintigraphy. Researchers paid special attention to the pattern and distribution of abnormal marrow signal intensity and associated findings.
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