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Arthroskopie

pp 1–13 | Cite as

Bildgebung des Knochenmarködems

  • Wolfgang HacklEmail author
  • Benjamin Henninger
  • Michael Liebensteiner
  • Peter Ferlic
Leitthema
  • 33 Downloads

Zusammenfassung

Beim Knochenmarködem handelt es sich um ein relativ junges Krankheitsbild, das nach wie vor nicht vollständig geklärt ist. Symptomatisch wird es durch Schmerzen aufgrund der Reizung neurovaskulärer Strukturen. Der Entstehung eines Knochenödems können ischämische, mechanisch-traumatische oder reaktive Ursachen zugrundeliegen. Das bildgebende Verfahren der Wahl für die Diagnostik ist die Magnetresonanztomographie (MRT). Meist kommt die T2-Gewichtung zum Einsatz, da es hierbei zu einer hyperintensen Erscheinung gegenüber der Umgebung kommt. Da die histologischen Befunde nicht einheitlich sind und sich das Knochenmarködem nur schwer definieren lässt, sollte der Bezeichnung „bone marrow edema-like lesion“ Vorzug gegeben werden.

Schlüsselwörter

Osteochondrosis dissecans  Trauma Magnetresonanztomographie Histologie „Bone bruise“ 

Imaging of bone marrow edema

Abstract

Bone marrow edema is a relatively young disease picture, which is still not completely clarified. It becomes symptomatic through pain due to irritation of neurovascular structures. The development of bone marrow edema can have ischemic, mechanical traumatic or reactive causes. The imaging procedure of choice for the diagnostics is magnetic resonance imaging (MRI). In most cases T2-weighted imaging is used because this gives a hyperintense signal in contrast to the surroundings. Because the histological findings are not uniform and bone marrow edema is difficult to define, the term bone marrow edema-like lesion should be given precedence.

Keywords

Osteochondritis dissecans Trauma Magnetic resonance imaging Histology Bone bruise 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

W. Hackl, B. Henninger, M. Liebensteiner und P. Ferlic geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • Wolfgang Hackl
    • 1
    Email author
  • Benjamin Henninger
    • 2
  • Michael Liebensteiner
    • 1
  • Peter Ferlic
    • 1
  1. 1.Department für Orthopädie InnsbruckMedizinische Universität InnsbruckInnsbruckÖsterreich
  2. 2.Department für Radiologie InnsbruckMedizinische Universität InnsbruckInnsbruckÖsterreich

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