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Transient bone marrow edema syndrome progressing to avascular necrosis of the hip – a case report and review of the literature

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Abstract

Transient bone marrow edema syndrome (TMES) is a rare disease of unknown etiology. Diagnosis is made by exclusion. There is still controversy as to whether TMES is considered to be a reversible form of avascular necrosis (AVN), a disease entity of its own or a form of non-traumatic algodystrophy. We here describe the extremely rare occurrence of three cases of TMES that progressed to AVN.

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Abbreviations

AVN:

Avascular necrosis

TMES:

Transient marrow edema syndrome (TMES)

References

  1. Perka C, Buttgereit F, Backhaus M (1998) Pregnancy-induced algodystrophy. Z Rheumatol 57:399–408

    Article  CAS  PubMed  Google Scholar 

  2. Guerra JJ, Steinberg ME (1995) Distinguishing transient osteoporosis from avascular necrosis of the hip. J Bone Joint Surg Am 77:616–624

    CAS  PubMed  Google Scholar 

  3. Lequesne M (1968) Transient osteoporosis of the hip. A nontraumatic variety of Südeck’s atrophy. Ann Rheum Dis 27:463–471

    CAS  PubMed  Google Scholar 

  4. Hunder GG, Kelly PJ (1968) Roentgenologic transient osteoporosis of the hip. A clinical syndrome? Ann Intern Med 68:539–552

    PubMed  Google Scholar 

  5. Plenk HJ, Hofmann S, Eschberger J et al. (1997) Histomorphology and bone morphometry of the bone marrow edema syndrome of the hip. Clin Orthop 334:73–84

    PubMed  Google Scholar 

  6. Hofmann S, Engel A, Neuhold A, Leder K, Kramer J, Plenk HJ (1993) Bone-marrow oedema syndrome and transient osteoporosis of the hip. An MRI-controlled study of treatment by core decompression [see comments]. J Bone Joint Surg Br 75:210–216

    PubMed  Google Scholar 

  7. Arlet J (1992) Nontraumatic avascular necrosis of the femoral head. Past, present, and future. Clin Orthop (277):12–21

    Google Scholar 

  8. Krause R, Glas K, Schulz A, Gradinger R (2002) The transitory bone marrow edema syndrom of the hip. Z Orthop 140:286–296

    Article  CAS  PubMed  Google Scholar 

  9. Glas K, Krause R, Obletter N, Held P (1989) Transitory hip osteoporosis in magnetic resonance tomography. Z Orthop 127:302–307

    CAS  PubMed  Google Scholar 

  10. Curtiss PH (1959) Transitory demineralization of the hip in pregnancy: a report of three cases. J Bone Joint Surg [Am] 41 A:1327–1333

    Google Scholar 

  11. Dihlmann W, Delling G (1985) Is transient hip osteoporosis a transient osteonecrosis?. Z Rheumatol 44:82–86

    CAS  PubMed  Google Scholar 

  12. Schilling F (1973) Reflex dystrophy and dystrophic pseudoarthritis of the lower limbs. Z Rheumaforsch 32:375–384

    CAS  PubMed  Google Scholar 

  13. Hofmann S, Schneider W, Breitenseher M, Urban M, Plenk HJ (2000) “Transient osteoporosis” as a special reversible form of femur head necrosis. Orthopade 29:411–419

    Article  CAS  PubMed  Google Scholar 

  14. Radke S, Rader CP, Kenn W, Kirschner S, Eulert J (2001) Transient Bone marrow oedema syndrome of the hip—Is core decompression the treatment of choice? J Bone Joint Surg Br Suppl 83:251

    Google Scholar 

  15. Koo KH, Jeong ST, Jones JPJ (1999) Borderline necrosis of the femoral head. Clin Orthop (358):158–165

    Google Scholar 

  16. Vande Berg BC, Malghem J, Lecouvet F, Maldague B (2001) Magnetic resonance imaging and differential diagnosis of epiphyseal osteonecrosis. Semin Musculoskel Radiol 5:57–69

    Article  Google Scholar 

  17. Rafii M, Mitnick H, Klug J, Firooznia H (1997) Insufficiency fracture of the femoral head: MR imaging in three patients. AJR Am J Roentgenol 168:159–163

    CAS  PubMed  Google Scholar 

  18. Van de Bergh BC, Malghem J, Goffin EJ, Duprez TP, Maldague B (1994) Transient epiphyseal lesions in renal transplant recipients: presumed insufficiency stress fractures. Radiology 191:403–407

    PubMed  Google Scholar 

  19. Dorue HL, Lander PH (1995) Spontaneous stress fracture of the femoral neck. AJR Am J Roentgenol 144:343–347

    Google Scholar 

  20. Mitchell DG, Joseph PM, Fallon M et al. (1987) Chemical-shift MR imaging of the femoral head: an in vitro study of normal hips and hips with avascular necrosis. AJR Am J Roentgenol 148:1159–1164

    CAS  PubMed  Google Scholar 

  21. Tannenbaum H, Esdaile J, Rosenthall L (1980) Joint imaging in regional migratory osteoporosis. J Rheumatol 7:237–244

    PubMed  Google Scholar 

  22. O’Mara RE (1970) Bone scanning in regional migratory osteoporosis. Radiology 97:579–581

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopedic Surgery, König Ludwig Haus, Julius-Maximilians-Universität Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany

    S. Radke & J. Eulert

  2. Department of Radiology, Julius-Maximilians-Universität Würzburg, Josef Schneiderstr., 97070, Würzburg, Germany

    W. Kenn

Authors
  1. S. Radke
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  2. W. Kenn
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  3. J. Eulert
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Correspondence to S. Radke.

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Radke, S., Kenn, W. & Eulert, J. Transient bone marrow edema syndrome progressing to avascular necrosis of the hip – a case report and review of the literature. Clin Rheumatol 23, 83–88 (2004). https://doi.org/10.1007/s10067-003-0820-4

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  • DOI: https://doi.org/10.1007/s10067-003-0820-4

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