Abstract
References
- 1. Felson DT, McLaughlin S, Goggins J, LaValley MP, Gale ME, Totterman S, Li W, Hill C, Gale D. Bone marrow edema and its relation to progression of knee osteoarthritis. Ann Intern Med. 2003;139(5 Pt 1):330-6. doi: 10.7326/0003-4819-139-5_part_1-200309020-00008.
- 2. Zanetti M, Bruder E, Romero J, Hodler J. Bone marrow edema pattern in osteoarthritic knees: correlation between MR imaging and histologic findings. Radiology. 2000;215(3):835-40. doi: 10.1148/radiology.215.3.r00jn05835.
- 3. Bonadio MB, Filho AGO, Helito CP, Stump XM, Demange MK. Bone marrow lesion: image, clinical presentation, and treatment. Magn Reson Insights. 2017;10:1178623X17703382. doi: 10.1177/1178623X17703382.
- 4. Balfousias T, Karadimas EJ, Kakagia DD, Apostolopoulos A, Papanikolaou A. Lower limb pain attributed to bone marrow edema syndrome: a commonly ignored pathology. Cureus. 2020;12(4). doi: 10.7759/cureus.7679.
- 5. Moradi K, Mohammadi S, Roemer FW, Momtazmanesh S, Hathaway Q, Ibad HA, Hunter DJ, Guermazi A, Demehri S. Progression of bone marrow lesions and the development of knee osteoarthritis: osteoarthritis initiative data. Radiology. 2024;312(3). doi: 10.1148/radiol.240470.
- 6. Steinbach LS, Suh KJ. Bone marrow edema pattern around the knee on magnetic resonance imaging excluding acute traumatic lesions. Semin Musculoskelet Radiol. 2011;15(3):208-20. doi: 10.1055/s-0031-1278421.
Exploring the Correlation Between Bone Marrow Edema in the Tibial Plateau and Surgical Preferences in Stage 3 Gonarthrosis Patients
Abstract
Abstract:*
Objective: This research aimed to investigate the association between the presence of bone marrow edema in the tibial plateau and the patient's inclination towards surgery in individuals diagnosed with stage 3 gonarthrosis.
Background/Purpose: A cohort of 40 patients with confirmed stage 3 gonarthrosis was enrolled in this study. Magnetic Resonance Imaging (MRI) scans were employed to assess the presence and severity of bone marrow edema in the tibial plateau. Patient demographics, clinical history, and radiographic data were collected. A comprehensive statistical analysis, including chi-square tests and logistic regression, was performed to identify any significant relationships.
Results: A statistically significant positive correlation was found between edema and age (r = 0.47, p < 0.01), indicating that as age increases, the presence of edema also tends to increase. No significant correlations were found between edema and BMI (r = -0.06, p = 0.70), or between BMI and age (r = 0.08, p = 0.62). This suggests that, within this sample, BMI does not significantly relate to either edema or age. Patients with more pronounced bone marrow edema were more likely to opt for surgery. Additionally, age and previous conservative treatment outcomes were identified as potential confounding factors influencing the decision-making process.
Conclusion: The findings of this research underscore the relevance of bone marrow edema in the tibial plateau as a factor influencing the surgical inclination of stage 3 gonarthrosis patients. Understanding this relationship can contribute to a more personalized approach to treatment decisions in orthopedic practice, allowing healthcare professionals to better plan the interventions based on individual patient characteristics and preferences. Further studies are warranted to explore additional factors that may contribute to the complex decision-making process in managing advanced knee osteoarthritis.
References
- 1. Felson DT, McLaughlin S, Goggins J, LaValley MP, Gale ME, Totterman S, Li W, Hill C, Gale D. Bone marrow edema and its relation to progression of knee osteoarthritis. Ann Intern Med. 2003;139(5 Pt 1):330-6. doi: 10.7326/0003-4819-139-5_part_1-200309020-00008.
- 2. Zanetti M, Bruder E, Romero J, Hodler J. Bone marrow edema pattern in osteoarthritic knees: correlation between MR imaging and histologic findings. Radiology. 2000;215(3):835-40. doi: 10.1148/radiology.215.3.r00jn05835.
- 3. Bonadio MB, Filho AGO, Helito CP, Stump XM, Demange MK. Bone marrow lesion: image, clinical presentation, and treatment. Magn Reson Insights. 2017;10:1178623X17703382. doi: 10.1177/1178623X17703382.
- 4. Balfousias T, Karadimas EJ, Kakagia DD, Apostolopoulos A, Papanikolaou A. Lower limb pain attributed to bone marrow edema syndrome: a commonly ignored pathology. Cureus. 2020;12(4). doi: 10.7759/cureus.7679.
- 5. Moradi K, Mohammadi S, Roemer FW, Momtazmanesh S, Hathaway Q, Ibad HA, Hunter DJ, Guermazi A, Demehri S. Progression of bone marrow lesions and the development of knee osteoarthritis: osteoarthritis initiative data. Radiology. 2024;312(3). doi: 10.1148/radiol.240470.
- 6. Steinbach LS, Suh KJ. Bone marrow edema pattern around the knee on magnetic resonance imaging excluding acute traumatic lesions. Semin Musculoskelet Radiol. 2011;15(3):208-20. doi: 10.1055/s-0031-1278421.
Details
| Primary Language | English |
|---|---|
| Subjects | Orthopaedics |
| Journal Section | Clinical Research |
| Authors | |
| Early Pub Date | December 10, 2024 |
| Publication Date | |
| Submission Date | October 26, 2024 |
| Acceptance Date | November 12, 2024 |
| Published in Issue | Year 2025Issue: Kabul Edilen Makaleler |