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

S Radke; W Kenn; J Eulert

doi:10.1007/s10067-003-0820-4

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

Clin Rheumatol. 2004 Feb;23(1):83-8. doi: 10.1007/s10067-003-0820-4. Epub 2003 Dec 19.

Authors

S Radke¹, W Kenn, J Eulert

Affiliation

¹ Department of Orthopedic Surgery, König Ludwig Haus, Julius-Maximilians-Universität Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany. s-radke.klh@mail.uni-wuerzburg.de

PMID: 14749994
DOI: 10.1007/s10067-003-0820-4

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.

Publication types

Case Reports

MeSH terms

Adult
Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
Bone Marrow / pathology*
Bone Marrow Diseases / complications
Bone Marrow Diseases / pathology*
Bone Marrow Diseases / therapy
Decompression, Surgical
Edema / complications
Edema / pathology*
Femur Head / pathology
Femur Head Necrosis / complications
Femur Head Necrosis / pathology*
Femur Head Necrosis / therapy
Humans
Hypokinesia
Magnetic Resonance Imaging
Male
Middle Aged
Syndrome
Treatment Outcome
Weight-Bearing

Substances

Anti-Inflammatory Agents, Non-Steroidal