6.7 Conclusion
BME is a relatively recently recognized entity. MRI has proved to be the most powerful tool to assess BME, as conventional imaging techniques are insensitive for detection of trabecular injuries.
The pathogenesis of BME is variable and may be due to acute or chronic trauma or even causes without any history of obvious trauma.
Distinction between traumatic and non-traumatic bone marrow edema in sports injuries is primarily based on a clinical history of trauma, as imaging features are mostly indistinguishable.
In traumatic cases, the pattern of bone marrow edema, however, may reveal the mechanism of underlying trauma and is often a secondary sign for detecting associated abnormalities.
The clinical significance of BME is still a matter of debate, and long-term follow-up studies are required for further evaluation of this item.
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Vanhoenacker, F.M., Van Dyck, P., Gielen, J.L., Geyskens, W. (2007). Bone Marrow Edema in Sports Injuries: General Concept. In: Vanhoenacker, F.M., Maas, M., Gielen, J.L. (eds) Imaging of Orthopedic Sports Injuries. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68201-1_6
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