Rinsho Seikei Geka Volume 43, Issue 11 (November 2008)
Japanese

Bone Marrow Edema Pattern of MRI Induced by Shelf Syndrome. Report of Two Cases Junichiro Ishikawa 1 , Mitsuru Sakaguchi 1 , Futoshi Kuga 1 1Kumamoto Orthopaedic Hospital Keyword: 膝関節(knee) , タナ障害(shelf syndrome) , 骨髄浮腫(BME) pp.1141-1145
Published Date 2008/11/25
DOI https://doi.org/10.11477/mf.1408101407
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 We report two cases of shelf syndrome with a bone marrow edema(BME) pattern on the MRI scans. Patient 1 was a 17-year-old woman who complained of bilateral knee pain. Physical examination revealed tenderness of the medial aspect of both knees in the vicinity of the patella. MRI showed a medial shelf and BME pattern in the non-weight bearing medial femoral condyle of both knees. Arthroscopic examination revealed cartilage damage and fibrillation about the surface of impingement in flexion corresponding to the BME pattern area. The shelf was resected,and the patient's symptoms were completely relieved. Patient 2 was a 15-year-old man who complained of right knee pain. Physical examination revealed tenderness of the medial aspect of his right knee in the vicinity of the patella. The ROM of the right knee was 100 degrees in flexion. MRI and an arthroscopic examination revealed the same findings as in Patient 1. The shelf was resected,and the patient's symptoms completely resolved. He has acquired a full ROM in flexion.


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基本情報

05570433.43.11.jpg
臨床整形外科
43巻11号 (2008年11月)
電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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