Osteonecrosis of the Knee: Not all Bone Edema is the Same

Matthew C Pearl; Michael A Mont; Giles R Scuderi

doi:10.1016/j.ocl.2022.06.002

Osteonecrosis of the Knee: Not all Bone Edema is the Same

Orthop Clin North Am. 2022 Oct;53(4):377-392. doi: 10.1016/j.ocl.2022.06.002. Epub 2022 Sep 14.

Authors

Matthew C Pearl¹, Michael A Mont², Giles R Scuderi³

Affiliations

¹ Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY, USA; Northwell Orthopedic Institute, 130 East 77th Street, 11th Floor, Black Hall, New York, NY 10075, USA. Electronic address: matthewcpearl@gmail.com.
² Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY, USA; Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 W. Belvedere Avenue, Baltimore, MD, USA.
³ Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY, USA; Northwell Orthopedic Institute, 210 East 64th Street, New York, NY 10065, USA.

PMID: 36208881
DOI: 10.1016/j.ocl.2022.06.002

Abstract

Knee pain is among the most common complaints that an orthopedic surgeon may see in practice. It is often worked up with X-rays and MRI, leading to a myriad of potential diagnoses ranging from minimal edema patterns to various types of osteonecrosis. Similarities in certain causes can pose diagnostic challenges. The purpose of this review was to present the 3 types of osteonecrosis observed in the knee as well as additional causes to consider to help aid in the diagnosis and treatment..

Keywords: Bone marrow edema; Knee pain; MRI; Osteonecrosis.

Publication types

Review

MeSH terms

Bone and Bones
Edema / diagnosis
Edema / etiology
Humans
Knee Joint / diagnostic imaging
Knee*
Magnetic Resonance Imaging
Osteonecrosis* / diagnostic imaging
Osteonecrosis* / etiology