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Juvenile bone-marrow oedema of the acetabulum treated by iloprost

2002; British Editorial Society of Bone & Joint Surgery; Volume: 84; Issue: 7 Linguagem: Inglês

10.1302/0301-620x.84b7.13175

2044-5377

N Aigner, G. Petje, W. Schneider, Christian Krasny, Franz Grill, F Landsiedl,

Hip disorders and treatments

The Journal of Bone and Joint Surgery. British volumeVol. 84-B, No. 7 Case ReportFree AccessJuvenile bone-marrow oedema of the acetabulum treated by iloprostCASE REPORTN. Aigner, G. Petje, W. Schneider, C. Krasny, F. Grill, F. LandsiedlN. AignerConsultant Orthopaedic Surgeon, G. PetjeConsultant Orthopaedic Surgeon, W. SchneiderConsultant Orthopaedic Surgeon, C. KrasnyResident, F. GrillHead of Department, F. LandsiedlHead of DepartmentPublished Online:1 Sep 2002https://doi.org/10.1302/0301-620X.84B7.0841050AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail AbstractThe bone-marrow oedema syndrome is associated with local vascular disturbances and may be treated either conservatively or by core decompression after which recovery may take several weeks. We describe a 15-year-old girl with bone-marrow oedema of the left acetabulum which was confirmed by MRI. She presented with a four-week history of severe constant pain. Routine blood tests and plain radiographs were normal. She was treated with intravenous infusions of iloprost on five consecutive days (20 μg administered in 500 ml of sodium chloride). Iloprost causes vasodilatation with reduction of capillary permeability and it inhibits platelet aggregation. She had relief from pain at rest after three days of treatment and was completely free from symptoms after two weeks. MRI after six weeks showed almost complete resolution of the marrow oedema and was normal after four months. This is the first report of the pharmacological treatment of the bone-marrow oedema syndrome in children.FiguresReferencesRelatedDetailsCited ByWrist Injuries26 May 2022Handgelenksverletzungen9 July 2020Bone Marrow Foot Oedema in Adolescents: The Role of Vitamin DJournal of Bone Metabolism, Vol. 26, No. 4Rock Climbing–Related Bone Marrow Edema of the Hand: A Follow-up StudyClinical Journal of Sport Medicine, Vol. 28, No. 4The Medical and Surgical Treatment of ARCO Stage-I and II Osteonecrosis of the Femoral HeadJBJS Reviews, Vol. 2, No. 2Relationship between cortical bone formation on mandibular condyles and alternation of the magnetic resonance signals characteristic of growthAmerican Journal of Orthodontics and Dentofacial Orthopedics, Vol. 131, No. 4Percutaneous drilling for the treatment of secondary osteonecrosis of the kneeG. Marulanda, T. M. Seyler, N. H. Sheikh, M. A. Mont1 June 2006 | The Journal of Bone and Joint Surgery. British volume, Vol. 88-B, No. 6Aseptic Osteonecrosis in Children and Adolescents Treated for Hemato-Oncologic DiseasesJournal of Pediatric Hematology/Oncology, Vol. 27, No. 5The management of necrosis-associated and idiopathic bone-marrow oedema of the proximal femur by intravenous iloprostA. C. Disch, G. Matziolis, C. Perka1 April 2005 | The Journal of Bone and Joint Surgery. British volume, Vol. 87-B, No. 4Treatment of Reflex Sympathetic Dystrophy in Children Using a Prostacyclin AnalogClinical Orthopaedics and Related Research, Vol. &NA;, No. 433Alternation of the magnetic resonance signals characteristic of mandibular condyles during growthOral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, Vol. 98, No. 3Detection and significance of the characteristic magnetic resonance signals of mandibular condyles in childrenOral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, Vol. 97, No. 2 Vol. 84-B, No. 7 Metrics History Published online 1 September 2002 Published in print 1 September 2002 InformationCopyright © 2002, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download