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Relationship Between the Size of Bone Marrow Edema of the Talus and Ankle Pain

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  • 1 TC Namik Kemal University, School of Medicine, Department of Orthopedics and Traumatology, Tekirdag, Turkey.
  • | 2 TC Namik Kemal University, School of Medicine, Department of Physical Therapy and Rehabilitation, Tekirdag, Turkey.
  • | 3 TC Namik Kemal University, School of Medicine, Department of Radiology, Tekirdag, Turkey.
  • | 4 Medikent Hospital, Department of Orthopedics and Traumatology, Kirklareli, Turkey.
  • | 5 Baskent University Hospital Istanbul, Orthopedics and Traumatology, Istanbul, Turkey. Dr. Ozbaydar is now with Acibadem International Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
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Background:

We sought to determine the changes in the size of the edema observed on MRI scans and its relation to the patient’s pain during activity and pain during rest in bone marrow edema.

Methods:

A total of 26 patients were followed up at 3-month intervals for a period of 1 year. During the follow-ups, magnetic resonance imaging scans of the patients’ ankles were obtained; the scores obtained on the American Orthopaedic Foot and Ankle Society functional rating scale and visual analog scale were determined. The changes in these parameters and the correlation between them were examined.

Results:

The size of the edema as observed on magnetic resonance imaging scans decreased, and the pain during activity and rest decreased. Although there is a correlation between the decrease in the edema size observed on magnetic resonance imaging scans and decrease in the pain during activity, there is no correlation between the decrease in the edema size observed on magnetic resonance imaging scans and the decrease in pain during rest.

Conclusions:

Patients can be informed more precisely, that the pain during rest and activity may not decrease after the third and sixth month, respectively. Magnetic resonance imaging may not alter after the ninth month, so it may not be necessary to be performed again. (J Am Podiatr Med Assoc 101(5): 430–436, 2011)

Corresponding author: Murat Tonbul, MD, TC Namik Kemal University, Orthopedics and Traumatology, Yuzuncuyil Mah Ugur Mumc Cad Ittfaiye Binasi Arkasi Tekirdag, 59100, Turkey. (E-mail: mtonbul@gmail.com)