2023 Annual Meeting Biologics-Bone Marrow Edema_ Does It Matter and How Do I Manage

Bone Marrow Edema_ Does It Matter and How Do I Manage_

Video Transcription

Video Summary

Dr. Jack Farr discusses bone marrow edema (BME), emphasizing its clinical importance due to its association with pain and faster osteoarthritis progression. BME often results from underlying pathologies like stress fractures, insufficiency fractures, or avascular necrosis, underscoring the need to treat the root cause, not just the lesion. He advises using terms like "bone marrow lesion" to reflect its varied nature. Treatment strategies depend on etiology and may include activity modification, realignment, cartilage restoration, decompression, structural support (e.g., calcium phosphate injections), or pharmacologic agents like bisphosphonates, though their use remains debated.

Asset Caption

Jack Farr II, M.D.

Keywords

bone marrow edema

osteoarthritis progression

stress fractures

bone marrow lesion

bisphosphonates