I always had the same question and I have heard lecturer saying that it was not possible to make the DD between mechanical or inflammatory enthesopathy.
In this case I am intrigued by the regional bone/marrow changes with disseminated dots or linear subcortical marrow edema-like changes that indicate increase bone remodeling. Was she in a plaster for a while ? If not, this finding would indicate a regional process that would best suit the inflammatory hypothesis but this is a very tiny argument.
Any other painful area ? skin changes ?
Bruno
Le 12-07-23 à 19:07, ‘Jlcui’ via OCAD MSK a écrit :
I prefer to think it is Transient bone marrow oedema.
BestCui
Dear friends
Probably a stupid question, but not always obvious for me whether you are dealing with an insertional tendinopathy, enthesitis or stress reaction of bone.
A 30 year old female, no known disease, no trauma, no nothing, just heel pain for several weeks. No fracture line as I can see, just the physeal scar.
Enclosed an image, and the entire case – all sequences – are uploaded to the Collective Minds platform, should be accessible for scrolling without registration, choose "Open Review Mode" on the red button on the right side:
https://www.cmrad.com/cases/1459580672Any good tips on the "enthesitis" problem would be appreciated.
Best
Pedersen
Norway
