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Doctor insights on: Bone Infarct

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Can you please explain acetabular rim subchondral bone marrow oedema with anterosuperior notching in the bone cortex ?

Can you please explain acetabular rim subchondral bone marrow oedema with anterosuperior notching in the bone cortex
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See an orthopedist: This too complex to explain in 400 characters. See a good orthopedic surgeon and have them start from scratch. ...Read more

Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


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Sesmoid bone injury?

Sesmoid bone injury?

Arthritis or fractur: Sesamoiditis is painful inflammation of the sesamoid apparatus, which is located in the forefoot most patients will describe a deep achy and sharp pain in the ball of the foot behind the big toe with every step taken. It will be difficult to perform many weight bearing activities. Most patients do not have pain when at rest. Could be treated by consevatie means. Or surgical means. ...Read more

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3 yrs lytic bone lesions through axial skeleton -skull. Extramedullary hematopoiesis. New MRI spots on brain-bone marrow expansion. Can this be fatal?

3 yrs lytic bone lesions through axial skeleton -skull. Extramedullary hematopoiesis. New MRI spots on brain-bone marrow expansion. Can this be fatal?

Depends: Bone marrow expansion throughout the skeleton typically signals either that the marrow is i appropriately expanding into these compartment such as in a myeloproliferative disorder or the present regions of marrow production are insufficient to keep up with current body needs. Regardless of the cause this is best answered by hands on evaluation, testing and management by an hematologist. ...Read more

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Bone cysts versus bone spurs?

Bone  cysts versus bone spurs?

Inside bone/tendons.: Bone cysts r contained inside the bone, any where from simple benign @ malignant and need watching. Spurs r at the edges of the bone as in arthritis, or in response 2 tendinitis where a tendon attaches. As patellar tendinitis or where ligaments attach as in heel spurs ( planter fasciitis). Treatments r different 4 each & multiple 4 each. B followed & rx'd by an orthopedic surgeon. ...Read more

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MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?

MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?

Talar Dome Lesion: Kolleen, you have a large lesion off soft bone inside your ankle. Surgery can be an option, but attempting to create a pain free environment (from boot to just activity restrictions), contrast bathing nightly to increase circulation, Exogen bone stimulator for 9 months, repeat MRI in 6 months to see if improvement is being made, and other treatments available may avoid surgery. Dr Blake ...Read more

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What is the recovery time for subchondral insufficiency fracture left femoral head with extensive bone marrow edema?

What is the recovery time for subchondral insufficiency fracture left femoral head with extensive bone marrow edema?

Depends: classically we say fractures heal in 6-8 weeks but insufficiency fractures mean the bone was weak or not healthy in the first place and may take longer ...Read more

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Will a bone marrow transplant cure bone marrow cancer?

Will a bone marrow transplant cure bone marrow cancer?

Yes: However it depends on the type of cancer, if it is in remission or not ,age of the patient and the type of donor. It also depends on the type of transplant, from self or another donor ...Read more

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My mother, 84, MRI scan> subacute infarcts, bilateral frontal lobes, small vessel ischematic changes inthe basal ganglia, periventricular white matter?

My mother, 84, MRI scan> subacute infarcts, bilateral frontal lobes, small vessel ischematic changes inthe basal ganglia, periventricular white matter?

Small vessel disease: Mri in a 84 years old lady showing infarcts and small vessel disease means she is having ministrokes. That is very common in that age group. If she has heart disease or carotid artery disease or risk factors like high BP or diabetes or high lipids they should be controlled and she should follow up with her dr who can give her further recommendations. ...Read more

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Radiology/neurology. Ct scan shows bone, MRI shows soft tissue, so therefore can't indentify disease of skull bones. Intercrainial means misdiagnosis?

Radiology/neurology. Ct scan shows bone, MRI shows soft tissue, so therefore can't indentify disease of skull bones. Intercrainial means misdiagnosis?

Both are complex: CT and MRI can identify bones and soft tissues of the skull and anatomy of the brain but in different types of detail. Intracranial means inside the skull. ...Read more

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Is a heel bone density scan trustworthy?

Is a heel bone density scan trustworthy?

No...: No...Heel bone density scan is not as accurate or precise as other methods of bone densitometry. Spine, hip, and radius bone density measurements are better. ...Read more

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Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?

Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?

See orthopedic surg: Please see an orthopedic surgeon. Most likely need to be on crutches for a number of weeks. May need to wear a cast or boot as well. Some taler fractures also result in AVN which prolong the treatment course. ...Read more

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Chest xray what does small bone island 3rd left post rib, osseous density adjacent left 1st ant rib, low dens areas in clavicles scalpula humeri mean?

Follow up...: It is difficult to know the significance of the report you describe without more history. A bone island is a small benign sclerotic focus in the bone, but you also mention low density areas in the clavicles, scapula and humeri. Be sure to follow up with your referring physician about the significance of these findings. I hope this helps. ...Read more

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What is bone resorption and bone formation defect if osteoporosis?

What is bone resorption and bone formation defect if osteoporosis?

One process is: Greater. In osteoporosis, bone resorption is more prevalent then bone formation. As a result, a negative bone balance occurs and bone loss will occur and over time osteopenia or osteoporosis will occur. Medications such as Fosamax and Boniva (ibandronate) slow down bone resorption. ...Read more

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Is subchondral edematous contusion a bone bruise?

Is subchondral edematous contusion a bone bruise?

Yes: A bone bruise is actually a stress fracture. The inner trabeculae of the bone actually break. The healing of the stress fracture conincides with symptom resolution. ...Read more

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Can amyloidosis cause a hypoplastic bone marrow?

Can amyloidosis cause a hypoplastic bone marrow?

No: I would look for a different cause. Some amyloidosis (famously amyloidosis al, made from light chains) is caused by a subtle or not-so-subtle proliferation of plasma cells; this may be treated with marrow suppressors. In an older person, "hypoplastic marrow" may be from sampling a place where marrow was a bit scant; the blood picture's key here. Your physicians know more. Good luck. ...Read more

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Which is the best tablet for subcortical bone marrow edema in calcaneum (heel bone) ?

Which is the best tablet for  subcortical bone marrow edema  in calcaneum (heel bone) ?

I think keeping : Stress off the bone is the best treatment. Overall, i feel this will help more than a tablet will. ...Read more

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Dr. Scott Keith
3 doctors shared insights

Infarction (Definition)

When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...Read more


Dr. Sandra Lora Cremers
3 doctors shared insights

Infarct (Definition)

It means an area of tissue death due to lack of oxygen most commonly associated with ...Read more