Resection and resolution of bone marrow lesions associated with an improvement of pain after total knee replacement: a novel case study using a 3-Tesla metal artefact reduction MRI sequence
We present our case report using a novel metal artefact reduction magnetic resonance imaging (MRI) sequence to observe resolution of subchondral bone marrow lesions (BMLs), which are strongly associated with pain, in a patient after total knee replacement surgery. Large BMLs were seen preoperatively...
| Main Authors: | , , , , |
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| Format: | Article |
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Hindawi Publishing Corporation
2016
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| Online Access: | https://eprints.nottingham.ac.uk/38403/ |
| _version_ | 1848795603807502336 |
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| author | Kurien, Thomas Kerslake, Robert Haywood, Brett Pearson, Richard G. Scammell, Brigitte E. |
| author_facet | Kurien, Thomas Kerslake, Robert Haywood, Brett Pearson, Richard G. Scammell, Brigitte E. |
| author_sort | Kurien, Thomas |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | We present our case report using a novel metal artefact reduction magnetic resonance imaging (MRI) sequence to observe resolution of subchondral bone marrow lesions (BMLs), which are strongly associated with pain, in a patient after total knee replacement surgery. Large BMLs were seen preoperatively on the 3-Tesla MRI scans in a patient with severe end stage OA awaiting total knee replacement surgery. Twelve months after surgery, using a novel metal artefact reduction MRI sequence, we were able to visualize the bone-prosthesis interface and found complete resection and resolution of these BMLs. This is the first reported study in the UK to use this metal artefact reduction MRI sequence at 3-Tesla showing that resection and resolution of BMLs in this patient were associated with an improvement of pain and function after total knee replacement surgery. In this case it was associated with a clinically significant improvement of pain and function after surgery. Failure to eradicate these lesions may be a cause of persistent postoperative pain that is seen in up to 20% of patients following TKR surgery. |
| first_indexed | 2025-11-14T19:34:43Z |
| format | Article |
| id | nottingham-38403 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:34:43Z |
| publishDate | 2016 |
| publisher | Hindawi Publishing Corporation |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-384032020-05-04T20:05:22Z https://eprints.nottingham.ac.uk/38403/ Resection and resolution of bone marrow lesions associated with an improvement of pain after total knee replacement: a novel case study using a 3-Tesla metal artefact reduction MRI sequence Kurien, Thomas Kerslake, Robert Haywood, Brett Pearson, Richard G. Scammell, Brigitte E. We present our case report using a novel metal artefact reduction magnetic resonance imaging (MRI) sequence to observe resolution of subchondral bone marrow lesions (BMLs), which are strongly associated with pain, in a patient after total knee replacement surgery. Large BMLs were seen preoperatively on the 3-Tesla MRI scans in a patient with severe end stage OA awaiting total knee replacement surgery. Twelve months after surgery, using a novel metal artefact reduction MRI sequence, we were able to visualize the bone-prosthesis interface and found complete resection and resolution of these BMLs. This is the first reported study in the UK to use this metal artefact reduction MRI sequence at 3-Tesla showing that resection and resolution of BMLs in this patient were associated with an improvement of pain and function after total knee replacement surgery. In this case it was associated with a clinically significant improvement of pain and function after surgery. Failure to eradicate these lesions may be a cause of persistent postoperative pain that is seen in up to 20% of patients following TKR surgery. Hindawi Publishing Corporation 2016 Article PeerReviewed Kurien, Thomas, Kerslake, Robert, Haywood, Brett, Pearson, Richard G. and Scammell, Brigitte E. (2016) Resection and resolution of bone marrow lesions associated with an improvement of pain after total knee replacement: a novel case study using a 3-Tesla metal artefact reduction MRI sequence. Case Reports in Orthopedics, 2016 . pp. 1-5. ISSN 2090-6757 https://www.hindawi.com/journals/crior/2016/6043497/ doi:10.1155/2016/6043497 doi:10.1155/2016/6043497 |
| spellingShingle | Kurien, Thomas Kerslake, Robert Haywood, Brett Pearson, Richard G. Scammell, Brigitte E. Resection and resolution of bone marrow lesions associated with an improvement of pain after total knee replacement: a novel case study using a 3-Tesla metal artefact reduction MRI sequence |
| title | Resection and resolution of bone marrow lesions associated with an improvement of pain after total knee replacement: a novel case study using a 3-Tesla metal artefact reduction MRI sequence |
| title_full | Resection and resolution of bone marrow lesions associated with an improvement of pain after total knee replacement: a novel case study using a 3-Tesla metal artefact reduction MRI sequence |
| title_fullStr | Resection and resolution of bone marrow lesions associated with an improvement of pain after total knee replacement: a novel case study using a 3-Tesla metal artefact reduction MRI sequence |
| title_full_unstemmed | Resection and resolution of bone marrow lesions associated with an improvement of pain after total knee replacement: a novel case study using a 3-Tesla metal artefact reduction MRI sequence |
| title_short | Resection and resolution of bone marrow lesions associated with an improvement of pain after total knee replacement: a novel case study using a 3-Tesla metal artefact reduction MRI sequence |
| title_sort | resection and resolution of bone marrow lesions associated with an improvement of pain after total knee replacement: a novel case study using a 3-tesla metal artefact reduction mri sequence |
| url | https://eprints.nottingham.ac.uk/38403/ https://eprints.nottingham.ac.uk/38403/ https://eprints.nottingham.ac.uk/38403/ |