Transient epiphyseal lesions in renal transplant recipients: presumed insufficiency stress fractures
(1994) Radiology — Vol. 191, n° 2, p. 403-407 (1994)
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- Authors
Duprez, Thierry 
- Abstract
- PURPOSE: To determine epiphyseal abnormalities in renal transplant recipients. MATERIALS AND METHODS: Initial and final findings on serial conventional radiographs and magnetic resonance (MR) images obtained in symptomatic joints of transplant recipients were determined and correlated. RESULTS: In 42 of 47 joints, T1-weighted MR images depicted 106 ill-delimited areas of low signal intensity. At 1-year follow-up, all lesions had disappeared. T1-weighted MR images depicted nine well-delimited regions of normal signal intensity delineated by a rim of low signal intensity in seven joints. No lesion had completely disappeared at follow-up. Initial radiographs either were normal or showed patchy osteoporosis (13 joints). Follow-up radiographs showed epiphyseal collapse of two femoral heads, with well-delimited lesions on MR images, and subtle subchondral sclerosis in 21 noncollapsed epiphyses. CONCLUSION: Initial MR imaging patterns of transient lesions (92% of lesions) are different from those of irreversible lesions. Transient lesions suggest insufficiency stress fractures, while irreversible lesions suggest avascular osteonecrosis.
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Citations
Vande Berg, B., Malghem, J., Goffin, E., Duprez, T., & Maldague, B. (1994). Transient epiphyseal lesions in renal transplant recipients: presumed insufficiency stress fractures. Radiology, 191(2), 403-407. https://doi.org/10.1148/radiology.191.2.8153313 (Original work published 1994)