Trabecular oedema: Difference between revisions
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{{Infobox medical condition | |||
[[File:BME_illustration-01.png|Trabecular | | name = Trabecular oedema | ||
| image = [[File:BME_illustration-01.png|250px]] | |||
| caption = Illustration of trabecular oedema | |||
| field = [[Ophthalmology]] | |||
| synonyms = Trabecular edema | |||
| symptoms = [[Blurred vision]], [[eye pain]], [[halos around lights]] | |||
| complications = [[Glaucoma]], [[vision loss]] | |||
| onset = Sudden or gradual | |||
| duration = Variable | |||
| causes = [[Intraocular pressure]] changes, [[inflammation]] | |||
| risks = [[Age]], [[family history]], [[eye surgery]] | |||
| diagnosis = [[Ophthalmic examination]], [[tonometry]], [[gonioscopy]] | |||
| differential = [[Corneal edema]], [[uveitis]], [[acute angle-closure glaucoma]] | |||
| prevention = Regular [[eye exams]], managing [[risk factors]] | |||
| treatment = [[Medications]], [[laser therapy]], [[surgery]] | |||
| prognosis = Variable, depending on cause and treatment | |||
| frequency = Rare | |||
}} | |||
'''Trabecular oedema''' refers to the accumulation of excess fluid within the trabecular bone, which is the spongy bone found at the ends of long bones and within the interior of vertebrae. This condition is often detected through imaging techniques such as [[magnetic resonance imaging]] (MRI) and is associated with various musculoskeletal disorders. | '''Trabecular oedema''' refers to the accumulation of excess fluid within the trabecular bone, which is the spongy bone found at the ends of long bones and within the interior of vertebrae. This condition is often detected through imaging techniques such as [[magnetic resonance imaging]] (MRI) and is associated with various musculoskeletal disorders. | ||
==Pathophysiology== | ==Pathophysiology== | ||
Trabecular oedema occurs when there is an increase in fluid within the bone marrow spaces of the trabecular bone. This can be due to a variety of causes, including trauma, inflammation, or degenerative changes. The increased fluid can lead to increased pressure within the bone, causing pain and discomfort. | Trabecular oedema occurs when there is an increase in fluid within the bone marrow spaces of the trabecular bone. This can be due to a variety of causes, including trauma, inflammation, or degenerative changes. The increased fluid can lead to increased pressure within the bone, causing pain and discomfort. | ||
==Causes== | ==Causes== | ||
===Trauma=== | ===Trauma=== | ||
[[File:T1_TSE_MRI_of_hip_fracture.jpg|MRI of hip fracture showing trabecular oedema|thumb|left]] | [[File:T1_TSE_MRI_of_hip_fracture.jpg|MRI of hip fracture showing trabecular oedema|thumb|left]] | ||
Trauma is a common cause of trabecular oedema. Injuries such as fractures or bone contusions can lead to localized oedema as part of the body's inflammatory response. The oedema is often seen in conjunction with other signs of injury on imaging studies. | Trauma is a common cause of trabecular oedema. Injuries such as fractures or bone contusions can lead to localized oedema as part of the body's inflammatory response. The oedema is often seen in conjunction with other signs of injury on imaging studies. | ||
===Osteoarthritis=== | ===Osteoarthritis=== | ||
[[File:Knee_Osteoarthritis.svg|Knee osteoarthritis illustration|thumb|left]] | |||
[[File:Knee_Osteoarthritis.svg|Knee osteoarthritis illustration|thumb| | |||
In conditions like [[osteoarthritis]], the degeneration of joint cartilage and underlying bone can lead to trabecular oedema. The increased mechanical stress on the bone due to cartilage loss can cause microfractures and subsequent fluid accumulation. | In conditions like [[osteoarthritis]], the degeneration of joint cartilage and underlying bone can lead to trabecular oedema. The increased mechanical stress on the bone due to cartilage loss can cause microfractures and subsequent fluid accumulation. | ||
===Inflammatory Conditions=== | ===Inflammatory Conditions=== | ||
Inflammatory conditions such as [[rheumatoid arthritis]] can also lead to trabecular oedema. The inflammation associated with these conditions can increase vascular permeability, leading to fluid leakage into the bone marrow spaces. | Inflammatory conditions such as [[rheumatoid arthritis]] can also lead to trabecular oedema. The inflammation associated with these conditions can increase vascular permeability, leading to fluid leakage into the bone marrow spaces. | ||
==Symptoms== | ==Symptoms== | ||
The primary symptom of trabecular oedema is pain, which is often localized to the affected area. The pain may be exacerbated by weight-bearing activities or movement. Swelling and tenderness may also be present. | The primary symptom of trabecular oedema is pain, which is often localized to the affected area. The pain may be exacerbated by weight-bearing activities or movement. Swelling and tenderness may also be present. | ||
==Diagnosis== | ==Diagnosis== | ||
[[File:Knee_Effusion.jpg|Knee effusion, often associated with trabecular oedema|thumb|left]] | [[File:Knee_Effusion.jpg|Knee effusion, often associated with trabecular oedema|thumb|left]] | ||
Diagnosis of trabecular oedema is typically made using MRI, which can visualize the increased fluid content within the bone. MRI is preferred over other imaging modalities because it provides detailed images of soft tissues and bone marrow. | Diagnosis of trabecular oedema is typically made using MRI, which can visualize the increased fluid content within the bone. MRI is preferred over other imaging modalities because it provides detailed images of soft tissues and bone marrow. | ||
==Treatment== | ==Treatment== | ||
Treatment of trabecular oedema focuses on addressing the underlying cause. For traumatic injuries, rest and immobilization may be recommended. In cases of osteoarthritis or inflammatory conditions, medications such as [[nonsteroidal anti-inflammatory drugs]] (NSAIDs) or [[corticosteroids]] may be used to reduce inflammation and pain. | Treatment of trabecular oedema focuses on addressing the underlying cause. For traumatic injuries, rest and immobilization may be recommended. In cases of osteoarthritis or inflammatory conditions, medications such as [[nonsteroidal anti-inflammatory drugs]] (NSAIDs) or [[corticosteroids]] may be used to reduce inflammation and pain. | ||
[[File:Iloprost_-_Copy.jpg|Iloprost, a medication used in some cases|thumb|left]] | |||
[[File:Iloprost_-_Copy.jpg|Iloprost, a medication used in some cases|thumb| | |||
In some cases, medications like [[Iloprost]] may be used to improve blood flow and reduce oedema. Physical therapy may also be beneficial in restoring function and reducing pain. | In some cases, medications like [[Iloprost]] may be used to improve blood flow and reduce oedema. Physical therapy may also be beneficial in restoring function and reducing pain. | ||
==Prognosis== | ==Prognosis== | ||
The prognosis for trabecular oedema depends on the underlying cause. In cases of trauma, the oedema often resolves with appropriate treatment. In chronic conditions like osteoarthritis, management of symptoms and slowing disease progression are the primary goals. | The prognosis for trabecular oedema depends on the underlying cause. In cases of trauma, the oedema often resolves with appropriate treatment. In chronic conditions like osteoarthritis, management of symptoms and slowing disease progression are the primary goals. | ||
==See also== | |||
== | |||
* [[Bone marrow edema]] | * [[Bone marrow edema]] | ||
* [[Osteoarthritis]] | * [[Osteoarthritis]] | ||
* [[Rheumatoid arthritis]] | * [[Rheumatoid arthritis]] | ||
* [[Magnetic resonance imaging]] | * [[Magnetic resonance imaging]] | ||
[[Category:Musculoskeletal disorders]] | [[Category:Musculoskeletal disorders]] | ||
Latest revision as of 07:27, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Trabecular oedema | |
|---|---|
| |
| Synonyms | Trabecular edema |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Blurred vision, eye pain, halos around lights |
| Complications | Glaucoma, vision loss |
| Onset | Sudden or gradual |
| Duration | Variable |
| Types | N/A |
| Causes | Intraocular pressure changes, inflammation |
| Risks | Age, family history, eye surgery |
| Diagnosis | Ophthalmic examination, tonometry, gonioscopy |
| Differential diagnosis | Corneal edema, uveitis, acute angle-closure glaucoma |
| Prevention | Regular eye exams, managing risk factors |
| Treatment | Medications, laser therapy, surgery |
| Medication | N/A |
| Prognosis | Variable, depending on cause and treatment |
| Frequency | Rare |
| Deaths | N/A |
Trabecular oedema refers to the accumulation of excess fluid within the trabecular bone, which is the spongy bone found at the ends of long bones and within the interior of vertebrae. This condition is often detected through imaging techniques such as magnetic resonance imaging (MRI) and is associated with various musculoskeletal disorders.
Pathophysiology[edit]
Trabecular oedema occurs when there is an increase in fluid within the bone marrow spaces of the trabecular bone. This can be due to a variety of causes, including trauma, inflammation, or degenerative changes. The increased fluid can lead to increased pressure within the bone, causing pain and discomfort.
Causes[edit]
Trauma[edit]
Trauma is a common cause of trabecular oedema. Injuries such as fractures or bone contusions can lead to localized oedema as part of the body's inflammatory response. The oedema is often seen in conjunction with other signs of injury on imaging studies.
Osteoarthritis[edit]
In conditions like osteoarthritis, the degeneration of joint cartilage and underlying bone can lead to trabecular oedema. The increased mechanical stress on the bone due to cartilage loss can cause microfractures and subsequent fluid accumulation.
Inflammatory Conditions[edit]
Inflammatory conditions such as rheumatoid arthritis can also lead to trabecular oedema. The inflammation associated with these conditions can increase vascular permeability, leading to fluid leakage into the bone marrow spaces.
Symptoms[edit]
The primary symptom of trabecular oedema is pain, which is often localized to the affected area. The pain may be exacerbated by weight-bearing activities or movement. Swelling and tenderness may also be present.
Diagnosis[edit]
Diagnosis of trabecular oedema is typically made using MRI, which can visualize the increased fluid content within the bone. MRI is preferred over other imaging modalities because it provides detailed images of soft tissues and bone marrow.
Treatment[edit]
Treatment of trabecular oedema focuses on addressing the underlying cause. For traumatic injuries, rest and immobilization may be recommended. In cases of osteoarthritis or inflammatory conditions, medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids may be used to reduce inflammation and pain.
In some cases, medications like Iloprost may be used to improve blood flow and reduce oedema. Physical therapy may also be beneficial in restoring function and reducing pain.
Prognosis[edit]
The prognosis for trabecular oedema depends on the underlying cause. In cases of trauma, the oedema often resolves with appropriate treatment. In chronic conditions like osteoarthritis, management of symptoms and slowing disease progression are the primary goals.
