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Unusual Presentations of Focal Periphyseal Edema Zones: A Report of Bilateral Symmetric Presentation and Partial Physeal Closure.

Beckmann N, Spence S - Case Rep Radiol (2015)

Bottom Line: Since the original case series describing these areas of periphyseal edema, there has been little published in regard to FOPE zone outside of review articles.We present a set of three patients identified with focal periphyseal edema zones around the knee and compare our findings with the initial case series.We include a patient presenting with bilateral, nearly symmetric, focal periphyseal edema zones of the proximal tibia physis and a patient with partial closure of the physis at time of presentation, which were not reported in the original case series.

View Article: PubMed Central - PubMed

Affiliation: Department of Diagnostic and Interventional Imaging, Memorial Hermann, University of Texas Health Science Center, 6431 Fannin Street, No. 2.130B, Houston, TX 77030, USA.

ABSTRACT
Focal periphyseal edema (FOPE) zones are areas of periphyseal edema seen near the time of physeal closure which are believed to be a physiologic phenomenon related to changes in distribution of forces around the physis as it closes. Since the original case series describing these areas of periphyseal edema, there has been little published in regard to FOPE zone outside of review articles. We present a set of three patients identified with focal periphyseal edema zones around the knee and compare our findings with the initial case series. We include a patient presenting with bilateral, nearly symmetric, focal periphyseal edema zones of the proximal tibia physis and a patient with partial closure of the physis at time of presentation, which were not reported in the original case series.

No MeSH data available.


Related in: MedlinePlus

A 13-year-3-month-old female with FOPE zones at both proximal tibiae. Findings: AP radiograph of the bilateral knees at time of initial presentation shows a subtle lytic lesion abutting the articular surface of the right medial femoral condyle (arrow). The radiographs were initially interpreted as normal. Technique: AP radiograph kVp = 77, mAs = 4.
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fig1: A 13-year-3-month-old female with FOPE zones at both proximal tibiae. Findings: AP radiograph of the bilateral knees at time of initial presentation shows a subtle lytic lesion abutting the articular surface of the right medial femoral condyle (arrow). The radiographs were initially interpreted as normal. Technique: AP radiograph kVp = 77, mAs = 4.

Mentions: An adolescent female softball player presented with gradually worsening right anterior knee pain and knee stiffness of several months duration. She had focal tenderness in the right infrapatellar region on palpation and mild pain during knee flexion. Initial radiographs of the right knee (Figure 1) were interpreted as normal. The patient was treated with a presumed diagnosis of patellar tendinitis and instructed to undergo a brief period of rest followed by physical therapy with gradual return to normal activity.


Unusual Presentations of Focal Periphyseal Edema Zones: A Report of Bilateral Symmetric Presentation and Partial Physeal Closure.

Beckmann N, Spence S - Case Rep Radiol (2015)

A 13-year-3-month-old female with FOPE zones at both proximal tibiae. Findings: AP radiograph of the bilateral knees at time of initial presentation shows a subtle lytic lesion abutting the articular surface of the right medial femoral condyle (arrow). The radiographs were initially interpreted as normal. Technique: AP radiograph kVp = 77, mAs = 4.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4660012&req=5

fig1: A 13-year-3-month-old female with FOPE zones at both proximal tibiae. Findings: AP radiograph of the bilateral knees at time of initial presentation shows a subtle lytic lesion abutting the articular surface of the right medial femoral condyle (arrow). The radiographs were initially interpreted as normal. Technique: AP radiograph kVp = 77, mAs = 4.
Mentions: An adolescent female softball player presented with gradually worsening right anterior knee pain and knee stiffness of several months duration. She had focal tenderness in the right infrapatellar region on palpation and mild pain during knee flexion. Initial radiographs of the right knee (Figure 1) were interpreted as normal. The patient was treated with a presumed diagnosis of patellar tendinitis and instructed to undergo a brief period of rest followed by physical therapy with gradual return to normal activity.

Bottom Line: Since the original case series describing these areas of periphyseal edema, there has been little published in regard to FOPE zone outside of review articles.We present a set of three patients identified with focal periphyseal edema zones around the knee and compare our findings with the initial case series.We include a patient presenting with bilateral, nearly symmetric, focal periphyseal edema zones of the proximal tibia physis and a patient with partial closure of the physis at time of presentation, which were not reported in the original case series.

View Article: PubMed Central - PubMed

Affiliation: Department of Diagnostic and Interventional Imaging, Memorial Hermann, University of Texas Health Science Center, 6431 Fannin Street, No. 2.130B, Houston, TX 77030, USA.

ABSTRACT
Focal periphyseal edema (FOPE) zones are areas of periphyseal edema seen near the time of physeal closure which are believed to be a physiologic phenomenon related to changes in distribution of forces around the physis as it closes. Since the original case series describing these areas of periphyseal edema, there has been little published in regard to FOPE zone outside of review articles. We present a set of three patients identified with focal periphyseal edema zones around the knee and compare our findings with the initial case series. We include a patient presenting with bilateral, nearly symmetric, focal periphyseal edema zones of the proximal tibia physis and a patient with partial closure of the physis at time of presentation, which were not reported in the original case series.

No MeSH data available.


Related in: MedlinePlus