Painful XXXX of the foot and ankle.

@entity1 @entity158 @entity236 @entity85 @entity130
BACKGROUND: Bone @entity236 (BMES) of the foot and ankle is an uncommon and often undiagnosed disorder that, to our knowledge, has not previously been reported in the orthopaedic literature. The current study reviews a consecutive series of @entity1 who were seen with this @entity85 in order to highlight the clinical presentation and diagnostic imaging characteristics specific to this disorder. MATERIALS AND METHODS: A retrospective chart study was performed involving 601 @entity1 who underwent magnetic resonance (MR) imaging of the foot and ankle at our institution from April 2005 to April 2006. We identified 14 @entity1 whose MR imaging demonstrated findings consistent with BMES. RESULTS: All 14 @entity1 demonstrated characteristic diffuse, irregularly increased signal intensity on T2-weighted MR imaging and variable areas of decreased signal intensity on T1-weighted MR images in an average of three bones within the foot and ankle. Average @entity1 age was 16.4 (range, 10 to 27) years, and no @entity1 reported a history of prior @entity130 . Eight @entity1 received treatment for an incorrect initial diagnosis with two of those @entity1 undergoing surgical procedures. Twelve @entity1 were successfully treated with supportive nonoperative therapy for an average length of 19.4 months. Four @entity1 had followup MR imaging demonstrating signal changes consistent with their clinical improvement/changes. CONCLUSION: BMES of the foot and ankle is a clinical disorder seen in younger @entity1 with a clinical history of prolonged foot and @entity158 of unknown etiology and without prior @entity130 . MR findings from this series are consistent with previous descriptions in the radiology literature. Furthermore, MR imaging can be utilized to monitor the progression or resolution of this disorder. Proper diagnosis and treatment may prevent further unnecessary diagnostic testing or surgical procedures.
