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MRI Bone Abnormality of the Knee following Ultrasound Therapy: Case Report and Short Review

Author

Listed:
  • Ismaël Moussadikine

    (Orthopedic and Traumatology Unit, Nantes University Hospital, 1 Place Alexis Ricordeau, 44000 Nantes, France)

  • Mỹ-Vân Nguyễn

    (Orthopedic and Traumatology Unit, Nantes University Hospital, 1 Place Alexis Ricordeau, 44000 Nantes, France)

  • Christophe Nich

    (Orthopedic and Traumatology Unit, Nantes University Hospital, 1 Place Alexis Ricordeau, 44000 Nantes, France
    INSERM, UMRS 1229, Regenerative Medicine and Skeleton (RMeS), Nantes Université, ONIRIS, 44042 Nantes, France)

  • Pierre-Paul Arrigoni

    (Radiology Department, Nantes University Hospital, 1 Place Alexis Ricordeau, 44000 Nantes, France)

  • Yonis Quinette

    (Orthopedic and Traumatology Unit, Nantes University Hospital, 1 Place Alexis Ricordeau, 44000 Nantes, France)

  • Vincent Crenn

    (Orthopedic and Traumatology Unit, Nantes University Hospital, 1 Place Alexis Ricordeau, 44000 Nantes, France
    CRCI2NA (Centre de Recherche en Cancérologie et Immunologie Nantes-Angers), INSERM UMR 1307, CNRS UMR 6075-Team 9 CHILD (Chromatin and Transcriptional Deregulation in Pediatric Bone Sarcoma), Nantes Université, 1 rue Gaston Veil, 44035 Nantes, France)

Abstract

Ultrasound (US) therapy in sports and medical pathologies is widely used by many physiotherapists and sports medicine clinicians; however, data regarding their potential side effects remain rare. We report a case of a 21-year-old woman with iliotibial band (ITB) syndrome treated with a physiotherapy session combined with US therapy. She had twenty 7 min US sessions on the knee, for 3 months (US at 1 Mhz with an intensity between 1 and 2 W/cm 2 ). Due to persistence of the ITB syndrome’s symptomatology after the 3 months of physiotherapy sessions, an MRI (magnetic resonance imaging) was carried out and revealed osteonecrosis-like bone abnormalities on the external femoral condyle, the external tibial plateau, and the proximal fibula. In view of these lesions, the ultrasonic therapy was stopped, and a repeat MRI demonstrated the progressive disappearance of these imaging abnormalities one year after the last US (ultrasound) treatment. In light of this case, we propose here a short review of reported osseous “osteonecrosis” abnormalities associated with US therapies.

Suggested Citation

  • Ismaël Moussadikine & Mỹ-Vân Nguyễn & Christophe Nich & Pierre-Paul Arrigoni & Yonis Quinette & Vincent Crenn, 2022. "MRI Bone Abnormality of the Knee following Ultrasound Therapy: Case Report and Short Review," IJERPH, MDPI, vol. 19(21), pages 1-12, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14202-:d:958265
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