Volume VI, Number 1 | March 2022

Transient Bone Marrow Edema Syndrome of the Navicular; A Unique Adolescent Case Report

1Mufarreh N, 1Pedre M, 1Cox Z, 2Fakhoury O, 3Zats S, Marriott T, Zats S
1Kansas City University of Medicine & Biosciences, Palos Hills, IL, United States; 2Midwestern University, Palos Hills, IL, United States; 3MidAmerica Orthopaedics, Palos Hills, IL, United States

Transient bone marrow edema (TBME) is a condition with limited discussion in current literature and is often misdiagnosed. TBME typically presents in middle-aged adult men at a 3-to-1 ratio with a slight increase in the number of cases amongst females during the third trimester of pregnancy. The limited knowledge around predisposing factors—most notability vitamin D deficiency which is thought to contribute to poor osteoid formation—adds another layer of complexity when considering TBME as a differential diagnosis. While uncommon in all populations, it is extremely rare for healthy adolescents to present with transient bone marrow edema, thus introducing the purpose of this case report.

Herein we provide our clinical and surgical management of transient bone marrow edema in an otherwise healthy 16-year-old adolescent male. He presented to our foot and ankle clinic with chronic pain after originally being diagnosed with an ankle sprain versus avascular necrosis at an outside facility, and failing conservative treatment measures. Within this report, we highlight treatment from September 2017 to March 2020 with long-term follow-up imaging and outcome data. Most notably, the complete resolution of symptoms by postoperative day seven, with correlative imaging studies. Hereby illustrating the use of subchondroplasty as a viable treatment option for transient bone marrow edema of the navicular in an adolescent patient population.

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The Journal of the American Osteopathic Academy of Orthopedics

Steven J. Heithoff, DO, FAOAO

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Authors in This Edition

J. Michael Anderson BS, OMS IV
Rigel Bacani BA, BS, OMS II
David Beckett OMS I
Bhakti Chavan MBBS, MPH
Jake Checketts DO
Grant Chudik OMS II
Adam Dann
Marc Davidson MD
Clinton J. Devin MD
Jeffrey Dulik DO
Bryan Dunford BS, OMS II
Diego Galindo DO
Gregory Galvin DO
Curtis Goltz DO

Jordan Grilliot DO
Brian Handal
Safet Hatic
Scott Dean Hodges DO
David Houserman DO
Jenna Jarrell MS IV
Michael Jones DO
Anthony Kamson DO
Tyler Metcalf MS IV
Anna Elisa Muzio DO
Cesar Cornejo Ochoa OMS I
Brandi Palmer MS
Joseph Patrick
David Phillips DO

Jonathan Phillips MD
Kornelis Poelstra MD
Jesse Raszewski DO, MS
Katherine Sage DO
Steven Santanello DO, FAOAO
Jared Scott DO
Julieanne Sees
James Seymour DO
Jonathan Schneider DO
John Alex Sielatycki MD
Benjamin Taylor MD, FAAOS
Trevor Torgerson BS, OMS IV
Phong Truong DO
Matt Vassar PhD