Focal Periphyseal Edema (FOPE) in an Adolescent Female: A Case Report

Article Sidebar

PDF (Español (España)) PDF_EN HTML (Español (España))
Published: Dec 26, 2024
DOI: https://doi.org/10.15417/issn.1852-7434.2024.89.6.1937
Keywords:
Knee, growth plate, adolescent, edema, magnetic resonance imaging

Main Article Content

Carlos Navarro
Knee Reconstruction and Traumatology Service, Ortovital Centro de Ortopedia y Rehabilitación, Barranquilla, Colombia
https://orcid.org/0009-0000-4360-7919
Santiago Sarzosa
Department of Orthopedics and Traumatology, Universidad Libre - Barranquilla, Barranquilla, Colombia
https://orcid.org/0009-0001-9325-1647
Juan David Paternina Carballo
Department of Orthopedics and Traumatology, Universidad Libre - Barranquilla, Barranquilla, Colombia
https://orcid.org/0000-0001-5743-545X

Abstract

Focal periphyseal edema (FOPE) zones are unusual imaging findings first described in 2011 by Zbojniewicz and Laor. They appear as areas of bone marrow edema centered on the physis of the knee in adolescents nearing skeletal maturity. This condition is clinically significant because knee pain is a frequent reason for consultation in adolescent patients. In many cases, physical examination and radiographs do not provide sufficient findings for a definitive diagnosis, leading to symptom-based treatment without a clear etiology. We report the case of a 13-year-old adolescent presenting with unilateral anterior knee pain without a historyof trauma or underlying pathology. The patient had been previously evaluated multiple times without a conclusive diagnosis. Magnetic resonance imaging (MRI) revealed specific findings consistent with a FOPE lesion or zone. Symptomatic treatment was subsequently offered.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Article Details

How to Cite
Navarro , C., Sarzosa , S., & Paternina Carballo , J. D. (2024). Focal Periphyseal Edema (FOPE) in an Adolescent Female: A Case Report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 89(6), 647-650. https://doi.org/10.15417/issn.1852-7434.2024.89.6.1937
Issue
Vol 89 No 6 (2024)
Section
Case Presentations
Copyright (c) 2024 Revista de la Asociación Argentina de Ortopedia y Traumatología

Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.

In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.

It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.

The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.

Author Biographies

Carlos Navarro , Knee Reconstruction and Traumatology Service, Ortovital Centro de Ortopedia y Rehabilitación, Barranquilla, Colombia

Knee Reconstruction and Traumatology Service, Ortovital Centro de Ortopedia y Rehabilitación, Barranquilla, Colombia

Santiago Sarzosa , Department of Orthopedics and Traumatology, Universidad Libre - Barranquilla, Barranquilla, Colombia

Department of Orthopedics and Traumatology, Universidad Libre - Barranquilla, Barranquilla, Colombia

Juan David Paternina Carballo , Department of Orthopedics and Traumatology, Universidad Libre - Barranquilla, Barranquilla, Colombia

Department of Orthopedics and Traumatology, Universidad Libre - Barranquilla, Barranquilla, Colombia

References

1. Zbojniewicz A, Laor T. Focal periphyseal edema (FOPE) zone on MRI of the adolescent knee: A potentially painful manifestation of physiologic physeal fusion? AJR Am J Roentgenol 2011;197(4):998-1004.
https://doi.org/10.2214/AJR.10.6243

2. Ueyamaa H, Kitanob T, Nakagawab K, Aonoa M. Clinical experiences of focal periphyseal edema zones in
adolescent knees: case reports. J Pediatr Orthop B 2018;27(1):26-30. https://doi.org/10.1097/BPB.0000000000000388

3. Giles E, Nicholson A, Sharkey M, Carter C. Focal periphyseal edema: Are we overtreating physiologic adolescent
knee pain? J Am Acad Orthop Surg Glob Res Rev 2018;2(4):e047. https://doi.org/10.5435/JAAOSGlobal-D-17-00047

4. Speirs J, Shields T, Morrison III M. Focal periphyseal edema: An uncommon cause of adolescent knee pain. A
report of three cases. JBJS Case Connect 2019;9(3):e0391. https://doi.org/10.2106/JBJS.CC.18.00391

5. Bochmann T, Forrester R, Smith J. Case report: imaging the clinical course of FOPE—a cause of adolescent knee pain. J Surg Case Rep 2016;11:1-2. https://doi.org/10.1093/jscr/rjw178

6. Sakamoto A, Matsuda S. Focal periphyseal edema zone on magnetic resonance imaging in the greater trochanter apophysis: A case report. J Orthop Case Rep 2017;7(4):29-31. https://doi.org/10.13107/jocr.2250-0685.836

7. Sanghvi D. Periphyseal edema: always pathology or sometimes physiology? Jpn J Radiol 2020;38(10):1004-1005. https://doi.org/10.1007/s11604-020-00992-8

8. Beckmann N, Spence S. Unusual presentations of focal periphyseal edema zones: Report of bilateral symmetric presentation and partial physeal closure. Case Rep Radiol 2015;2015:465018. https://doi.org/10.1155/2015/465018

9. Staheli LT. Features of the immature skeleton. En: Staheli LT (ed.). Fundamentals of pediatric orthopedics.
Philadelphia, PA: Lippincott, Williams & Wilkins; 2008, p. 18-23.