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

DOI: https://doi.org/10.15417/issn.1852-7434.2024.89.6.1937
Keywords: Knee, growth plate, adolescent, edema, magnetic resonance imaging

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.

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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

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Published
2024-12-26
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
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