Bright signal on fluid-sensitive MRI sequences that shows overloaded, inflamed subchondral bone. It is strongly linked to pain and faster arthritis progression.
Causes
- Overload in osteoarthritis
- Injury (bone bruise after ACL tear)
- Subchondral insufficiency fracture
- Malalignment
Treatment options
- Offloading and activity modification
- Unloader brace
- Single Subchond injection
- Treat the cause (meniscus, alignment)
This page is for education only. Suitability for any treatment is decided after a clinical examination and imaging review.