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Bone contusions - are they really fractures?

With the advent of MRI, we now have a new category of bone injury called a bone contusion (also called bone swelling). Is a bone contusion really a fracture? I think so, but thus far, we don’t really have the vocabulary in the literature to call a bone contusion a fracture.

My MRI says I have bone edema. How long will it take to heal?

Bone edema is the term used by doctors (radiologists) to describe swelling within bone. Bone swelling is typically identified on MRI and is the result of either a direct injury to bone or load bearing that is greater than what can be sustained by the bone (stress injuries). Bone edema can also be found secondary to an inflammatory injury of bone. Inflammatory injuries include various forms of infection or arthritis.

Does methotrexate influence wound healing?

Methotrexate is an antimetabolite that works by inhibiting dihydrofolic reductase. This enzyme is important in the production of DNA. Methotrexate targets rapidly growing cells such as inflammatory cells in rheumatoid arthritis or psoriasis. Methotrexate was originally used as a cancer drug for malignancies including acute lymphoblastic leukemia and lymphomas.