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Here, we report two patients who developed focal bone marrow abnormalities after receiving ultrasound diathermy. Both patients\u2019 magnetic resonance (MR) evaluations revealed linear subchondral bone lesions of the superolateral humeral head similar to those in osteonecrosis. The patients\u2019 symptoms subsequently improved, and available follow-up MR evaluation revealed near complete resolution of bone lesions. These findings suggest that ultrasound diathermy, and its interaction with bone tissue through thermal mechanisms, can cause focal bone marrow abnormalities. Furthermore, the bone marrow abnormalities seem to be transient, resolving upon cessation of ultrasound diathermy, therefore osteonecrosis should be differentiated from this temporal lesion.<\/jats:p>","DOI":"10.5397\/cise.2019.22.1.40","type":"journal-article","created":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T11:59:51Z","timestamp":1581681591000},"page":"40-45","update-policy":"https:\/\/doi.org\/10.5397\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Focal Bone Marrow Lesions: A Complication of Ultrasound Diathermy"],"prefix":"10.5397","volume":"22","author":[{"given":"Seung Jae J.","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuhn","family":"Kang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dae Ha","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Young","family":"Lim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joo Hyun","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4962-3175","authenticated-orcid":true,"given":"Joo Han","family":"Oh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3351","reference":[{"key":"ref1","first-page":"378","volume-title":"","author":"Chen","year":"2016"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.bioeng.6.040803.140126"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199905203402002"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.11101301"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1186\/2036-7902-4-11"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.pbiomolbio.2006.07.005"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1995.22.4.142"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-5629(01)00454-9"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00868"},{"key":"ref10","first-page":"389","volume-title":"","author":"Sugano","year":"2014"}],"container-title":["Clinics in Shoulder and Elbow"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/cisejournal.org\/upload\/pdf\/cise-2019-22-1-40.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/cisejournal.org\/journal\/view.php?doi=10.5397\/cise.2019.22.1.40","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/cisejournal.org\/upload\/pdf\/cise-2019-22-1-40.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T12:00:03Z","timestamp":1581681603000},"score":1,"resource":{"primary":{"URL":"http:\/\/cisejournal.org\/journal\/view.php?doi=10.5397\/cise.2019.22.1.40"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,3]]}},"URL":"https:\/\/doi.org\/10.5397\/cise.2019.22.1.40","relation":{},"ISSN":["2288-8721"],"issn-type":[{"type":"electronic","value":"2288-8721"}],"subject":[],"published":{"date-parts":[[2019,3,1]]},"assertion":[{"value":"2018-08-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-01","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}