On MR images, trabecular contusion has the appearance of bone marrow oedema. Boks SS, Vroegindeweij D, Koes BW, Bernsen RM, Hunink MG, Bierma-Zeinstra SM. A. M. Ali. -. doi: 10.2106/JBJS.OA.21.00069. Epub 2021 May 11. Price excludes VAT (USA) Elsevier Health Sciences. Results: Skeletal Radiology Bone contusion of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee. This mechanism of injury involves other soft tissue structures like tears/posterior capsule and arcuate ligament, medial collateral ligament (MCL) and the menisci. 1996 Sep;(330):133-42 Check for errors and try again. The bone bruise or bone contusion are commonly used to define an occult bone alteration oedematous haemorrhagic due to trabecular microfractures as a result of a direct blow to the bone, application of compressive forces on contiguous bones with a consequent impact mechanism, and the action of a torsional force, and to stresses by traction on the subchondral bone by insertion of the ligament, tendon or capsular as occurs in traumatic avulsion [1]. Reflecting presence of increased free water oedema, appears hyperintense on inversion recovery and fat suppressed images and shows increase diffusivity on Diffusion weighted images [10]. This is a preview of subscription content, access via your institution. Google Scholar. Arndt WA, Traux AL, Baranett FM, Simmon GE, Brown DC. Among 46 cases, football was most common sports leading to injury followed by Kabaddi. endobj A cross-section study was done on all patients reffered to Krishna Hospital, Karad for MRI knee with history of recent (< 6 weeks) knee injury. The .gov means its official. Clin Orthop Relat Res. no financial relationships to ineligible companies to disclose. Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. In our study, bone marrow oedema was seen in 138 cases (69%) out of 200 cases. MRI is used widespread to interpret more complex injuries. 6 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Associated Soft tissue injuries include ACL and medial meniscus [8]. Skeletal Radiol 44(3):385391, Herbst E, Hoser C, Tecklenburg K et al (2015) The lateral femoral notch sign following ACL injury: frequency, morphology and relation to meniscal injury and sports activity. PubMed Central Case study, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-83381. and transmitted securely. At the time the article was created Henry Knipe had no recorded disclosures. 2 cases (50%) are hyperextension injury with kissing contusion at anterior aspect of proximal tibia and distal femur caused due to hit by car in RTA. Am J Sports Med. The Lateral Femoral Notch Sign | Radiology Learn more about Institutional subscriptions. Study of Imaging Pattern in Bone Marrow Oedema in MRI in Recent Knee In 6 cases bone marrow contusion could not be explained by various patterns. Although bone marrow oedema is nonspecific and has a similar appearance in inflammatory and neoplastic disorders, a traumatic cause is usually obvious on the basis of the clinical history, location of bone marrow oedema and the presence of other trauma related findings. Bone Bruise Distribution Patterns After Acute Anterior Cruciate Ligament Ruptures: Implications for the Injury Mechanism. Kapelov SR, Teresi LM, Bradley WG, Bucciarelli NR, Murakami DM, Mullin WJ, et al. Check for errors and try again. 1997;93(12):404. Diagnosis of bone marrow oedema following traumatic event prompt a closer inspection for lesions such as ligamentous and meniscal tears. Effusion in the adjacent deep infrapatellar bursa. Exclusion criteria were history of any infection, surgery or neoplasm of knee joint, patients having any prosthetic heart valve implant, any pacemaker implant, aortic stent graft, cochlear implant or any metallic orthopedic implants, any joint replacement surgery and claustrophobic patients. 3. 35 0 obj Google Scholar; . By analysing bone marrow contusion pattern, type/mode can be determined in most of the cases. Eur J Radiol. Transient patellar dislocation is a common sports-related injury in young adults. the contents by NLM or the National Institutes of Health. Mechanism of traumatic knee injuries and MR findings. 255 MRI examinations in athletes with acutely injured knees (197 men; 58 women; mean age 24.2 years) were reviewed by two independent examiners; 219 MRIs were done within the first month after the injury and 36 within two to four months. PubMed Central sharing sensitive information, make sure youre on a federal Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. Bethesda, MD 20894, Web Policies government site. Although bone marrow oedema is nonspecific and has a similar appearance in inflammatory and neoplastic disorders, a traumatic cause is usually obvious on the basis of the location of bone marrow oedema and the presence of other trauma related findings. Traumatic bone bruising-a review article. knees against dashboard in motor vehicle collision, or fall onto flexed knee), contusion pattern:anterior tibia +/- posterior patella, contusion pattern: lateral femoral condyle and lateral tibial plateau +/- medial femoral condyle from medial collateral ligament (MCL) avulsive stress, direct force to anterior tibia with foot planted, contusion pattern: "kissing contusions" of anterior tibial plateau and anterior femoral condyle, contusion pattern: anterolateral lateral femoral condyle and inferomedial patella, associated with medial patellar retinaculum +/-. MeSH Arch Orthop Trauma Surg 128(11):13131316, Terzidis IP, Christodoulou AG, Ploumis AL, Metsovitis SR, Koimtzis M, Givissis P (2004) The appearance of kissing contusion in the acutely injured knee in the athletes. [12] In this study hyperextension injury noted in 4 cases in 138 cases (2.9%). 5 0 obj Below is the link to the electronic supplementary material. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. MRI Introduction Anterior cruciate ligament (ACL) injuries are among the most common sports injuries. Unable to load your collection due to an error, Unable to load your delegates due to an error. The magnitude of the force is a major determinant of the imaging findings. Frequent abnormalities found on MR imaging include labral tear or injury, stress fracture, and avascular necrosis . Contusion is seen in the anterior aspect of the distal femur and proximal tibia or located in medial femoral and tibial condyle (valgus force applied). An official website of the United States government. Article Bone bruising of the knee. In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern [Table/Fig-6]. Meniscal injury was unrelated to the extent or pattern of bone bruising. bone contusion) can give clues for the mechanism and associated injuries. 1999;211:74753. Google Scholar. Article Texas Health Care Imaging has been registered with the National Provider Identifier database since May 25, 2021 and its NPI number is 1053986786 (certified on 05/25/2021). Transient lateral patellar dislocation: review of imaging findings Biomechanical and anatomical assessment after knee hyperextension injury. 2019 Nov;27(11):3633-3637. doi: 10.1007/s00167-019-05490-7. 1989 Mar;170(3 Pt 1):823-9 In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern. Looking for more information? 99 0 obj Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures. 2022 Oct;30(10):3508-3514. doi: 10.1007/s00167-022-06970-z. In total 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). Our team of experienced agents will hand hold the member through theentireprocess. PubMed 2023 Feb;143(2):927-934. doi: 10.1007/s00402-022-04366-9. Calvo-Gurry M, Hurley ET, Withers D, Vioreanu M, Moran R. Knee Surg Sports Traumatol Arthrosc. 2007;189:55662. 1993 Mar-Apr;21(2):220-3 Five patterns of bone marrow contusion was noted in 138 cases: Clip injury in 39 cases (28.3%) [Table/Fig-1a&b], Pivot shift injury in 78 cases (56.5%) [Table/Fig-2a&b], Dashboard injury in eight cases (5.8%) [Table/Fig-3], Hyper extension injury in four cases (2.9%) [Table/Fig-4], Lateral patellar dislocation in three cases (2.2%) [Table/Fig-5]. Felt a "popping" sensation after landing on a straightened knee. This case demonstrates a hyperextension knee injury consisting of partial posterior cruciate ligament tear proximal tibia epiphysis bone contusion and minor "kissing contusion" of the lateral femoral condyle posterior soft tissue injuries involving the knee joint capsule, fibular attachment of soleus and distal semimembranosus tendon This study was approved by the ethical committee of Beijing Tsinghua Changgung Hospital (No. This site needs JavaScript to work properly. Correspondence to The associated injuries were confirmed by arthroscopy in 12/16 patients. Emerg Radiol 2:129134, Article A 124(62%) had trauma in right knee and 76(38%) in left knee. Over 2600 credentialed providers acrosstheUS. https://doi.org/10.1007/s00256-017-2754-y, https://doi.org/10.1016/j.arthro.2016.03.015. (PDF) The appearance of kissing contusion in the acutely injured knee Adult patients with ACL tears have greater tibial internal rotation in MRI compared to adolescent patients. HHS Vulnerability Disclosure, Help Other soft tissue injuries include: ACL (100%), PCL (7.6%), Medial meniscus (89.7%), Lateral meniscus (23.1%), LCL (7.6%). Rangger C, Klestil T, Kathrein A, Indester A, Hamid L. Influence of magnetic resonance imaging on indications for arthroscopy of the knee. Knee Surg Sports Traumatol Arthrosc. Hyperextension injuries of the knee: do patterns of bone bruising The pattern of bone bruise in knee injuries (a.k.a. The values of notch depth in patients who had ACL rupture concomitant lateral MT injuries and medial collateral ligament (MCL) injuries were 1.120.64 and 1.230.74mm, respectively, which were significantly higher than those in patients with only ACL injury (0.890.49mm) (P<0.05). Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. 21033-6-01). A deeper notch often indicates a more complex knee injury. Moderate edema at the gastrocnemius/soleus interface and overlying the superficial medial gastrocnemius proximal myotendinous junction. [11] Anterior displacement of tibia refers to increased distance from the posterior cortex of the lateral tibial plateau to the posterior cortex of the femur. Graf BK, Cook DA, De Smet AA, Keene JS. For outpatient testing, Valley Regional Imaging is open Monday to Friday from m 8 a.m. to 8 p.m. Saturday hours are available for obstetrics (OB) and CAT Scans only from 8 a.m. to noon. Google Scholar, Wierer G, Simetinger T, Hudelmaier M, Moroder P, Hoffelner T (2020) Fate of the lateral femoral notch following early anterior cruciate ligament reconstruction. AJR Am J Roentgenol. Bone marrow oedema of the knee may cause substantial clinical entities, as they cause acute pain and functional loss in the joint. How To Heal A Knee Contusion - Brandon Orthopedics The KIS Imaging program was designed to direct patient care, through a concierge service, in which employees and employers can realize up to an 80% savings on all major imaging. Twenty of the 23 patients had follow-up imaging. judge timothy kenny political affiliation. Google Scholar. Epub 2021 Apr 4. The KIS Imaging program was designed to direct patient care, through a concierge service, in which employees and employers can realize up to an 80% savings on all major imaging. Google Scholar, Kanakamedala AC, Burnham JM, Pfeiffer TR et al (2018) Lateral femoral notch depth is not associated with increased rotatory instability in ACL-injured knees: a quantitative pivot shift analysis. Ali, A.M., Pillai, J.K., Gulati, V. et al. Unauthorized use of these marks is strictly prohibited. Arthroscopy. DOI: 10.1148/radiographics.20.suppl_1.g00oc19s135 PMID: 11046168. Chi-square: 41.961 and p <0.001 suggests that clip injury was significantly high in fall from two wheeler and pivot shift injury was significantly higher in sports related injury. Boks SS, Vroegindeweij D, Koes BW, Hunink MG, Bierma-Zeinstra SM. The clip injury is a contact injury that occurs after a pure valgus stress is applied to the knee while the knee is in a state of mild flexion (i.e. Br J Sports Med. Hyperextension injuries of the knee: do patterns of bone bruising predict soft tissue injury?. FOIA Hong CK, Hoshino Y, Watanabe S, Nagai K, Matsushita T, Su WR, Kuroda R. Knee Surg Sports Traumatol Arthrosc. 2016;10(4):TC0611. Application of valgus load to the knee in various degree of flexion combined with external rotation of the tibia or internal rotation of the femur lead to pivot shift injury resulting in disruption of Anterior Cruciate Ligament (ACL). Eight of the kissing contusions were associated with anterior cruciate ligament tears, three with menisceal tears, four were isolated lesions, and one was delayed, following a menisceal tear. PubMed Posteromedial Tibial Bone Bruise After Anterior Cruciate Ligament Injury: An MRI Study of Bone Bruise Patterns in 208 Patients. Contusions of both surfaces of the joint are known as kissing contusions.Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint.Methods: 255 MRI examinations in athletes with acutely injured knees (197 men; 58 women; Related Papers Radiology 219(3):800801, Ra H, Kim J, Lee D (2020) Comparative clinical outcomes of anterolateral ligament reconstruction versus lateral extra-articular tenodesis in combination with anterior cruciate ligament reconstruction: systematic review and meta-analysis. 8600 Rockville Pike Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. 2023 Jan;51(1):58-65. doi: 10.1177/03635465221131551. Contusions of both surfaces of the knee joint are known as kissing contusions. Sanders TG, Medynski MA, Feller JF et-al. Tensile load can cause ligament and tendon tears as well as avulsion fracture. Bookshelf <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. E-mail: Received 2016 Jan 13; Revisions requested 2016 Jan 29; Accepted 2016 Feb 28. Background: The location and severity of tibiofemoral bone contusions in magnetic resonance imaging scans in patients with acute non-contact anterior cruciate ligament injuries can reflect the primary mechanisms of anterior cruciate ligament injuries. ADVERTISEMENT: Supporters see fewer/no ads. PubMed To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic bone bruise distribution. Knee Surg Sports Traumatol Arthrosc. Please enable it to take advantage of the complete set of features! Google Scholar. volume47,pages 173179 (2018)Cite this article. 1995;19:7736. Kirsch MD, Fitzgerald SW, Friedman H, Rogers LF. 2000 Nov-Dec;24(6):371-80 Characteristic magnetic resonance imaging (MRI) findings often lead to the diagnosis. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. PDFS Coronal: Bone marrow oedema at Medial femoral condyle and Metadiaphysis. Epub 2022 Aug 30. A knee contusion can range from mild to severe. 13 0 obj -, Radiology. Lim YS, Peh WC. 2020 Apr 15;8(4):2325967120911162. doi: 10.1177/2325967120911162. Orthopedic radiology Philadelphia, Pa: Saunders, 1986; 502, 511. HG contributed to the article writing and data collection. Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). This injury most commonly occurs when the knee strikes against the dashboard during an automobile accident or fall against the ground on flexed knee. J Biomech Eng. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. PubMed Epub 2013 Jun 6. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Yap J, Al Kabbani A, et al. We're here to help! Clin Radiol 2004;59:439-445. Patients were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. Other 2 cases (50%) are hyperextension with valgus component and kissing contusion at medial aspect of proximal tibia and distal femur caused due to kicking while playing football. A 14-year-old male football player with chronic anterior knee pain who experienced acute knee pain after jumping and landing awkwardly. endobj Knee joint is one of strongest joint in body and allows transmission of body weight to leg. Acute knee block. 1993;189:9014. Additionally, the program is designed to drive true consumer engagement with waived out of pocket expenses and no pre-certification, which allows patients fast and efficient access to providers for their imaging needs. Radiology. <>stream Hyperextension results in the "kissing" contusion pattern involving the anterior aspect of the proximal tibia and distal femur. BMC Musculoskelet Disord 16:217, Article Article MRIs, plain radiographs and clinical details of these patients were reviewed. Zeiss J, Paley K, Murray K, Saddemi SR. Although patients often present to the emergency department with acute knee pain and hemarthrosis, spontaneous reduction frequently occurs, and half of cases are unsuspected clinically. At the time the article was last revised Joshua Yap had The spectrum of damage includes stretching, partial tearing, and complete rupture [4]. No fractures were present on x ray. Contusions of both surfaces of the joint are known as kissing contusions. Am J Sports Med. Bone contusions of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee at MR imaging. Mild high signal of the distal semimembranosus insertion, however, the remaining posteromedial corner structures appear uninjured. -, Radiol Clin North Am. Clin Imaging. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. J Bone Joint Surg Am 92(2):353360, Yu JS, Bosch E, Pathria MN et al (1995) The deep lateral femoral sulcus:correlation in 124 patients with anterior cruciate ligament tear. Orthop J Sports Med. Other structures are injured less frequently and have weaker associations with bone bruise distribution. Pivot shift injury in different location and its correlation with sports related injury and other type/mode of injury. This site needs JavaScript to work properly. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Bone marrow oedema on T2 weighted magnetic resonance (MR) images is recognized as an ill-defined hyperintensity in the bone marrow where standard radiographs showed nonspecific osteopenia or normal findings [3]. Bone bruising; Knee hyperextension; MRI. PubMed Central Bretlau T, Tuxe J, Larsen L, Jrgensen U, Thomsen HS, Lausten GS. (PDF) The appearance of kissing contusion in the acutely injured knee Acrobat Distiller 5.0.5 (Windows) 2011;133:011012. At the time the case was submitted for publication Henry Knipe had no recorded disclosures. Vojnosanit Pregl. You can help Wikipedia by expanding it. Out of 200 patients, 32 were women (16%) and 168 men (84%). Patterns of bone bruise in knee injury | Radiology Reference Article 2014 . Song GY, Zhang H, Wang QQ, Zhang J, Li Y, Feng H. Bone contusions after acute noncontact anterior cruciate ligament injury are associated with knee joint laxity, concomitant meniscal lesions, and anterolateral ligament abnormality. In this study, inclusion criteria were acute knee injury only in athletes while in our study there were no such selection criteria. Accessibility Multi-vendor multi-site quantitative MRI analysis of cartilage degeneration 10Years after anterior cruciate ligament reconstruction: MOON-MRI protocol and preliminary results. Age, type of bone bruise, and number of bruises also have prognostic value. Contusions of both surfaces of the joint are known as kissing contusions. Knee Surg Sports Traumatol Arthrosc 26(5):13991405, Lodewijks P, Delawi D, Bollen TL, Dijkhuis GR, Wolterbeek N, Zijl JAC (2019) The lateral femoral notch sign: a reliable diagnostic measurement in acute anterior cruciate ligament injury. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Bratisl Lek Listy 113(9):539543, Svoboda SJ (2014) ACL injury and posttraumatic osteoarthritis. Radiology. The diagnostic outcome of LFNS was not in agreement with that of KC, as there was a poor coincidence according to the Kappa coefficient (Kappa=0.155<0.4, P=0.035). Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. The classic bone contusion includes involvement of the antero-lateral aspect of the lateral femoral condyle and the inferomedial aspect of the patella. Prognosis is particularly influenced by the presence of osteoarthritis. Reference article, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-43268, Case 3: pivot-shift injury with ACL and meniscal tears, Case 4: pivot-shift injury with impacted tibial plateau fracture, see full revision history and disclosures, doi:10.1148/radiographics.20.suppl_1.g00oc19s135, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, Ahlback classification system in assessing osteoarthritis of the knee joint, Kellgren and Lawrence system for classification of osteoarthritis, anterior cruciate ligament mucoid degeneration, MRI grading system for meniscal signal intensity, Pattern of bone contusion in knee injuries, valgus stress to flexed and externally rotated knee, contusion pattern:posterolateral tibial plateau and mid part of lateral femoral condyle, anterior force to tibia in a flexed knee (e.g. Resulting bone contusion pattern will be present in the posterior aspect of the lateral tibial plateau and midportion of the lateral femoral condyle near the condylopatellar sulcus. - 134.209.62.117. 2022 Dec;30(12):1647-1657. doi: 10.1016/j.joca.2022.08.006. Home; Service. The clip injury results in a prominent area of edema involving the lateral femoral condyle and a smaller area of edema involving the medial femoral condyle. and kissing contusions of the lat-eral femoral condyle and medial tibial pla . Eur J Orthop Surg Traumatol. Bone bruise patterns in knee injuries: where are they found? Oedema or interisital fluid within marrow extracellular space similar to free fluid shows long T1 and T2 decay characteristics and appear hypointense on T1 and hyperintense on T2W. Contusion in medial femoral condyle occurs secondary to the avulsion to medial collateral ligament from site of attachment at medial femoral condyle [8]. No meniscal tear. Mechanisms of non-contact anterior cruciate ligament injury as - PubMed 2008;36:804. Bone marrow contusion showed five patterns (according to Sanders classification) i.e., Clip injury in 39 cases (28.3%), Pivot shift injury in 78 cases (56.5%), Dashboard injury in eight cases (5.8%), Hyperextension injury in four cases (2.9%), Lateral patellar dislocation in three cases (2.2%). Acta Orthop Scand. Other structures are injured less frequently and have weaker associations with bone bruise distribution. Medial and lateral meniscal tears usually involving the . Inpatient imaging services are available 24/7. Traumatic mechanisms are sometimes too complex or poorly understood which cannot be comprehend [4]. Comparison of magnetic resonance imaging for patients with a - LWW Our results therefore suggest that kissing contusions are more common following knee hyperextension than in other forms of knee injury and predominantly affect the medial side. Would you like email updates of new search results? Bethesda, MD 20894, Web Policies Contusions of both surfaces of the joint are known as kissing contusions. endobj uuid:a4a67e17-1dd1-11b2-0a00-340827bd7200 Br J Sports Med 42(6):394412, Saxena A, Ray B, Rajagopal K, DSouza A, Pyrtuh S (2012) Morphometry and magnetic resonance imaging of anterior cruciate ligament and measurement of secondary signs of anterior cruciate ligament tear. Type / Mode of injury in Clip injury pattern. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The https:// ensures that you are connecting to the Other associated injury in ACL (87.5%), Medial meniscus (50 %) and lateral meniscus (75%). <> Follow-up of occult bone lesions detected at MR imaging: systematic review. Injury in PCL is seen in all the cases. 98 0 obj see full revision history and disclosures, posterior soft tissue injuries involving the knee joint capsule, fibular attachment of soleus and distal semimembranosus tendon. Horizontal Rafting Plate for Treatment of the Tibial Plateau Fracture. 2015;23(8):22508. Sagittal proton density images showing (A) typical kissing contusion Gong, H., Wang, H., Zhang, X. et al. CAS This case demonstrates a hyperextension knee injury consisting of. Google Scholar, Pao DG (2001) The lateral femoral notch sign. Kim SY, Spritzer CE, Utturkar GM, Toth AP, Garrett WE, DeFrate LE. Radiographics : a Review Publication of the Radiological Society of North America, Inc , 01 Oct 2000, 20 Spec No: S135-51. MR feature of bone bruising reflects increase in water content in marrow cavity as a result of haemorrhage, therefore water sensitive sequence like fat saturated T2W, PD weighted image or STIR are used [1,11,12]. Hong CK, Lin YJ, Cheng TA, Chang CH, Hsu KL, Kuan FC, Su WR. J Bone Joint Surg Am. The site is secure. Grade II ACL tears represent intraligamentous injury and an increase in ligament length. JB JS Open Access. Bone Contusion Patterns of the Knee at MR Imaging: Footprint of the Mandalia V, Fogg AJB, Chari R, Murray J, Beale A, Henson JHL. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Unauthorized use of these marks is strictly prohibited. Language links are at the top of the page across from the title. Whilst anterolateral tibial plateau oedema strongly predicted PCL injury [OR = 26.0, p = 0.003], ACL injury was associated with a variable pattern of bone bruising. Imaging the knee: Ligaments. Kessler R, Campbell S, Wong D, Mansfield LB. It is a common injury that can occur from a fall, blow, or collision. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. Careers. 2. 5 out of 8 patients with a double sulcus on the lateral radiograph had ACL injury. Meniscal injury was unrelated to the extent or pattern of bone bruising. Knee Surg Sports Traumatol Arthrosc 29(4):10181024, Cobby MJ, Schweitzer ME, Resnick D (1992) The deep lateral femoral notch: an indirect sign of a torn anterior cruciate ligament. Epub 2013 Jun 6. 1996;330:13342. The pattern of bone bruise in knee injuries (a.k.a. According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). PubMedGoogle Scholar. MRI follow-up of posttraumatic bone bruises of the knee in general practice. Skeletal Radiol 47, 173179 (2018). eCollection 2021 Oct-Dec. Liu ZY, Zhang JL, Zhang T, Cao Q, Zhao JC, Li EQ, Shen QJ, Zhao BC, Zheng YC, Chen Y. Orthop Surg. Bone marrow oedema may also be rarely seen at adductor tubercle of the medial femoral condyle due to avulsion injury of the medial patellofemoral ligament. Acta Radiol. bone contusion) can give clues for the mechanism and associated injuries.
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