MRIs, plain radiographs and clinical details of these patients were reviewed. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). HHS Vulnerability Disclosure, Help 1993;189:9014. A knee contusion can usually be treated . Perin B, Nardacchione R, Bonaga S, Angelini F, Girotto A, Giovagnoni A, et al. The coronal lateral collateral ligament sign in the anterior cruciate ligament-injured knees was observed regardless of the knee laxity based on the quantitative measurements. 2000 Nov-Dec;24(6):371-80 Unable to process the form. Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). 5 0 obj A lateral radiograph of the right knee a shows osseous fragmentation of the tibial tuberosity and soft tissue swelling ( white arrow ). Arndt WA, Traux AL, Baranett FM, Simmon GE, Brown DC. Careers, Unable to load your collection due to an error. Bone contusion patterns of the knee at MR imaging: footprint of the Magnetic resonance imaging of bone bruising in the acutely injured kneeshort-term outcome. Muscle belly edema within the fibular attachment of the soleus with periosteal stripping of the posterior fibula. 8600 Rockville Pike 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. 1995;19:7736. In impaction, the compressive force directly strikes cortical bone and is dissipated into trabecular bone [4]. endobj We describe the clinical and radiographic features of 11 athletes found to have femoral head lesions similar in MR imaging appearance to osteochondral lesions in other locations, such as the knee and ankle. The 32 bone contusions (16 kissing contusions) were located as follows: lateral femoral condyle (n = 14; 8 type I, 6 type II); lateral tibial condyle (n = 9; 3 type I, 1 type II, 5 type III); medial tibial condyle (n = 7; 2 type I, 5 type III); medial femoral condyle (n = 2; both type I). 2022 Dec;30(12):1647-1657. doi: 10.1016/j.joca.2022.08.006. Before and kissing contusions of the lat-eral femoral condyle and medial tibial pla . Unable to process the form. Results: Mechanism-based pattern approach to classification of complex injuries of the knee depicted at mr imaging. Pivot shift injury pattern according to Location of marrow oedema. J Bone Joint Surg Am. <>stream Accessibility Imaging the knee: Ligaments APPLIED RADIOLOGY Am J Sports Med 42(1):235241, Garth WP Jr, Greco J, House MA (2000) The lateral notch sign associated with acute anterior cruciate ligament disruption. Epub 2021 Apr 4. In 6 cases bone marrow contusion could not be explained by various patterns. MRI of the Pediatric Knee MRI follow-up of posttraumatic bone bruises of the knee in general practice. Fill out the form below and a representative will be in touch. Kissing contusion - Wikipedia 1020 AJR:196, May 2011 Pai and Strouse ulation [2, 3]. 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). A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. MRI follow-up of posttraumatic bone bruises of the knee in general practice. This pattern is thought to result resolution from contrecoup forces in the medial compartment at the forced valgus forces. By analysing bone marrow contusion pattern, type/mode can be determined in most of the cases. Epub 2019 Mar 26. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. 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. Sanders classified bone marrow contusions in five different patterns as: Clip injury, Pivot shift injury, Dashboard injury, Hyperextension injury, and Lateral patellar dislocation [8]. Jeli D, Masulovi D. Bone bruise of the knee associated with the lesions of anterior cruciate ligament and menisci on magnetic resonance imaging. Injury in PCL is seen in all the cases. Kirsch MD, Fitzgerald SW, Friedman H, Rogers LF. -, Radiol Clin North Am. Epub 2013 Jun 6. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. 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. 2016. https://doi.org/10.1016/j.arthro.2016.03.015. Clin Orthop Relat Res. Results: 98 0 obj Bone marrow oedema may also show delayed enhancement following administration of gadolinium DTPA. The site is secure. 2023 Feb;143(2):927-934. doi: 10.1007/s00402-022-04366-9. Matrix in various sequences were listed as : T1 Saggital 307 x 384, T2 Axial - 314 x 448, T2 Saggital 314 x 448, PD Saggital 307 x 384, PD Coronal 355 x 384, PDFS Saggital 288 x 384, PDFS Coronal 311 x 384, MEDIC Axial 240 x 320. These contusions are generally found by magnetic resonance imaging and most cases are associated with ligamentous or menisceal injuries. The .gov means its official. Informed consent was obtained from the patients in English or regional language. 4. 2022 Jan 11;17(1):17. doi: 10.1186/s13018-022-02912-0. Type/Mode of injury were twisting injury while getting downstairs (1 case), twisting injury while doing household work (1 case) and injury while playing football (1 case). 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 PDFS Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. Our team of experienced agents will hand hold the member through theentireprocess. Prognosis is particularly influenced by the presence of osteoarthritis. sharing sensitive information, make sure youre on a federal PubMed Semin Ultrasound CT MR. 1994 Oct;15(5):396-409. doi: 10.1016/s0887-2171(05)80006-x. MeSH Lateral-compartment bone contusions in adolescents with intact anterior cruciate ligaments. 2023-05-01T23:01:26-07:00 Study was conducted between May 2014 to September 2015 with a sample size of 200 patients. ADVERTISEMENT: Supporters see fewer/no ads. The Predicted Position of the Knee Near the Time of ACL Rupture Is Similar Between 2 Commonly Observed Patterns of Bone Bruising on MRI. -, Radiology. 2019 Nov;27(11):3633-3637. doi: 10.1007/s00167-019-05490-7. Bone marrow bruise is ill defined subchondral reticular or stellate region of low signal intensity on T1 and high signal intensity on T2W images [6]. Radiographics. Correspondence to Epub 2022 Aug 30. Incidence and location of bone bruises after acute posterior cruciate ligament injury. In our study pivot shift pattern is noted in 78 cases (56.5%). PubMed Materials and methods: volume143,pages 927934 (2023)Cite this article. DOI: 10.1148/radiographics.20.suppl_1.g00oc19s135 PMID: 11046168. Bone contusions of the knee: increased lesion detection with fast spin-echo MR imaging with spectroscopic fat saturation. N Z Med J. PLT: Posterloateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. Gong, H., Wang, H., Zhang, X. et al. Posterior oblique ligament tear in the posteromedial knee | Radiology It is a common injury that can occur from a fall, blow, or collision. SuzanneWitjes, Tammo HPels Rijcken, Cor Pvan der Hart. HHS Vulnerability Disclosure, Help HHS Vulnerability Disclosure, Help A total of 1000 patients were enrolled in this study, including 500 patients with ACL injuries who assigned to experimental group and 500 patients with meniscal tear (MT) who allocated to control group. 2014;55(8):9618. 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). Meyer EG, Baumer TG, Haut RC. Part of Springer Nature. For KC, the corresponding values were 36.6% and 99.4%, respectively. Associated soft-tissue injuries include the medial retinaculum, the Medial Patellofemoral ligament, and the medial patellotibial ligament [9]. In this study, inclusion criteria included history of knee injury within 6 weeks or suspected ACL injury [12]. 21033-6-01). Anterior cruciate, and medial and lateral collateral ligaments are intact. Boks SS, Vroegindeweij D, Koes BW, Hunink MG, Bierma-Zeinstra SM. Kessler R, Campbell S, Wong D, Mansfield LB. PDF Diagnostic value of the lateral femoral notch sign and kissing This case demonstrates a hyperextension knee injury consisting of. In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern. XZ contributed to part of the statistics of the article. None of the knees had been injured before. 1996 Sep;(330):133-42 Analysis of bone marrow oedema was done by a single observer based on MRI [9], its patterns were studied and possible type/mode of injury was determined before elucidating the history from the patient. Radiology. Knee Surg Sports Traumatol Arthrosc. There has been limited investigation to subdividing the bone contusion model in the medial and lateral directions of the tibial plateau and the . The Lateral Femoral Notch Sign | Radiology Learn more about Institutional subscriptions. Br J Sports Med. 2005;60:62736. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. Furthermore, it is anterior tibial oedema rather than the presence of kissing lesions than predicts cruciate ligament injury (OR = 10.5, p = 0.02). PDFS Coronal: Bone marrow oedema at Medial femoral condyle and proximal tibia. Bone marrow contusion at posterior lip of medial tibial condyle was seen in 59 cases. 31 0 obj Looking for more information? The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). Radiology 182(1):221224, Niitsu M, Kuramochi M, Anno I, Itai Y (1995) Secondary signs of anterior cruciate ligament tear at MR imaging. -, Radiology. *Other cause include fall while getting down from bus (1 case), fall while jumping (1 case), fall while getting downstairs. In this study hyperextension injury noted in 4 cases in 138 cases (2.9%). The https:// ensures that you are connecting to the We have included all the patients coming with acute knee injuries irrespective of type/mode of injury. In this study 8 cases (5.7%) had dashboard injury pattern of bone marrow contusion at anterior aspect of proximal tibia. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. 2010 Dec;38(12):2502-8. doi: 10.1177/0363546510376232. Chi-square = 1.926, p =0.3817 i.e. 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. Five classic bone contusion patterns have been described 1-4: The knee is a complex synovial joint that can be affected by a range of pathologies: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. 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. 1. Careers. Correlation between various pattern of bone marrow oedema and type/mode of injury. PDFS Saggital: Bone marrow oedema at Lateral femoral and posterolateral tibial plateau in Pivot shift injury. The LFNS and KC have strong clinical significance in the diagnosis of ACL injuries. Kissing contusion | 3 Publications | 31 Citations | Top Authors Xie D, Murray J, Lartey R, Gaj S, Kim J, Li M, Eck BL, Winalski CS, Altahawi F, Jones MH, Obuchowski NA, Huston LJ, Harkins KD, Friel HT, Damon BM, Knopp MV, Kaeding CC, Spindler KP, Li X. Osteoarthritis Cartilage. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Orthop J Sports Med. This site needs JavaScript to work properly. 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. and transmitted securely. Google Scholar, Berthold DP, Muench LN, Herbst E et al (2021) High prevalence of a deep lateral femoral notch sign in patients with anterior cruciate ligament (ACL) and concomitant posterior root tears of the lateral meniscus. Our imaging services center is on the 1st floor of the hospital, directly behind our main reception area. Hyperextension injuries of the knee: do patterns of bone bruising Contusions of both surfaces of the joint are known as kissing contusions. Boks et al., conducted a study of the natural course of bone bruises in posttraumatic knees and to describe possible determinants of this course and concluded that Median healing time of bone bruises is 42.1 weeks [5]. no significant difference in location for different type/ mode of injury. Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. 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]. PubMed Central
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