PMC Park HJ, Lee SY, Chung EC, Rho MH, Ahn JH, Kim M, et al. Archives of Orthopaedic and Trauma Surgery An official website of the United States government. In patients with bone marrow contusion, 14 were women (10.1%) and 124 were men (89.9%). Disclaimer. official website and that any information you provide is encrypted CAS Radiographics : a Review Publication of the Radiological Society of North America, Inc , 01 Oct 2000, 20 Spec No: S135-51. Skeletal Radiol 47, 173179 (2018). We have included all the patients coming with acute knee injuries irrespective of type/mode of injury. Bone bruising; Knee hyperextension; MRI. Epub 2022 Aug 30. Yoon KH, Yoo JH, Kim KI. J Bone Joint Surg Am. Bone contusion is also noted in posterior lip of the medial tibial condyle [8] or medial femoral condyle and medial tibial condyle [7]. Bone Bruise Distribution Patterns After Acute Anterior Cruciate Ligament Ruptures: Implications for the Injury Mechanism. Movement across knee helps in doing daily activities including walking, sitting, and standing. +(91)-9821210096 | paula deen meatloaf with brown gravy. Results: PDFS Coronal: Bone marrow oedema at Medial femoral condyle and Metadiaphysis. -, Radiology. MeSH On MR images, trabecular contusion has the appearance of bone marrow oedema. https://doi.org/10.1007/s00256-017-2754-y, DOI: https://doi.org/10.1007/s00256-017-2754-y. 2021 Nov 11;6(4):e21.00069. Disabling symptoms are often prolonged. Anterior tibial plateau oedema and rupture of the posterior capsule predicted cruciate ligament injury [OR=10.5 (p=0.02) and 24.0 (p=0.001) respectively]. PDFS Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. Hyperextension of the knee can result when direct force is applied to the anterior tibia while the foot is planted or from an indirect force, such as a forceful kicking. Check for errors and try again. Radiology. PubMed Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Injury in PCL is seen in all the cases. Would you like email updates of new search results? Terzidis et al., 20 conducted a study on acute knee injuries in 255 athletes with acutely injured knees, 219 MRIs were done within the first month after the injury and 36 within two to four months [13]. It is a common injury that can occur from a fall, blow, or collision. Google Scholar; . By applying a biomechanical approach in MR interpretation, it is possible to detect lesions like ligament rupture and osseous contusion, to predict subtle but it might overlook important abnormalities. CAS They found that all the lesions in one patient do not heal at exactly the same speed. 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. Medial and lateral meniscal tears usually involving the . Radiographics. Sanders TG, Medynski MA, Feller JF, Lawhorn KW. PDFS Saggital: Bone marrow oedema in Intercondylar region tibia with subchondral cysts. Am J Sports Med. A lateral radiograph of the right knee a shows osseous fragmentation of the tibial tuberosity and soft tissue swelling ( white arrow ). Follow up scan could not be done to establish the presumable diagnosis of bone marrow contusion. Our imaging services center is on the 1st floor of the hospital, directly behind our main reception area. 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. In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern. Epub 2013 Jun 6. PubMedGoogle Scholar. Correlation between various pattern of bone marrow oedema and type/mode of injury are shown in [Table/Fig-17]. Radiol Med. Bone marrow contusions are frequently identified at magnetic resonance imaging after an injury to the musculoskeletal system, and the mechanism of injury can be determined by studying the distribution of bone marrow edema, which enables one to predict with accuracy the specific soft-tissue abnormalities that are likely to be present. . Thank Professor Zhuozhao Zheng and my girlfriend Danyu Chen for their advice and help on this study. Acute findings of a joint effusion and posterior tibial plateau contusion are present. Patterns of bone bruise in knee injury. Our Facilities. Disclaimer. Sanders TG, Medynski MA, Feller JF et-al. -, Radiology. Google Scholar. Results are comparable to the study conducted by Kaplan et al., in which bone marrow contusion at posterior lip of medial tibial condyle was seen in 25 out of 215 cases (11.6%) and contusion in lateral compartment was noted in 24 out of 25 cases (96%) and contusion at medial femoral condyle was seen in 5 in 25 cases (20%) [7]. 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). 1998 Jun;69(3):291-4 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. Bone contusion patterns of the knee at MR imaging: footprint of the MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. endstream A 14-year-old male football player with chronic anterior knee pain who experienced acute knee pain after jumping and landing awkwardly. Mri knee trauma - SlideShare sharing sensitive information, make sure youre on a federal Among the clip injury pattern, most common type/ mode of injury was two wheeler accident which was seen in 26 out of 39 cases (66.6%) [Table/Fig-7,,88]. In this study 8 cases (5.7%) had dashboard injury pattern of bone marrow contusion at anterior aspect of proximal tibia. 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. (PDF) The appearance of kissing contusion in the acutely injured knee 1030). 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. This article about a disease of musculoskeletal and connective tissue is a stub. Kissing contusion is a(n) research topic. -, Radiology. Keywords: Am J Sports Med. Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. Twenty of the 23 patients had follow-up imaging. government site. In present study clip injury pattern is noted in 39 cases (28.6%). Part of Springer Nature. doi: 10.2106/JBJS.OA.21.00069. 2014;24:14817. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Posteromedial Tibial Bone Bruise After Anterior Cruciate Ligament Injury: An MRI Study of Bone Bruise Patterns in 208 Patients. Ryu KN, Jin W, Ko YT, Yoon Y, Oh JH, Park YK, et al. It can also damage interposed soft tissues, most commonly the articular cartilage and meniscus. J Biomech Eng. Grade 1 refers to the uniform-ly low normal meniscal signal, grade 2 de-scribes increased signal within the meniscus . 1020 AJR:196, May 2011 Pai and Strouse ulation [2, 3]. Most common location of marrow oedema in pivot shift pattern was posterolateral tibial plateau and lateral femoral condyle and medial tibial condyle and medial femoral condyle in 31 cases (39.7 %) [Table/Fig-9]. volume47,pages 173179 (2018)Cite this article. A cross-sectional study was done on all patients referred to Krishna Hospital, Karad for MRI knee with history of recent (< 6 weeks) knee injury. PubMed 35 0 obj Other structures are injured less frequently and have weaker associations with bone bruise distribution. Google Scholar, Department of Orthopaedic Surgery, Chelsea and Westminster Hospital, London, UK, Department of Radiology, Chelsea and Westminster Hospital, London, UK, Department of Orthopaedic Surgery, Homerton University Hospital, London, UK, You can also search for this author in 2011;68:7626. Knee Surg Sports Traumatol Arthrosc 29(6):19681976, Egloff C, Huber L, Wurm M, Pagenstert G (2019) No added value using SPECT/CT to analyze persistent symptoms after anterior cruciate ligament reconstruction. The spectrum of damage includes stretching, partial tearing, and complete rupture [4]. Sanders classified bone marrow contusions in five different patterns as: Clip injury, Pivot shift injury, Dashboard injury, Hyperextension injury, and Lateral patellar dislocation [8]. J Clin Diagn Res. Acta Orthop Scand. The appearance of kissing contusion in the acutely injured knee in the 1. Unable to load your collection due to an error, Unable to load your delegates due to an error. No funding was received to assist with the preparation of this manuscript. Hyperextension injuries of the knee: do patterns of bone bruising 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. Arndt WA, Traux AL, Baranett FM, Simmon GE, Brown DC. Correlation between type or mode of injury and patterns of bone marrow oedema was determined using p-value and chi-square method. Table showing Type/Mode of injury in pivot shift injury. Location of bone marrow contusion in hyperextension injury (4 cases) was - medial tibial and medial femoral condyle (2 cases) and anterior aspect of proximal tibia and femur (2cases). At the time the case was submitted for publication Henry Knipe had no recorded disclosures. In this study, patients with history of knee injury <6 weeks were considered as recent knee injuries. Effusion in the adjacent deep infrapatellar bursa. 2020 Apr 15;8(4):2325967120911162. doi: 10.1177/2325967120911162. Texas Health Care Imaging is a radiology clinic located in Brownsville, TX. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. Twenty-five patients were identified (median time from injury to MRI=24days). MRI of affected knee joint was done as per imaging protocol and images stored in compact disc. Unable to process the form. Our study only involves the image information of patients. Accessibility Meniscal injury was unrelated to the extent or pattern of bone bruising. 3. MeSH Adult patients with ACL tears have greater tibial internal rotation in MRI compared to adolescent patients. Fill out the form below and a representative will be in touch. Femoral Head Osteochondral Lesions in Painful Hips of Athletes Correlation between contusion pattern in clip injury and type/mode of injury. Plain radiograph of knee was done in all patients and they were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. Careers. 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. Mechanism of traumatic knee injuries and MR findings. Bone bruise patterns in knee injuries: where are they found? Shi H, Ding L, Jiang Y, Zhang H, Ren S, Hu X, Liu Z, Huang H, Ao Y. Orthop J Sports Med. Many patients coming with complain of pain following injury without radiographic evidence of fracture, MRI yields presence of extensive injury marrow which is characterised by marrow oedema and haemorrhage termed as bone bruise. 4 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. 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. 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]. 2007;41 Suppl 2:98-104. Epub 2022 May 3. 2016. https://doi.org/10.1016/j.arthro.2016.03.015. 2023-05-01T23:01:26-07:00 Rangger C, Kathrein A, Freund MC, Klestil T, Kreczy A. HW contributed to some imaging data and surgery. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Inclusion in an NLM database does not imply endorsement of, or agreement with, This is a preview of subscription content, access via your institution. -. Vojnosanit Pregl. Notch depth equal to 0.72mm can be basically considered as the optimal cut-off point for LFNS in statistics. Unauthorized use of these marks is strictly prohibited. Correlation between various pattern of bone marrow oedema and type/mode of injury. While the knee is in a state of flexion, twisting motion of the knee can lead to transient dislocation of knee. Assessment with magnetic resonance, correlated with arthroscopy. Informed consent was obtained from the patients in English or regional language. 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. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic bone bruise distribution. Davies NH, Niall D, King LJ, Lavelle J, Healy JC. Meniscal injury was unrelated to the extent or pattern of bone bruising. Characteristic magnetic resonance imaging (MRI) findings often lead to the diagnosis. "The appearance of kissing contusion in the acutely injured knee in the athletes", https://en.wikipedia.org/w/index.php?title=Kissing_contusion&oldid=903873252, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 28 June 2019, at 13:40. 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. 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. Kissing contusion | 3 Publications | 31 Citations | Top Authors 2006;238:85362. Other structures are injured less frequently and have weaker associations with bone bruise distribution. PLT: Posterolateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. MRI Introduction Anterior cruciate ligament (ACL) injuries are among the most common sports injuries. Bone bruise represents as acute, occult microfractures of subchondral trabecular bone with subsequent haemorrhage, oedema and hyperemia. Out of 200 patients, 32 were women (16%) and 168 men (84%). Am J Sports Med. Am J Sports Med. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). Am J Sports Med. Pivot shift pattern is most common contusion pattern and the most common type/mode of sports related injury. Conclusions: Waldn M, Krosshaug T, Bjrneboe J, Andersen TE, Faul O, Hgglund M. Three distinct mechanisms predominate in non-contact anterior cruciate ligament injuries in male professional football players: a systematic video analysis of 39 cases. These findings are comparable to Arndt et al., who conducted a study in MR diagnosis of contusion of knee in < 6 weeks and described bone marrow contusion in 23 cases out of 51 cases (45.1%).