2010 Dec;38(12):2502-8. doi: 10.1177/0363546510376232. Knee 27(2):414419, Yoon JP, Chang CB, Yoo JH et al (2010) Correlation of magnetic resonance imaging findings with the chronicity of an anterior cruciate ligament tear. Conventional radiograph evaluation of skeleton following trauma divides injury into presence or absence of fracture. Wright RW, Phaneuf MA, Limbird TJ, Spindler KP. Hong CK, Lin YJ, Cheng TA, Chang CH, Hsu KL, Kuan FC, Su WR. The associated injuries were confirmed by arthroscopy in 12/16 patients. Unclassified injury pattern in 6 cases with type /mode of injury and location of bone marrow contusion. Epub 2022 Apr 12. Acta Orthop Traumatol Turc. No funding was received to assist with the preparation of this manuscript. This site needs JavaScript to work properly. PDFS Coronal: Bone marrow contusion at lateral femoral condyle and lateral tibial plateau in Pivot shift injury pattern. The depth of LFNS and the presence of KC were determined on MRI findings. An official website of the United States government. Thank Professor Zhuozhao Zheng and my girlfriend Danyu Chen for their advice and help on this study. . To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. 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). A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. Arthroscopy. Sagittal proton density images showing (A) typical kissing contusion "Kissing contusion" refers to a bone contusion on both side of the knee joint. Case study, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-83381. Knee Surg Sports Traumatol Arthrosc 27(2):659664, Miller LS, Yu JS (2010) Radiographic indicators of acute ligament injuries of the knee: a mechanistic approach. of knee injury in pediatric patients. 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. 1 Professor and HOD, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Extensive posterior capsular edema in keeping with a hyperextension injury. The patients age ranged from 17-65 years and majority of patients were in 21-30years age group. Federal government websites often end in .gov or .mil. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. ;S'XhM. Google Scholar. In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern. Materials and methods: Rangger C, Klestil T, Kathrein A, Indester A, Hamid L. Influence of magnetic resonance imaging on indications for arthroscopy of the knee. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> official website and that any information you provide is encrypted This was comparable to study conducted by Kirsch et al., in who reported transient lateral patellar dislocation in 2% cases with acute knee injuries and bone marrow contusion is noted in lateral femoral condyle in 81% and contusion in patella in 19% cases [15]. Winters K, Tregnonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. uuid:a4a67e1a-1dd1-11b2-0a00-880000000000 Pivot shift injury depending on location and type/mode of injury. Sports Med. HG contributed to the article writing and data collection. Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Bone marrow contusions are frequently identified at magnetic . J Orthop Surg Res. Would you like email updates of new search results? The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). 8600 Rockville Pike steve stricker wrist lock; what channel are the st louis cardinals playing on today Clipboard, Search History, and several other advanced features are temporarily unavailable. Epub 2013 Jun 6. 2011 Aug 17;93(16):1510-8. doi: 10.2106/JBJS.J.01320. The notch depth of lateral femoral condyle in the experimental group (0.990.56mm) was significantly greater than that in the control group (0.490.28mm) (P<0.05). bubble tea consumption statistics australia. Am J Sports Med. Knee Surg Sports Traumatol Arthrosc. Bone marrow oedema is responsible for patient symptoms and may lead to early degenerative changes [7]. Check for errors and try again. Common entities include acute traumatic osteochondral injuries, subchondral insufficiency fracture, so-called spontaneous osteonecrosis of the knee, avascular necrosis, osteochondritis dissecans, and localized osteochondral abnormalities in osteoarthritis. "Kissing contusions," a commonly seen secondary sign of ACL injury caused by the previously mentioned pivot-shift mechanism of injury, occur on the posterior aspect of the tibial plateau and the mid to anterior aspect of the femoral condyle (Figure 4). Looking for more information? The pattern of bone bruise in knee injuries (a.k.a. Perin B, Nardacchione R, Bonaga S, Angelini F, Girotto A, Giovagnoni A, et al. PubMed Contusions of both surfaces of the joint are known as kissing contusions. 2023 Feb;143(2):927-934. doi: 10.1007/s00402-022-04366-9. Increase in interstitial water content and hyperperfusion contributes to bone marrow oedema formation. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. Mild high signal of the distal semimembranosus insertion, however, the remaining posteromedial corner structures appear uninjured. J Bone Joint Surg Am. 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. MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. 2021 May;13(3):966-978. doi: 10.1111/os.12997. PubMed Journal of Clinical and Diagnostic Research : JCDR, Lateral tibial plateau and medial femoral condyle, Medial femoral condyle, Metadiaphysis femur, Medial femoral condyle, proximal tibia and head. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Yoon KH, Yoo JH, Kim KI. On 1.5 T, knee joint was examined in Saggital (T1, T2, PD, PDFS), Coronal (T2/ PDFS), Axial (T2, Medic) sequences. Radiographics. Multi-vendor multi-site quantitative MRI analysis of cartilage degeneration 10Years after anterior cruciate ligament reconstruction: MOON-MRI protocol and preliminary results. Computed Tomography & Magnetic Resonance Imaging Of The Whole Body. Hayes CW, Brigido MK, Jamadar DA, Propeck Tim. Federal government websites often end in .gov or .mil. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. 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]. 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. Google Scholar, Pao DG (2001) The lateral femoral notch sign. Mandalia V, Fogg AJB, Chari R, Murray J, Beale A, Henson JHL. Article Bone marrow contusion was noted in lateral femoral condyle in 15 cases (38.5%) and involving lateral and medial femoral condyle in 24 cases (61.5%). MRIs, plain radiographs and clinical details of these patients were reviewed. Transient lateral patellar dislocation: review of imaging findings Follow-up of occult bone lesions detected at MR imaging: systematic review. Article Patients were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. It is a common injury that can occur from a fall, blow, or collision. A knee contusion is a bruised knee. Epub 2010 Sep 13. 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. A thorough understanding of knee injury patterns and their mechanisms may help in achieving more accurate assessment of injuries. Br J Sports Med. In this study, inclusion criteria were acute knee injury only in athletes while in our study there were no such selection criteria. Vojnosanit Pregl. By directing imaging . This case demonstrates a hyperextension knee injury consisting of. volume47,pages 173179 (2018)Cite this article. On analysing the bone marrow contusion pattern, type/mode can be determined in most of cases. AJR Am J Roentgenol. Accessibility Compressive load causes bone marrow contusion and, if sufficient in magnitude, depressed cortical fracture. 5 0 obj Objective: PDF Diagnostic value of the lateral femoral notch sign and kissing Eur J Orthop Surg Traumatol. 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. 3. 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. Epub 2022 Aug 30. Mandalia V, Henson JH. 3 Professor, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. PLT: Posterolateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. Careers. 1997;93(12):404. 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. Prevalence and location of bone bruises associated with anterior cruciate ligament injury and implications for mechanism of injury: a systematic review. endobj PubMed Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. J Bone Joint Surg Am. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a casecontrol study. MeSH 2014 Feb;44(2):281-93. doi: 10.1007/s40279-013-0116-z. The site is secure. 2014;24:14817. Biomechanical and anatomical assessment after knee hyperextension injury. Learn more about Institutional subscriptions. Results: 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. endobj severe contusions may cause the knee to give out or lock. Horizontal Rafting Plate for Treatment of the Tibial Plateau Fracture. bone contusion) can give clues for the mechanism and associated injuries. 4. 2006;238:85362. Twenty-five patients were identified (median time from injury to MRI=24days). Other structures are injured less frequently and have weaker associations with bone bruise distribution. In 6 cases bone marrow contusion could not be explained by various patterns. This article about a disease of musculoskeletal and connective tissue is a stub. DOI: 10.1148/radiographics.20.suppl_1.g00oc19s135 PMID: 11046168. Boks SS, Vroegindeweij D, Koes BW, Hunink MG, Bierma-Zeinstra SM. MRI follow-up of posttraumatic bone bruises of the knee in general practice. 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. The saggital plane was primarily used to evaluate the bone marrow oedema which was confirmed on coronal images. There were high rates of injury to the posterior capsule (52%), ACL (40%) and PCL (40%) but lower rates of injury to the menisci (20%), medial and lateral collateral ligaments (16%) and posterolateral corner (16%). KIS Imaging is the nations largest direct contracting imaging network with over 2,600 providers covering all major imaging needs: MRI, CT and PET. There were 2 cases with hyperextension injury while playing football and 2 patients attained the injury after being hit by car. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. A lateral radiograph of the right knee a shows osseous fragmentation of the tibial tuberosity and soft tissue swelling ( white arrow ). Other soft tissue injuries include: ACL (100%), PCL (7.6%), Medial meniscus (89.7%), Lateral meniscus (23.1%), LCL (7.6%). 2021 Nov 11;6(4):e21.00069. Google Scholar, Bernard M, Pappas E, Georgoulis A, Haschemi A, Scheffler S, Becker R (2020) Risk of overconstraining femorotibial rotation after anatomical ACL reconstruction using bone patella tendon bone autograft. Bone bruising of the knee. Bone bruise represents as acute, occult microfractures of subchondral trabecular bone with subsequent haemorrhage, oedema and hyperemia. PLT: Posterloateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures.