Google Scholar; . Clin Imaging. PubMed Central Google Scholar. Soft tissue abnormalities may include injury of ACL or PCL and a meniscal injury along with injury of the popliteal neurovascular structure, complete disruption of the posterolateral complex, gastrocnemius injury [8]. Perin B, Nardacchione R, Bonaga S, Angelini F, Girotto A, Giovagnoni A, et al. 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]. Am J Sports Med. volume47,pages 173179 (2018)Cite this article. Tax calculation will be finalised during checkout. 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. Computed Tomography & Magnetic Resonance Imaging Of The Whole Body. Bone marrow contusion at posterior lip of medial tibial condyle was seen in 59 cases. PubMed Central 2000;20:S13551. PubMed Central 2006;238:85362. endobj Would you like email updates of new search results? -, Radiology. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Part of Springer Nature. Mair SD, Schlegel TF, Gill TJ, Hawkins RJ, Steadman JR. PubMed Imaging was done using FOV: 160 mm, slice thickness of 3 mm on Saggital images; FOV: 170 mm, slice thickness of 3 mm on coronal images; FOV: 170 mm, slice thickness on 3.5 mm and axial images with interslice gap of 1.5 mm. 2000;20 Spec No (suppl_1): S135-51. 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. Tensile load can cause ligament and tendon tears as well as avulsion fracture. Frequent abnormalities found on MR imaging include labral tear or injury, stress fracture, and avascular necrosis . endobj CAS The authors declare that they have no conflict of interest. Sanders classified bone marrow contusions in five different patterns as: Clip injury, Pivot shift injury, Dashboard injury, Hyperextension injury, and Lateral patellar dislocation [8]. An official website of the United States government. Unauthorized use of these marks is strictly prohibited. 36 0 obj Sahoo K, Garg A, Saha P, Dodia JV, Raj VR, Bhairagond SJ. Semin Ultrasound CT MR. 1994 Oct;15(5):396-409. doi: 10.1016/s0887-2171(05)80006-x. PubMed The lateral femoral notch sign (LFNS) and the kissing contusion (KC) are two indirect signs of anterior cruciate ligament (ACL) injuries. Kapelov et al., conducted a study to demonstrate that T2 weighted fast spin echo (FSE) images with spectroscopic fat saturation (FS- FSE) increase conspicuity between marrow contusion and normal marrow in post traumatic knee and found bone marrow contusion in 21 out of 76 cases (27.6%) which is less than our study (69%) [11]. In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern [Table/Fig-6]. By directing imaging to outpatient sites, not hospital settings, it creates a better patient experience while yielding substantial savings. Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. The purpose of this review is to . Informed consent was obtained from the patients in English or regional language. - 103.57.222.214. 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). Bretlau T, Tuxe J, Larsen L, Jrgensen U, Thomsen HS, Lausten GS. HG contributed to the article writing and data collection. HW contributed to some imaging data and surgery. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Google Scholar. Among the 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). Study was conducted between May 2014 to September 2015 with a sample size of 200 patients. MeSH Study of imaging pattern in bone marrow oedema in MRI in recent knee injuries and its correlation with type of knee injury. The purpose of this review is to illustrate the MRI findings of lateral patellar dislocation and concomitant injuries, such as kissing contusions of the medial patella and lateral femoral condyle; osteochondral and avulsion fractures; and injuries of the medial patellofemoral ligament/retinacular complex. Our imaging services center is on the 1st floor of the hospital, directly behind our main reception area. Rangger C, Kathrein A, Freund MC, Klestil T, Kreczy A. -. Twenty of the 23 patients had follow-up imaging. Snearly WN, Kaplan PA, Dussault RG. A 30-year-old woman with acute knee injury. Contusions of both surfaces of the knee joint are known as kissing contusions. PubMed Google Scholar. 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]. Looking for more information? https://doi.org/10.1007/s00256-017-2754-y, https://doi.org/10.1016/j.arthro.2016.03.015. <>stream Contusions of both surfaces of the knee joint are known as kissing contusions. Please enable it to take advantage of the complete set of features! Am J Sports Med 28(1):6873, Gentili A, Seeger L, Yao L, Do H (1994) Anterior cruciate ligament tear: indirect signs at MR imaging. Eur J Orthop Surg Traumatol. 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. 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. 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 No meniscal tear. In suspected ACL injury, bone marrow contusion may not be necessarily present. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. government site. *Other cause include fall while getting down from bus (1 case), fall while jumping (1 case), fall while getting downstairs. Felt a "popping" sensation after landing on a straightened knee. PubMed . Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. It can also damage interposed soft tissues, most commonly the articular cartilage and meniscus. Google Scholar. Clin Orthop Relat Res. Results: Book an Appointment. Prognosis is particularly influenced by the presence of osteoarthritis. Diagnosis of bone marrow oedema following traumatic event prompt a closer inspection for lesions such as ligamentous and meniscal tears. PDFS Saggital: Bone marrow oedema at Medial femoral and Medial tibial condyle in Hyperextension injury. 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. 2014 . A load that is too low to cause cortical fracture may be sufficient to disrupt trabecular bone and produce marrow contusion. 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). volume143,pages 927934 (2023)Cite this article. Am J Sports Med. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. Unable to process the form. Other structures are injured less frequently and have weaker associations with bone bruise distribution. 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. Transient lateral patellar dislocation: diagnosis with MR imaging. Am J Sports Med. Meyer EG, Baumer TG, Haut RC. Magnetic Resonance Imaging of Bone Marrow: A Review Part II. ADVERTISEMENT: Supporters see fewer/no ads. 1999;211:74753. Below is the link to the electronic supplementary material. Bone Marrow Edema Injury Patterns in the Pediatric Knee: An MRI Study. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. judge timothy kenny political affiliation. Lianxu Chen. Compression and tension are two basic loads that commonly act on the knee [4]. The usefulness of the oblique coronal plane in knee MRI on the evaluation of the posterior cruciate ligament. endobj Mechanism-based pattern approach to classification of complex injuries of the knee depicted at mr imaging. 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. Furthermore, it is anterior tibial oedema rather than the presence of kissing lesions than predicts cruciate ligament injury (OR = 10.5, p = 0.02). Notch depth equal to 0.72mm can be basically considered as the optimal cut-off point for LFNS in statistics. After knee injury, bone marrow oedema is frequently subchondral in location [4]. [1] References [ edit] ^ Terzidis, I. P. (October 2004). Nippon Igaku Hoshasen Gakkai Zasshi 55(6):375379, CAS eCollection 2020 Apr. Follow-up of occult bone lesions detected at MR imaging: systematic review. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. 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). 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. bone contusion) can give clues for the mechanism and associated injuries. Am J Sports Med. Effusion in the adjacent deep infrapatellar bursa. 98 0 obj 8600 Rockville Pike Mechanism of traumatic knee injuries and MR findings. Conclusions: Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. Most common type / mode of injury in patients with unclassified pattern in fall from bike (3 cases) followed by hit by car/ motor vehicle (2 cases) and injury while lifting heavy weight in 1 case [Table/Fig-13]. Accessibility PLT: Posterloateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. Radiology. The magnitude of the force is a major determinant of the imaging findings. Arch Orthop Trauma Surg 140(11):17511757, Article Arch Orthop Trauma Surg. -, Radiology. CAS In this study, patients with history of knee injury <6 weeks were considered as recent knee injuries. The relationship and characteristics between these two indicators was explored. Contusions of both surfaces of the joint are known as kissing contusions. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Ali, A.M., Pillai, J.K., Gulati, V. et al. government site. J Bone Joint Surg Am. eCollection 2022 Oct. Moran J, Katz LD, Schneble CA, Li D, Kahan JB, Wang A, Porrino J, Jokl P, Hewett TE, Medvecky MJ. For KC, the corresponding values were 36.6% and 99.4%, respectively. Pure passive hyperextension of the human cadaver knee generates simultaneous bicruciate ligament rupture. Boks SS, Vroegindeweij D, Koes BW, Bernsen RM, Hunink MG, Bierma-Zeinstra SM. 2014;55(8):9618. NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Ashish Garg, A-4, Ashok Nagar, Mandoli Road, Shahdara, Delhi-110093, India. 2022. In this study 8 cases (5.7%) had dashboard injury pattern of bone marrow contusion at anterior aspect of proximal tibia. Lim YS, Peh WC. 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. Bone marrow contusion was noted in 71 cases out of 255 cases (27.8%). official website and that any information you provide is encrypted Unable to load your collection due to an error, Unable to load your delegates due to an error. MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. Bone bruise in the acutely injured knee. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). 1 0 obj 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. Bone bruises: MR characteristics and histological correlation in the young pig. Am J Sports Med. Am J Sports Med. +(91)-9821210096 | paula deen meatloaf with brown gravy. The .gov means its official. doi: 10.2106/JBJS.OA.21.00069. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. 2002;10:96101. 2021 Jun;13(4):1343-1350. doi: 10.1111/os.12967. bone bruises on magnetic resonance imaging evaluation of anterior cruciate ligament injuries. Sanders TG, Medynski MA, Feller JF, Lawhorn KW. PDFS Coronal: Bone marrow oedema at Medial femoral condyle and Metadiaphysis. Before Associated soft-tissue injuries include the medial retinaculum, the Medial Patellofemoral ligament, and the medial patellotibial ligament [9]. Acrobat Distiller 5.0.5 (Windows) the contents by NLM or the National Institutes of Health. Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. Grade II ACL tears represent intraligamentous injury and an increase in ligament length. Bethesda, MD 20894, Web Policies J Biomech Eng. Type I lesions are most common on the lateral femoral condyle and type III on the lateral tibial condyle. <>stream The pattern of bone bruise in knee injuries (a.k.a. On 1.5 T, knee joint was examined in Saggital (T1, T2, PD, PDFS), Coronal (T2/ PDFS), Axial (T2, Medic) sequences. Multi-vendor multi-site quantitative MRI analysis of cartilage degeneration 10Years after anterior cruciate ligament reconstruction: MOON-MRI protocol and preliminary results. Br J Sports Med. Traumatic bone bruising-a review article. 2004-09-01T13:26:27Z . Asai K, Nakase J, Oshima T, Shimozaki K, Yoshimizu R, Tsuchiya H (2020) Partial resection of the infrapatellar fat pad during anterior cruciate ligament reconstruction has no effect on clinical outcomes including anterior knee pain. Pivot shift injury in different location and its correlation with sports related injury and other type/mode of injury. of knee injury in pediatric patients. Hong CK, Hoshino Y, Watanabe S, Nagai K, Matsushita T, Su WR, Kuroda R. Knee Surg Sports Traumatol Arthrosc. Bone bruise represents as acute, occult microfractures of subchondral trabecular bone with subsequent haemorrhage, oedema and hyperemia.
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