steve stricker wrist lock; what channel are the st louis cardinals playing on today 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]. Biomechanical Approach to MRI of Acute Knee Injuries. 2000;20:S13551. 2006;238:85362. 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]. Twenty of the 23 patients had follow-up imaging. Out of 200 patients, 32 were women (16%) and 168 men (84%). 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. Study was conducted between May 2014 to September 2015 with sample size of 200 patients, after taking the institutional ethical clearance. Conclusions: ;S'XhM. 1993;21:2203. An official website of the United States government. 2000;24:37180. Epub 2021 Apr 4. Google Scholar. The associated injuries were confirmed by arthroscopy in 12/16 patients. Sahoo K, Garg A, Saha P, Dodia JV, Raj VR, Bhairagond SJ. 1 Kacey Court, Suite 100, Mechanicsburg, Pa, 17055. National Library of Medicine Pivot shift injury depending on location and type/mode of injury. JB JS Open Access. [1] References [ edit] ^ Terzidis, I. P. (October 2004). 2005;60:62736. 2000 Nov-Dec;24(6):371-80 Other structures are injured less frequently and have weaker associations with bone bruise distribution. Unauthorized use of these marks is strictly prohibited. 2000;20 Spec No (suppl_1): S135-51. 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. Davies NH, Niall D, King LJ, Lavelle J, Healy JC. and transmitted securely. Boks SS, Vroegindeweij D, Koes BW, Bernsen R, Hunink MGM, Zeinstra SM. Materials and methods: 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]. 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). MRI of affected knee joint was done as per imaging protocol and images stored in compact disc. Clin Imaging. 1996;198:2058. 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. Accessibility https://doi.org/10.1007/s00256-017-2754-y, https://doi.org/10.1016/j.arthro.2016.03.015. Archives of Orthopaedic and Trauma Surgery Chi-square = 1.926, p =0.3817 i.e. 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). Epub 2022 Apr 12. Ryu KN, Jin W, Ko YT, Yoon Y, Oh JH, Park YK, et al. Bone marrow oedema is responsible for patient symptoms and may lead to early degenerative changes [7]. This mechanism of injury involves other soft tissue structures like tears/posterior capsule and arcuate ligament, medial collateral ligament (MCL) and the menisci. Meniscal injury was unrelated to the extent or pattern of bone bruising. Contusions of both surfaces of the knee joint are known as kissing contusions. A thorough understanding of knee injury patterns and their mechanisms may help in achieving more accurate assessment of injuries. 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. 2023 Feb;19(1):107-112. doi: 10.1177/15563316221092320. 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. HHS Vulnerability Disclosure, Help Bone bruise patterns in knee injuries: where are they found? 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]. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Yap J, Al Kabbani A, et al. 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). 2014 Feb;44(2):281-93. doi: 10.1007/s40279-013-0116-z. Hong CK, Hoshino Y, Watanabe S, Nagai K, Matsushita T, Su WR, Kuroda R. Knee Surg Sports Traumatol Arthrosc. Popular works include The appearance of kissing contusion in the acutely injured knee in the athletes, Role of Magnetic Resonance Imaging in Study of the Patellofemoral Joint Morphological Abnormalities Predisposing to Patellar Instability and more. volume47,pages 173179 (2018)Cite this article. 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. Dashboard injury occurs when force is applied to the anterior aspect of the proximal tibia while the knee is in a flexed position. Mandalia V, Henson JH. ACL tears are classified into three grades: Grade I ACL tears represent intraligamentous injury without a change in ligament length. Among 46 cases, football was most common sports leading to injury followed by Kabaddi. 1989 Sep;27(5):983-1002 volume143,pages 927934 (2023)Cite this article. Expansive network access, savings and no red tape An absolute win-win foreveryone! You can use Radiopaedia cases in a variety of ways to help you learn and teach. Acute knee block. 8600 Rockville Pike MacMahon PJ, Palmer WE. Epub 2022 May 3. Deangelis JP, Spindler KP. This is a preview of subscription content, access via your institution. Emerg Radiol 17(6):435444, Murphy BJ, Smith RL, Uribe JW, Janecki CJ, Hechtman KS, Mangasarian RA (1992) Bone signal abnormalities in the posterolateral tibia and lateral femoral condyle in complete tears of the anterior cruciate ligament: a specific sign? 2004;32:16817. Pure passive hyperextension of the human cadaver knee generates simultaneous bicruciate ligament rupture. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). Bone bruise in the acutely injured knee. When femur rotates internally on a fixed tibia on the flexed knee; contraction of the quadriceps occurs, leading to lateral dislocation of the patella out of the trochlear groove [8,14]. PubMed 4. Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). PubMed Central Epub 2022 Aug 30. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. Presence of contusion may also effect management of knee injuries often requiring prolonged rest even in absence of surgical correctible lesion and establishing diagnosis of bone marrow contusion may obviate further costly work up like arthroscopy. Radiology 182(1):221224, Niitsu M, Kuramochi M, Anno I, Itai Y (1995) Secondary signs of anterior cruciate ligament tear at MR imaging. 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. 2011;93:15108. Part of Springer Nature. 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. PubMed Central J Comput Assist Tomogr. Meyer EG, Baumer TG, Haut RC. ADVERTISEMENT: Supporters see fewer/no ads. The site is secure. 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. Correspondence to Type/Mode of injury in these cases are: impact during car accident in 4 cases, fall on flexed knee while playing cricket in 1 case, while getting downstairs in 1 case and fall from bike in flexed knee in 2 cases. The https:// ensures that you are connecting to the Bone bruise, Compressisve force, Early degeneration, Microfracture, Torsional force. If the knee is exposed to forces beyond its physiologic range, risk of injury to bone or soft tissue structures increases. Inpatient imaging services are available 24/7. In present study transient dislocation of patella pattern is noted in 3 cases (2.2%). Bone contusions of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee at MR imaging. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). An official website of the United States government. Check for errors and try again. 2011;197 (3): 568-77. 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. Associated MCL injury is noted in 31 cases (79.5%). It also was revealed that when the optimal cut-off point of LFNS was 0.72mm (area under the curve (AUC)=81%), the values of specificity and sensitivity were 67% and 84%, respectively. Shea KG, Archibald-Seiffer N, Murdock E, Grimm NL, Jacobs JC Jr, Willick S, Van Houten H. Knee injuries in downhill skiers: a 6-year survey study. The oedema pattern & suspected type/mode of injury on basis of MRI were then correlated with detailed patients history on mode of injury. Frequent abnormalities found on MR imaging include labral tear or injury, stress fracture, and avascular necrosis . Acrobat Distiller 5.0.5 (Windows) ADVERTISEMENT: Supporters see fewer/no ads. 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]. 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. 2000;28:6637. 2011 Aug 17;93(16):1510-8. doi: 10.2106/JBJS.J.01320. By directing imaging to outpatient sites, not hospital settings, it creates a better patient experience while yielding substantial savings. In this study, inclusion criteria included history of knee injury within 6 weeks or suspected ACL injury [12]. Objective: 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). 2019 Nov;27(11):3633-3637. doi: 10.1007/s00167-019-05490-7. 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]. J Clin Diagn Res. 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 In this study, patients with history of knee injury <6 weeks were considered as recent knee injuries. The LFNS and KC have strong clinical significance in the diagnosis of ACL injuries. Multi-vendor multi-site quantitative MRI analysis of cartilage degeneration 10Years after anterior cruciate ligament reconstruction: MOON-MRI protocol and preliminary results. 2022 Dec;30(12):1647-1657. doi: 10.1016/j.joca.2022.08.006. Am J Sports Med. 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). MRIs, plain radiographs and clinical details of these patients were reviewed. In many cases, Bone marrow contusion might have resolved at time of MRI. 2014;55(8):9618. PubMed Central Why continue to overpay for your most common Imaging procedures? To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic bone bruise distribution. Knee joint is one of strongest joint in body and allows transmission of body weight to leg. Compression and tension are two basic loads that commonly act on the knee [4]. Epub 2021 May 11. 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. Rangger C, Klestil T, Kathrein A, Indester A, Hamid L. Influence of magnetic resonance imaging on indications for arthroscopy of the knee. Disclaimer. Google Scholar. Disabling symptoms are often prolonged. This article about a disease of musculoskeletal and connective tissue is a stub. Extensive posterior capsular edema in keeping with a hyperextension injury. 99 0 obj Acta Orthop Traumatol Turc. [Table/Fig-10,,1111 and and12]12] show the aetiologies and location for pivot shift injury, Type /Mode of injury among dashboard injury pattern (8 cases) were - Impact from dashboard in 4 cases, fall from bike (2 cases), running downstairs (1 case) and fall while paying cricket (1 case). PubMed XZ contributed to part of the statistics of the article. PubMed Magnetic resonance imaging of bone bruising in the acutely injured kneeshort-term outcome. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. Clin Orthop Relat Res. 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. 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 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%). 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. The double sulcus sign is a radiographic marker that confers a high probability of ACL injury. Analytical Services; Analytical Method Development and Validation Pivot shift pattern is most common contusion pattern and the most common type/mode of sports related injury. In this study, inclusion criteria were acute knee injury only in athletes while in our study there were no such selection criteria. Shi H, Ding L, Jiang Y, Zhang H, Ren S, Hu X, Liu Z, Huang H, Ao Y. Orthop J Sports Med. Study of imaging pattern in bone marrow oedema in MRI in recent knee injuries and its correlation with type of knee injury. Skeletal Radiol 32(11):639646, Flint J, Wade A, Giuliani J, Rue J (2014) Defining the terms acute and chronic in orthopaedic sports injuries: a systematic review. 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. 2. 2022 Jan 11;17(1):17. doi: 10.1186/s13018-022-02912-0. A knee contusion can range from mild to severe. Am J Sports Med. Radiographics. <>stream 8600 Rockville Pike It is not necessary to obtain consent. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. They can be used to diagnose ACL injuries. LXC designed the study and was responsible for the paper. No fractures were present on x ray. Over the lifetime, 3 publication(s) have been published within this topic receiving 31 citation(s). Bone bruising of the knee. https://doi.org/10.1007/s00402-022-04366-9, DOI: https://doi.org/10.1007/s00402-022-04366-9. "Kissing contusion" refers to a bone contusion on both side of the knee joint. the contents by NLM or the National Institutes of Health. Bone marrow contusion was noted in 71 cases out of 255 cases (27.8%). In our study, bone marrow oedema was seen in 138 cases (69%) out of 200 cases. eCollection 2020 Apr. Contusions of both surfaces of the joint are known as kissing contusions. Knee Surg Sports Traumatol Arthrosc. Learn more about Institutional subscriptions. 2012;2 (5): 398-402. Mandalia V, Fogg AJB, Chari R, Murray J, Beale A, Henson JHL. Eur J Radiol. Prevalence and location of bone bruises associated with anterior cruciate ligament injury and implications for mechanism of injury: a systematic review. 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 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%). Disclaimer. Clipboard, Search History, and several other advanced features are temporarily unavailable. Background: Clin Imaging. of knee injury in pediatric patients. Would you like email updates of new search results? sharing sensitive information, make sure youre on a federal MeSH Clin Sports Med 33(4):633640, Tauber M, Fox M, Koller H, Klampfer H, Resch H (2008) Arthroscopic treatment of a large lateral femoral notch in acute anterior cruciate ligament tear. Article Careers. Clin Orthop Relat Res. 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. 2021 Jun;13(4):1343-1350. doi: 10.1111/os.12967. [101 0 R] 1. Bone Marrow Edema Injury Patterns in the Pediatric Knee: An MRI Study. endobj Park HJ, Lee SY, Chung EC, Rho MH, Ahn JH, Kim M, et al. Pattern of marrow oedema as per classification. Unable to load your collection due to an error, Unable to load your delegates due to an error. Br J Sports Med. J Bone Joint Surg Am. A lateral radiograph of the right knee a shows osseous fragmentation of the tibial tuberosity and soft tissue swelling ( white arrow ). Arch Orthop Trauma Surg. Meniscal injury was unrelated to the extent or pattern of bone bruising. In distraction injury, excessive tension may damage the joint capsule, retinacula, ligaments, and tendons as well as their osseous attachment sites. <>stream On MR images, trabecular contusion has the appearance of bone marrow oedema. Am J Sports Med. 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. 3 Professor, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. PubMed PDFS Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. Assessment with magnetic resonance, correlated with arthroscopy. HG contributed to the article writing and data collection. HHS Vulnerability Disclosure, Help J Biomech Eng. Right knee injury was noted in 87 cases (63%) and left knee in 51 cases (37%). https://doi.org/10.1007/s00256-017-2754-y, DOI: https://doi.org/10.1007/s00256-017-2754-y. The .gov means its official. Biomechanical and anatomical assessment after knee hyperextension injury. Keywords: severe contusions may cause the knee to give out or lock. PubMed 36 0 obj 2010 Dec;38(12):2502-8. doi: 10.1177/0363546510376232. 3. Terzidis IP, Christodoulou AG, Ploumis AL, Metsovitis SR, Koimtzis M, Givissis P. The appearance of kissing contusion in the acutely injured knee in the athletes. Google Scholar. <> The depth of LFNS and the presence of KC were determined on MRI findings. Bone bruising; Knee hyperextension; MRI. PubMed Effusion in the adjacent deep infrapatellar bursa. uuid:a4a67e17-1dd1-11b2-0a00-340827bd7200 The site is secure. Below is the link to the electronic supplementary material. CAS In addition to trauma, marrow oedema can be seen in a broad spectrum of entities, including infection, transient osteoporosis of the hip bone marrow, and neoplasm demonstrates relatively hyperintense T2 and hypointense T1 signal, but the clinical history and location of injury typically allows the correct diagnosis to be made [2]. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Bone marrow contusions are frequently identified at magnetic . Case Discussion. NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Ashish Garg, A-4, Ashok Nagar, Mandoli Road, Shahdara, Delhi-110093, India. 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. In this study hyperextension injury noted in 4 cases in 138 cases (2.9%). Yoon KH, Yoo JH, Kim KI. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 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. Bookshelf Clin Radiol. Lianxu Chen. Radiology. 1996 Jan;198(1):205-8 endobj Ali, A.M., Pillai, J.K., Gulati, V. et al. Horizontal Rafting Plate for Treatment of the Tibial Plateau Fracture. 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. 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. -, Radiol Clin North Am. Therefore, an influence by the number of bone bruises on healing time was marked; the higher the number, the more likely that there will be one slowly resolving lesion. Results: Contusions of both surfaces of the knee joint are known as kissing contusions. endobj Article Bone marrow contusion is transient dislocation of patella noted in anterior aspect of lateral femoral condyle and inferiomedial aspect of patella in all the cases (100 %). A 124(62%) had trauma in right knee and 76(38%) in left knee. 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]. A knee contusion can usually be treated . The pattern of bone bruise in knee injuries (a.k.a. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. These contusions are generally found by magnetic resonance imaging and most cases are associated with ligamentous or menisceal injuries.[1]. Posterior tibial bone bruising associated with posterior-medial meniscal tear in patients with acute anterior cruciate ligament injury. MeSH Knee Surg Sports Traumatol Arthrosc. On analysing the bone marrow contusion pattern, type/mode can be determined in most of cases. No significant difference was noted in location of bone marrow contusion in clip injury for different type/mode of injury. At the time the article was created Henry Knipe had no recorded disclosures. The knee may also be swollen and bruised. Gong, H., Wang, H., Zhang, X. et al. 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]. Other soft tissue injuries include: ACL (100%), PCL (7.6%), Medial meniscus (89.7%), Lateral meniscus (23.1%), LCL (7.6%). PubMed No cost for the Employer or Employee with up to 80% savings. Elsevier Health Sciences. Unable to load your collection due to an error, Unable to load your delegates due to an error. Bone bruise of the knee: histology and cryosections in 5 cases. Imaging the knee: Ligaments. 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 2022. According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). 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]. Bone Marrow Signal Alteration in the Extremities. endobj 2022 Oct;30(10):3508-3514. doi: 10.1007/s00167-022-06970-z. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Location of bone bruises and other osseous injuries associated with acute grade III isolated and combined posterolateral knee injuries. To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. MacMahon PJ, Palmer WE. Bone marrow contusion usually resolves in 6-8 weeks [6]. "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. Hyperextension results in the "kissing" contusion pattern involving the anterior aspect of the proximal tibia and distal femur. Knee Surg Sports Traumatol Arthrosc. Increase in interstitial water content and hyperperfusion contributes to bone marrow oedema formation. endobj Grade II ACL tears represent intraligamentous injury and an increase in ligament length. PubMed Central In impaction, the compressive force directly strikes cortical bone and is dissipated into trabecular bone [4]. MRI is used widespread to interpret more complex injuries. Associated Soft tissue injuries include ACL and medial meniscus [8]. CAS The purpose of this review is to . The double sulcus sign is a radiographic marker that confers a high probability of ACL injury. A biomechanical approach to MRI of acute knee injuries. Sanders TG, Medynski MA, Feller JF, Lawhorn KW. Byrd JM, Colak C, Yalcin S; Clevel and Clinic Sports Medicine*; Winalski C; Cleveland Clinic Sports Medicine group; Briskin I, Farrow LD, Jones MH, Miniaci AA, Parker RD, Rosneck JT, Saluan PM, Strnad GJ, Spindler KP. Tensile load can cause ligament and tendon tears as well as avulsion fracture. Graf BK, Cook DA, De Smet AA, Keene JS. 2007;41 Suppl 2:98-104. 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).
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