Acute findings of a joint effusion and posterior tibial plateau contusion are present. Extensive posterior capsular edema in keeping with a hyperextension injury. see full revision history and disclosures, posterior soft tissue injuries involving the knee joint capsule, fibular attachment of soleus and distal semimembranosus tendon. Bone contusion of knee: Increase lesion detection with fast spin echo MR Imaging with spectroscopic Fat saturation. 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. Archives of Orthopaedic and Trauma Surgery, https://doi.org/10.1007/s00402-022-04366-9. It is a common injury that can occur from a fall, blow, or collision. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Would you like email updates of new search results? National Library of Medicine knees against dashboard in motor vehicle collision, or fall onto flexed knee), contusion pattern:anterior tibia +/- posterior patella, contusion pattern: lateral femoral condyle and lateral tibial plateau +/- medial femoral condyle from medial collateral ligament (MCL) avulsive stress, direct force to anterior tibia with foot planted, contusion pattern: "kissing contusions" of anterior tibial plateau and anterior femoral condyle, contusion pattern: anterolateral lateral femoral condyle and inferomedial patella, associated with medial patellar retinaculum +/-. None of the knees had been injured before. Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). Calvo-Gurry M, Hurley ET, Withers D, Vioreanu M, Moran R. Knee Surg Sports Traumatol Arthrosc. No meniscal tear. 2005;118(1209):U1301. Epub 2010 Sep 13. Arthroscopy. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. 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. Part of Springer Nature. Although patients often present to the emergency department with acute knee pain and hemarthrosis, spontaneous reduction frequently occurs, and half of cases are unsuspected clinically. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. The .gov means its official. Snearly WN, Kaplan PA, Dussault RG. MeSH Looking for more information? Conclusions: Bone Marrow Signal Alteration in the Extremities. Ready to get started? 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). Winters K, Tregnonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. Contusions of both surfaces of the joint are known as kissing contusions. Correlation between various pattern of bone marrow oedema and type/mode of injury. endobj In our study pivot shift pattern is noted in 78 cases (56.5%). Bone contusion is also noted in posterior lip of the medial tibial condyle [8] or medial femoral condyle and medial tibial condyle [7]. Learn more about Institutional subscriptions. 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%). HHS Vulnerability Disclosure, Help 5 out of 8 patients with a double sulcus on the lateral radiograph had ACL injury. In our study, bone marrow oedema was seen in 138 cases (69%) out of 200 cases. Google Scholar. Bone bruise of the knee: histology and cryosections in 5 cases. MR diagnosis of Bone contusion of the knee: Comparison of coronal T2 weighted Fast spin echo with fat saturation and fast spin echo STIR images with conventional STIR images. Article 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]. This is a preview of subscription content, access via your institution. Radiographics. Results: Diagnosis of bone marrow oedema following traumatic event prompt a closer inspection for lesions such as ligamentous and meniscal tears. The usefulness of the oblique coronal plane in knee MRI on the evaluation of the posterior cruciate ligament. Am J Sports Med. PubMed Assessment with magnetic resonance, correlated with arthroscopy. 31 0 obj Google Scholar. 2016 Nov;32(11):2331-2341 sharing sensitive information, make sure youre on a federal judge timothy kenny political affiliation. Bone bruises: MR characteristics and histological correlation in the young pig. Am J Sports Med. Meniscal injury was unrelated to the extent or pattern of bone bruising. 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. Inclusion in an NLM database does not imply endorsement of, or agreement with, They found that all the lesions in one patient do not heal at exactly the same speed. government site. Gong, H., Wang, H., Zhang, X. et al. HSS J. Skeletal Radiology Mandalia V, Fogg AJB, Chari R, Murray J, Beale A, Henson JHL. Clin Imaging. 1989 Jun;171(3):761-6 2008;36:804. PDFS Coronal: Bone marrow oedema at Medial femoral condyle and proximal tibia. 1998;69:2914. Follow up scan could not be done to establish the presumable diagnosis of bone marrow contusion. Kim-Wang SY, Spritzer CE, Owusu-Akyaw K, Coppock JA, Goode AP, Englander ZA, Wittstein JR, DeFrate LE. 2013;41(8):18017. Article 21033-6-01). Tensile load can cause ligament and tendon tears as well as avulsion fracture. In 6 cases bone marrow contusion could not be explained by various patterns. Other structures are injured less frequently and have weaker associations with bone bruise distribution. and transmitted securely. Ryu KN, Jin W, Ko YT, Yoon Y, Oh JH, Park YK, et al. Sanders TG, Medynski MA, Feller JF, Lawhorn KW. 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. Federal government websites often end in .gov or .mil. 2016;10(4):TC0611. 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 In this study, patients with history of knee injury <6 weeks were considered as recent knee injuries. CAS 1996;330:13342. Injury in PCL is seen in all the cases. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). You can use Radiopaedia cases in a variety of ways to help you learn and teach. 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. School of Clinical Medicine, Tsinghua University, Beijing, China, Peking University Third Hospital, Beijing, China, Beijing Tsinghua Changgung Hospital Affiliated To Tsinghua University, Beijing, China, Heng Gong,Xiaofei Zhang,Ligong Fu&Lianxu Chen, You can also search for this author in 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. The patients age ranged from 17-65 years and majority of patients were in 21-30years age group. Mair SD, Schlegel TF, Gill TJ, Hawkins RJ, Steadman JR. 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. Book an Appointment. Correspondence to doi: 10.2106/JBJS.OA.21.00069. PubMed MeSH NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Ashish Garg, A-4, Ashok Nagar, Mandoli Road, Shahdara, Delhi-110093, India. HW contributed to some imaging data and surgery. Kessler R, Campbell S, Wong D, Mansfield LB. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a casecontrol study. Radiology 184(3):855858, Dimitriou D, Reimond M, Foesel A et al (2021) The deep lateral femoral notch sign: a reliable diagnostic tool in identifying a concomitant anterior cruciate and anterolateral ligament injury. Type I lesions are most common on the lateral femoral condyle and type III on the lateral tibial condyle. Other associated injury in ACL (87.5%), Medial meniscus (50 %) and lateral meniscus (75%). PubMedGoogle Scholar. Bone contusion of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee. 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 Bone marrow contusions are frequently identified at magnetic . Home; Service. An official website of the United States government. 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. As a library, NLM provides access to scientific literature. Clin Orthop Relat Res. The double sulcus sign is a radiographic marker that confers a high probability of ACL injury. 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. Before Shi H, Ding L, Jiang Y, Zhang H, Ren S, Hu X, Liu Z, Huang H, Ao Y. Orthop J Sports Med. -, Am J Sports Med. In this case, patient has had a hyperextension external rotation injury of the knee as evidenced by the kissing bone marrow contusions in the anterior aspect of the lateral femoral condyle (LFC) and the lateral tibial plateau. Fornalski S, McGarry MH, Csintalan RP, Fithian DC, Lee TQ. National Library of Medicine Price excludes VAT (USA) The pattern of bone bruise in knee injuries (a.k.a. 36 0 obj Please enable it to take advantage of the complete set of features! Am J Sports Med. 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. Knee Surg Sports Traumatol Arthrosc. Prognosis is particularly influenced by the presence of osteoarthritis. Unable to load your collection due to an error, Unable to load your delegates due to an error. PubMed 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. Table showing Type/Mode of injury in pivot shift injury. Knee Surg Sports Traumatol Arthrosc 29(4):10181024, Cobby MJ, Schweitzer ME, Resnick D (1992) The deep lateral femoral notch: an indirect sign of a torn anterior cruciate ligament. The relationship and characteristics between these two indicators was explored. PubMed Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Disclaimer. MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. Our study only involves the image information of patients. The associated injuries were confirmed by arthroscopy in 12/16 patients. Informed consent was obtained from the patients in English or regional language. Am J Sports Med. T2 Axial: Bone marrow oedema in Inferiomedial aspect of patella and lateral femoral condyle in lateral patellar dislocation. *no pattern of bone marrow contusion could be explained as per the classification. Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. ADVERTISEMENT: Supporters see fewer/no ads. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). -, Arthroscopy. Green DW, Hidalgo Perea S, Kelly AM, Potter HG. 2005;60:62736. Google Scholar. 13 0 obj Compression and tension are two basic loads that commonly act on the knee [4]. CAS Article Radiology. Age, type of bone bruise, and number of bruises also have prognostic value. A knee contusion can usually be treated . Unauthorized use of these marks is strictly prohibited. -, Radiology. 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. It is a rare (6.3% in this series) but significant injury, often associated with ligamentous or menisceal tears. National Library of Medicine Kissing contusion refers to the bone contusions in both femoral and tibial surfaces of the knee. https://doi.org/10.1007/s00402-022-04366-9, DOI: https://doi.org/10.1007/s00402-022-04366-9. Oedema is seen at the anterior aspect of the tibia and, occasionally, at the posterior surface of the patella [8]. Am J Sports Med. of knee injury in pediatric patients. bone contusion) can give clues for the mechanism and associated injuries. 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. Epub 2013 Jun 6. On 1.5 T, knee joint was examined in Saggital (T1, T2, PD, PDFS), Coronal (T2/ PDFS), Axial (T2, Medic) sequences. 2020 Apr 15;8(4):2325967120911162. doi: 10.1177/2325967120911162. DOI: 10.1148/radiographics.20.suppl_1.g00oc19s135 PMID: 11046168. Jeli D, Masulovi D. Bone bruise of the knee associated with the lesions of anterior cruciate ligament and menisci on magnetic resonance imaging. Am J Sports Med. 2. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). Pivot shift injury pattern according to Location of marrow oedema. Movement across knee helps in doing daily activities including walking, sitting, and standing. 2022. Anterior cruciate, and medial and lateral collateral ligaments are intact. The site is secure. Check for errors and try again. LF directed the writing of the article. Archives of Orthopaedic and Trauma Surgery Bone marrow contusion at posterior lip of medial tibial condyle was seen in 59 cases. Google Scholar, Pao DG (2001) The lateral femoral notch sign. Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. After knee injury, bone marrow oedema is frequently subchondral in location [4]. 2011 Aug 17;93(16):1510-8. doi: 10.2106/JBJS.J.01320. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Am J Sports Med. Bethesda, MD 20894, Web Policies PDFS Saggital: Bone marrow oedema in Intercondylar region tibia with subchondral cysts. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. Our results therefore suggest that kissing contusions are more common following knee hyperextension than in other forms of knee injury and predominantly affect the medial side. 10 0 obj Careers. PDFS Saggital: Bone marrow oedema at Lateral femoral and posterolateral tibial plateau in Pivot shift injury. 2014;24:14817. Arch Orthop Trauma Surg 140(7):923931, Renstrom P, Ljungqvist A, Arendt E et al (2008) Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement. Traumatic Bone Bruises in the Athlete's Knee. -. Conclusions: Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. 2004;38:5926. Multi-vendor multi-site quantitative MRI analysis of cartilage degeneration 10Years after anterior cruciate ligament reconstruction: MOON-MRI protocol and preliminary results. PDFS Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. 33 0 obj ;S'XhM. "Kissing contusion" refers to a bone contusion on both side of the knee joint. Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees. Yoon KH, Yoo JH, Kim KI. In this study, inclusion criteria included history of knee injury within 6 weeks or suspected ACL injury [12]. MRI of affected knee joint was done as per imaging protocol and images stored in compact disc. Adult patients with ACL tears have greater tibial internal rotation in MRI compared to adolescent patients. Contusions of both surfaces of the knee joint are known as kissing contusions. MRI of the Pediatric Knee Pediatric Imaging Review. Orthop Surg. Hong CK, Hoshino Y, Watanabe S, Nagai K, Matsushita T, Su WR, Kuroda R. Knee Surg Sports Traumatol Arthrosc. 2022 Oct;30(10):3508-3514. doi: 10.1007/s00167-022-06970-z. CAS The .gov means its official. 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%). To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic bone bruise distribution. 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]. Methods: Correlation between contusion pattern in clip injury and type/mode of injury. 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. 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. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Knee joint is one of strongest joint in body and allows transmission of body weight to leg. 2021 Nov 11;6(4):e21.00069. The posteromedial corner of the knee is a capsuloligamentous complex in the posterior aspect of the medial compartment. The purpose of this review is to . The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). Texas Health Care Imaging is a radiology clinic located in Brownsville, TX. LXC designed the study and was responsible for the paper. Ciuffreda P, Lelario M, Milillo P, Vinci R, et al. 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]. *Other cause include fall while getting down from bus (1 case), fall while jumping (1 case), fall while getting downstairs. Patients were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. PubMed Central 4 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. All the patients underwent magnetic resonance imaging (MRI) preoperatively, and the diagnosis was confirmed with the aid of arthroscopy. An axial acquisition through the patella femoral joint was used as the initial localizer for subsequent coronal and saggital images. Bone Marrow Edema Injury Patterns in the Pediatric Knee: An MRI Study. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. In these 16 cases, contusion in medial compartment was noted in 2 cases (12.5%) [13]. Inclusion criteria were patients with recent knee injuries (<6weeks) and normal plain radiograph with no signs of pathology. Bone marrow oedema may also show delayed enhancement following administration of gadolinium DTPA.
Wicked Eyes And Wicked Hearts Best Party,
Mike Bowling Testimony,
Vladivostok Destroyed By Fire 1953,
Articles K