kissing contusion knee radiology

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. Rangger C, Klestil T, Kathrein A, Indester A, Hamid L. Influence of magnetic resonance imaging on indications for arthroscopy of the knee. Other soft tissue injuries include: ACL (100%), PCL (7.6%), Medial meniscus (89.7%), Lateral meniscus (23.1%), LCL (7.6%). <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Comparison of bone contusion seen by MRI in partial and complete tears of the anterior cruciate ligament. Over the lifetime, 3 publication(s) have been published within this topic receiving 31 citation(s). Rodriguez W, Vinson EN, Helms AC, Toth PA. MRI appearance of posterior cruciate ligament tears. 2022 Jan 11;17(1):17. doi: 10.1186/s13018-022-02912-0. Jeli D, Masulovi D. Bone bruise of the knee associated with the lesions of anterior cruciate ligament and menisci on magnetic resonance imaging. 2011;197 (3): 568-77. Other structures are injured less frequently and have weaker associations with bone bruise distribution. and transmitted securely. 1 0 obj Knee Surg Sports Traumatol Arthrosc. A 14-year-old male football player with chronic anterior knee pain who experienced acute knee pain after jumping and landing awkwardly. The https:// ensures that you are connecting to the *Other cause include fall while getting down from bus (1 case), fall while jumping (1 case), fall while getting downstairs. 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. 2023 Springer Nature Switzerland AG. The pattern of bone bruise in knee injuries (a.k.a. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Pivot shift pattern is most common contusion pattern and the most common type/mode of sports related injury. J Bone Joint Surg Am. Twenty-five patients were identified (median time from injury to MRI=24days). Study of imaging pattern in bone marrow oedema in MRI in recent knee injuries and its correlation with type of knee injury. Bone bruise in the acutely injured knee. In this study hyperextension injury noted in 4 cases in 138 cases (2.9%). Incidence and location of bone bruises after acute posterior cruciate ligament injury. Arthroscopy. LXC designed the study and was responsible for the paper. 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. Dashboard injury occurs when force is applied to the anterior aspect of the proximal tibia while the knee is in a flexed position. 10 0 obj Article Pivot shift injury depending on location and type/mode of injury. and transmitted securely. Calvo-Gurry M, Hurley ET, Withers D, Vioreanu M, Moran R. Knee Surg Sports Traumatol Arthrosc. 2008;67:5461. Bookshelf To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. Bone contusions were diagnosed in 71 cases (27.8%); 55 (22.5%) were identified as single contusions and 16 (6.3%) as kissing contusions. 2015;43(10):251521. Gong, H., Wang, H., Zhang, X. et al. E-mail: Received 2016 Jan 13; Revisions requested 2016 Jan 29; Accepted 2016 Feb 28. 1993 Mar-Apr;21(2):220-3 Meniscal injury was unrelated to the extent or pattern of bone bruising. 1. Ryu KN, Jin W, Ko YT, Yoon Y, Oh JH, Park YK, et al. Transient lateral patellar dislocation: diagnosis with MR imaging. PubMed Am J Sports Med. 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. Federal government websites often end in .gov or .mil. Article Arch Orthop Trauma Surg 140(12):20132020, Article <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> 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. The patients age ranged from 17-65 years and majority of patients were in 21-30years age group. Furthermore, it is anterior tibial oedema rather than the presence of kissing lesions than predicts cruciate ligament injury (OR = 10.5, p = 0.02). 3 Professor, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. This is a preview of subscription content, access via your institution. 1997;93(12):404. 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. J Orthop Surg Res. Unauthorized use of these marks is strictly prohibited. Knee Surg Sports Traumatol Arthrosc 23(8):22502258, Hoffelner T, Pichler I, Moroder P et al (2015) Segmentation of the lateral femoral notch sign with MRI using a new measurement technique. [101 0 R] 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%). 2000;20:S13551. Learn more about Institutional subscriptions. In our study, bone marrow oedema was seen in 138 cases (69%) out of 200 cases. PubMed Acute knee block. Hong CK, Hoshino Y, Watanabe S, Nagai K, Matsushita T, Su WR, Kuroda R. Knee Surg Sports Traumatol Arthrosc. Arch Orthop Trauma Surg 143, 927934 (2023). *no pattern of bone marrow contusion could be explained as per the classification. bone contusion) can give clues for the mechanism and associated injuries. 2000;28:6637. Case Discussion. 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. Bone marrow contusion was noted in 71 cases out of 255 cases (27.8%). PDFS Saggital: Bone marrow oedema in Intercondylar region tibia with subchondral cysts. Bone marrow edema and low T1 signal through the proximal tibial epiphysis anteriorly associated periosteal edema. 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. LF directed the writing of the article. No significant difference was noted in location of bone marrow contusion in clip injury for different type/mode of injury. sharing sensitive information, make sure youre on a federal 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]. 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. Reference article, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-43268, Case 3: pivot-shift injury with ACL and meniscal tears, Case 4: pivot-shift injury with impacted tibial plateau fracture, see full revision history and disclosures, doi:10.1148/radiographics.20.suppl_1.g00oc19s135, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, Ahlback classification system in assessing osteoarthritis of the knee joint, Kellgren and Lawrence system for classification of osteoarthritis, anterior cruciate ligament mucoid degeneration, MRI grading system for meniscal signal intensity, Pattern of bone contusion in knee injuries, valgus stress to flexed and externally rotated knee, contusion pattern:posterolateral tibial plateau and mid part of lateral femoral condyle, anterior force to tibia in a flexed knee (e.g. sharing sensitive information, make sure youre on a federal A. M. Ali. 3. 2022 Dec;30(12):1647-1657. doi: 10.1016/j.joca.2022.08.006. Other structures are injured less frequently and have weaker associations with bone bruise distribution. 31 0 obj 2022 Oct;30(10):3508-3514. doi: 10.1007/s00167-022-06970-z. 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. DOI: 10.1148/radiographics.20.suppl_1.g00oc19s135 PMID: 11046168. Adult patients with ACL tears have greater tibial internal rotation in MRI compared to adolescent patients. MRI of affected knee joint was done as per imaging protocol and images stored in compact disc. The classic bone contusion includes involvement of the antero-lateral aspect of the lateral femoral condyle and the inferomedial aspect of the patella. 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). Become a Gold Supporter and see no third-party ads. Perin B, Nardacchione R, Bonaga S, Angelini F, Girotto A, Giovagnoni A, et al. 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 location of bone marrow oedema and the presence of other trauma related findings. -, Radiology. Right knee injury was noted in 87 cases (63%) and left knee in 51 cases (37%). MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. Unable to load your collection due to an error, Unable to load your delegates due to an error. Accessibility Home; Service. Objective: Pivot shift injury in different location and its correlation with sports related injury and other type/mode of injury. 13 0 obj Grade 1 refers to the uniform-ly low normal meniscal signal, grade 2 de-scribes increased signal within the meniscus . 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. Article Contusions of both surfaces of the joint are known as kissing contusions. 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]. Results: no financial relationships to ineligible companies to disclose. 2000 Nov-Dec;24(6):371-80 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]. 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 %). Eur J Orthop Surg Traumatol. Prognosis is particularly influenced by the presence of osteoarthritis. Careers. bubble tea consumption statistics australia. 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. judge timothy kenny political affiliation. 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. 1996;330:13342. 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). Mandalia V, Henson JH. PubMed Price excludes VAT (USA) Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. MRI follow-up of posttraumatic bone bruises of the knee in general practice. 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. A 124(62%) had trauma in right knee and 76(38%) in left knee. In compressive load, bones collide leading to impaction. 2011 Aug 17;93(16):1510-8. doi: 10.2106/JBJS.J.01320. Winters K, Tregnonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. 1020 AJR:196, May 2011 Pai and Strouse ulation [2, 3]. It is a common injury that can occur from a fall, blow, or collision. XZ contributed to part of the statistics of the article. 2004;32:16817. Inpatient imaging services are available 24/7. Contusions of both surfaces of the knee joint are known as kissing contusions. There were 2 cases with hyperextension injury while playing football and 2 patients attained the injury after being hit by car. 2019. Epub 2013 Jun 6. 2004-09-01T13:26:27Z HWnWhl2 p$%SgdR`Qvs4a^q~z]&O_F?`7%|8W.Zyxc\4x{gJSp>)nO|-6bhLCntyFTVe7WwtR?fs;fLh;>|*E{mIvqGUlT! Bone bruise, Compressisve force, Early degeneration, Microfracture, Torsional force. On MR images, trabecular contusion has the appearance of bone marrow oedema. Orthop J Sports Med 2014;2:2325967113519741. Epub 2021 May 11. MRI follow-up of posttraumatic bone bruises of the knee in general practice. J Bone Joint Surg Am. PLT: Posterloateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. Anterior cruciate, and medial and lateral collateral ligaments are intact. 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]. Bone bruise represents as acute, occult microfractures of subchondral trabecular bone with subsequent haemorrhage, oedema and hyperemia. Part of Springer Nature. - 134.209.62.117. Mechanism-based pattern approach to classification of complex injuries of the knee depicted at mr imaging. Nippon Igaku Hoshasen Gakkai Zasshi 55(6):375379, CAS Pivot shift pattern is most common contusion pattern and the most common type/mode of injury is sports related injury. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic 'bone bruise' distribution. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Bone bruise of the knee: histology and cryosections in 5 cases. 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. Injury in PCL is seen in all the cases. In total 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). 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%). KIS Imaging is the nations largest direct contracting imaging network with over 2,600 providers covering all major imaging needs: MRI, CT and PET. Prevalence and location of bone bruises associated with anterior cruciate ligament injury and implications for mechanism of injury: a systematic review. 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. Unable to process the form. Correlation between various pattern of bone marrow oedema and type/mode of injury. A load that is too low to cause cortical fracture may be sufficient to disrupt trabecular bone and produce marrow contusion. Before Knee kinematics during noncontact anterior cruciate ligament injury as determined from bone bruise location. 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. 8600 Rockville Pike 2014;24:14817. Google Scholar. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Tax calculation will be finalised during checkout. A lateral radiograph of the right knee a shows osseous fragmentation of the tibial tuberosity and soft tissue swelling ( white arrow ). Am J Sports Med. Arch Orthop Trauma Surg 139(6):807816, Fayad LM, Parellada JA, Parker L, Schweitzer ME (2003) MR imaging of anterior cruciate ligament tears: is there a gender gap? 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. PubMed Table showing Type/Mode of injury in pivot shift injury. PDFS Coronal: Bone marrow contusion at lateral femoral condyle and lateral tibial plateau in Pivot shift injury pattern. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. 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. Magnetic Resonance Imaging of Sports injuries of knee. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. 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). Sahoo K, Garg A, Saha P, Dodia JV, Raj VR, Bhairagond SJ. Acrobat Distiller 5.0.5 (Windows) {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Yap J, Al Kabbani A, et al. 2014;55(8):9618. 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]. MRIs, plain radiographs and clinical details of these patients were reviewed. endobj None of the knees had been injured before. 1 Kacey Court, Suite 100, Mechanicsburg, Pa, 17055. 2023 Feb;19(1):107-112. doi: 10.1177/15563316221092320. PubMed Looking for more information? 2014 Feb;44(2):281-93. doi: 10.1007/s40279-013-0116-z. JB JS Open Access. MRIs, plain radiographs and clinical details of these patients were reviewed. Radiology. PMC 1995;19:7736. Radiology. Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. This case demonstrates a hyperextension knee injury consisting of. 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. Kirsch MD, Fitzgerald SW, Friedman H, Rogers LF. PDFS Saggital: Bone marrow oedema at proximal tibia in Dashboard injury. Archives of Orthopaedic and Trauma Surgery, https://doi.org/10.1007/s00402-022-04366-9. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. Acta Orthop Scand. Kim SY, Spritzer CE, Utturkar GM, Toth AP, Garrett WE, DeFrate LE. The usefulness of the oblique coronal plane in knee MRI on the evaluation of the posterior cruciate ligament. Among 46 cases, football was most common sports leading to injury followed by Kabaddi. Call Us Today! It typically occurs in teenagers and young adults involved in athletic activities. Other associated injury in ACL (87.5%), Medial meniscus (50 %) and lateral meniscus (75%). Book an Appointment. 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. The primary aim of the study was to identify imaging pattern in bone marrow oedema and to correlate the pattern of bone marrow oedema retrospectively with type of knee injury from clinical history. 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 present study clip injury pattern is noted in 39 cases (28.6%). 2011;93:15108. 2021 May;13(3):966-978. doi: 10.1111/os.12997. Fornalski S, McGarry MH, Csintalan RP, Fithian DC, Lee TQ. By directing imaging . Frequent abnormalities found on MR imaging include labral tear or injury, stress fracture, and avascular necrosis . . Tensile load can cause ligament and tendon tears as well as avulsion fracture. 2022. government site. Am J Sports Med. HW contributed to some imaging data and surgery. ACL tears are classified into three grades: Grade I ACL tears represent intraligamentous injury without a change in ligament length. 1 Professor and HOD, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. 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. HSS J. Epub 2022 May 3. endobj The site is secure. Mild high signal of the distal semimembranosus insertion, however, the remaining posteromedial corner structures appear uninjured. endobj 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. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. 1999;211:74753. Objective: The double sulcus sign is a radiographic marker that confers a high probability of ACL injury. 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. Increase in interstitial water content and hyperperfusion contributes to bone marrow oedema formation. Archives of Orthopaedic and Trauma Surgery 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. KIS Imaging is the nations largest direct contracting imaging network with over 2,600 providers covering all major imaging needs: MRI, CT and PET. 2023 Springer Nature Switzerland AG. 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. Epub 2022 Apr 12. Bone bruises: their patterns and significance. +(91)-9821210096 | paula deen meatloaf with brown gravy. Emerg Radiol 2:129134, Article Radiographics. Bone contusions of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee at MR imaging. Br J Sports Med 38(5):592596, Article Associated soft-tissue injuries include the medial retinaculum, the Medial Patellofemoral ligament, and the medial patellotibial ligament [9]. The oedema pattern & suspected type/mode of injury on basis of MRI were then correlated with detailed patients history on mode of injury. 98 0 obj %PDF-1.4 % Our imaging services center is on the 1st floor of the hospital, directly behind our main reception area. Bone marrow oedema may also be rarely seen at adductor tubercle of the medial femoral condyle due to avulsion injury of the medial patellofemoral ligament. Accessibility Sanders classified bone marrow contusions in five different patterns as: Clip injury, Pivot shift injury, Dashboard injury, Hyperextension injury, and Lateral patellar dislocation [8]. 2007;189:55662. Correlation between type or mode of injury and patterns of bone marrow oedema was determined using p-value and chi-square method. Boks SS, Vroegindeweij D, Koes BW, Bernsen R, Hunink MGM, Zeinstra SM. Shi H, Ding L, Jiang Y, Zhang H, Ren S, Hu X, Liu Z, Huang H, Ao Y. Orthop J Sports Med.

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