-, Radiology. Epub 2013 Jun 6. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Kung JW, Yablon CM, Eisenberg RL. Correlation between various pattern of bone marrow oedema and type/mode of injury. PubMed Central 2023 Jan;51(1):58-65. doi: 10.1177/03635465221131551. 1 0 obj PubMed Central Skeletal Radiology Comparison of bone contusion seen by MRI in partial and complete tears of the anterior cruciate ligament. 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. The saggital plane was primarily used to evaluate the bone marrow oedema which was confirmed on coronal images. 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. 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 This article about a disease of musculoskeletal and connective tissue is a stub. 2. Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. PubMed Magnetic Resonance Imaging of Sports injuries of knee. 2011;93:15108. 1996 Jan;198(1):205-8 Bone bruises: MR characteristics and histological correlation in the young pig. MRI of affected knee joint was done as per imaging protocol and images stored in compact disc. <>stream Our imaging services center is on the 1st floor of the hospital, directly behind our main reception area. 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. Clin Imaging. Clin Radiol 2004;59:439-445. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> In this study, inclusion criteria included history of knee injury within 6 weeks or suspected ACL injury [12]. Kirialanis P, Malliou P, Beneka A, Giannakopoulos K. Occurrence of acute lower limb injuries in artistic gymnasts in relation to event and exercise phase. bone contusion) can give clues for the mechanism and associated injuries. BMC Musculoskelet Disord 16:217, Article (2008) ISBN:0323076211. 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. A deeper notch often indicates a more complex knee injury. 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. Tensile load can cause ligament and tendon tears as well as avulsion fracture. Meniscal injury was unrelated to the extent or pattern of bone bruising. Contusions of both surfaces of the joint are known as kissing contusions. A 30-year-old woman with acute knee injury. 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. "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). Sanders TG, Medynski MA, Feller JF et-al. In suspected ACL injury, bone marrow contusion may not be necessarily present. 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 current study unclassifiable injuries pattern was noted in 6 cases. [1] References [ edit] ^ Terzidis, I. P. (October 2004). Ciuffreda P, Lelario M, Milillo P, Vinci R, et al. Bethesda, MD 20894, Web Policies No funding was received to assist with the preparation of this manuscript. 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. A knee contusion can usually be treated . This site needs JavaScript to work properly. 1. High signal well within the intercondylar notch with a partial-thickness tear inferiorly of the femoral insertion of the posterior cruciate ligament (best see on the coronal sequence). Google Scholar. 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. A knee contusion can range from mild to severe. 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. The site is secure. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> bone contusion) can give clues for the mechanism and associated injuries. 2016. https://doi.org/10.1016/j.arthro.2016.03.015. Sanders classified bone marrow contusions in five different patterns as: Clip injury, Pivot shift injury, Dashboard injury, Hyperextension injury, and Lateral patellar dislocation [8]. E-mail: Received 2016 Jan 13; Revisions requested 2016 Jan 29; Accepted 2016 Feb 28. - 134.209.62.117. Prevalence and location of bone bruises associated with anterior cruciate ligament injury and implications for mechanism of injury: a systematic review. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Moderate edema at the gastrocnemius/soleus interface and overlying the superficial medial gastrocnemius proximal myotendinous junction. Would you like email updates of new search results? Twenty-five patients were identified (median time from injury to MRI=24days). Kissing contusion refers to the bone contusions in both femoral and tibial surfaces of the knee. MeSH A total of 1000 patients were enrolled in this study, including 500 patients with ACL injuries who assigned to experimental group and 500 patients with meniscal tear (MT) who allocated to control group. Am J Sports Med. PubMed Central Before 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. 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. Lim YS, Peh WC. Bone bruises: their patterns and significance. This mechanism of injury involves other soft tissue structures like tears/posterior capsule and arcuate ligament, medial collateral ligament (MCL) and the menisci. Google Scholar, Pao DG (2001) The lateral femoral notch sign. The authors have no relevant financial or non-financial interests to disclose. Wright RW, Phaneuf MA, Limbird TJ, Spindler KP. AJR Am J Roentgenol. Arthroscopy. Bone bruise patterns in knee injuries: where are they found? Am J Sports Med. Davies NH, Niall D, King LJ, Lavelle J, Healy JC. 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);. ACL tears are classified into three grades: Grade I ACL tears represent intraligamentous injury without a change in ligament length. Bone contusion of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee. Pivot shift pattern is most common contusion pattern and the most common type/mode of sports related injury. 2003;37:1379. -, Acta Orthop Scand. T1W Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. 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. Conventional radiograph evaluation of skeleton following trauma divides injury into presence or absence of fracture. 2023 Springer Nature Switzerland AG. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Yap J, Al Kabbani A, et al. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Hyperextension knee injury. A 14-year-old male football player with chronic anterior knee pain who experienced acute knee pain after jumping and landing awkwardly. There has been limited investigation to subdividing the bone contusion model in the medial and lateral directions of the tibial plateau and the . Knee Surg Sports Traumatol Arthrosc 26(5):13991405, Lodewijks P, Delawi D, Bollen TL, Dijkhuis GR, Wolterbeek N, Zijl JAC (2019) The lateral femoral notch sign: a reliable diagnostic measurement in acute anterior cruciate ligament injury. Unclassified injury pattern in 6 cases with type /mode of injury and location of bone marrow contusion. Knee Surg Sports Traumatol Arthrosc. 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 +/-. It can also damage interposed soft tissues, most commonly the articular cartilage and meniscus. and transmitted securely. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). endstream Diagnosis of bone marrow oedema following traumatic event prompt a closer inspection for lesions such as ligamentous and meniscal tears. 2022 Jan 11;17(1):17. doi: 10.1186/s13018-022-02912-0. Biomechanical Approach to MRI of Acute Knee Injuries. Associated Soft tissue injuries include ACL and medial meniscus [8]. official website and that any information you provide is encrypted Pivot shift injury in different location and its correlation with sports related injury and other type/mode of injury. Please enable it to take advantage of the complete set of features! Zeiss J, Paley K, Murray K, Saddemi SR. CAS Our Facilities. Knee Surg Sports Traumatol Arthrosc. 2023-05-01T23:01:26-07:00 Type / Mode of injury in Clip injury pattern. They can be used to diagnose ACL injuries. Notch depth equal to 0.72mm can be basically considered as the optimal cut-off point for LFNS in statistics. ;S'XhM. We're here to help! According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). Sanders TG, Medynski MA, Feller JF, Lawhorn KW. MRI is used widespread to interpret more complex injuries. 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. 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 National Library of Medicine 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. Associated MCL injury is noted in 31 cases (79.5%). Knee kinematics during noncontact anterior cruciate ligament injury as determined from bone bruise location. Acta Radiol. Kim SY, Spritzer CE, Utturkar GM, Toth AP, Garrett WE, DeFrate LE. Oedema is seen at the anterior aspect of the tibia and, occasionally, at the posterior surface of the patella [8]. CAS Vojnosanit Pregl. Type I lesions are most common on the lateral femoral condyle and type III on the lateral tibial condyle. ADVERTISEMENT: Supporters see fewer/no ads. Over 2600 credentialed providers acrosstheUS. 2010 Dec;38(12):2502-8. doi: 10.1177/0363546510376232. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Patient demographics, the clinical presentation, and the role of trauma are critical for . No cost for the Employer or Employee with up to 80% savings. Tax calculation will be finalised during checkout. Part of Springer Nature. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic bone bruise distribution. Hong CK, Hoshino Y, Watanabe S, Nagai K, Matsushita T, Su WR, Kuroda R. Knee Surg Sports Traumatol Arthrosc. 2023 Feb;19(1):107-112. doi: 10.1177/15563316221092320. Bone marrow edema and low T1 signal through the proximal tibial epiphysis anteriorly associated periosteal edema. The relationship and characteristics between these two indicators was explored. 2011;197 (3): 568-77. It is a common injury that can occur from a fall, blow, or collision. 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. Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. 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%). 2004;32:16817. doi: 10.2106/JBJS.OA.21.00069. The https:// ensures that you are connecting to the Pivot shift injury depending on location and type/mode of injury. PubMed 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. <> Check for errors and try again. PubMedGoogle Scholar. 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. 2008;36:804. Bone bruise, Compressisve force, Early degeneration, Microfracture, Torsional force. CAS Learn more about Institutional subscriptions. Objective: https://doi.org/10.1007/s00256-017-2754-y, https://doi.org/10.1016/j.arthro.2016.03.015. The lateral femoral notch sign following ACL injury: frequency, morphology and relation to meniscal injury and sports activity. Google Scholar. 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. Pivot shift pattern is most common contusion pattern and the most common type/mode of injury is sports related injury. J Clin Diagn Res. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a casecontrol study. Muscle belly edema within the fibular attachment of the soleus with periosteal stripping of the posterior fibula. 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. 2015;49:145260. Knee Surg Sports Traumatol Arthrosc. Clipboard, Search History, and several other advanced features are temporarily unavailable. Mandalia V, Henson JH. 2023-05-01T23:01:26-07:00 Bookshelf Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. National Library of Medicine 2023 Springer Nature Switzerland AG. 8600 Rockville Pike Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. In this study, patients with history of knee injury <6 weeks were considered as recent knee injuries. 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. government site. Our study only involves the image information of patients. sharing sensitive information, make sure youre on a federal This is a preview of subscription content, access via your institution. Expansive network access, savings and no red tape An absolute win-win foreveryone! Compression and tension are two basic loads that commonly act on the knee [4]. khloe kardashian hidden hills house address. bone bruises on magnetic resonance imaging evaluation of anterior cruciate ligament injuries. 2014;24:14817. Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees. Herbst E, Hoser C, Tecklenburg K, Filipovic M, Dallapozza C, Herbort M, et al. Am J Sports Med. 2011;133:011012. 2011 Aug 17;93(16):1510-8. doi: 10.2106/JBJS.J.01320. Epub 2013 Jun 6. endobj -, Am J Sports Med. 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. Home; Service. 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.
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