Twenty-five patients were identified (median time from injury to MRI = 24 days). J Biomech Eng. sharing sensitive information, make sure youre on a federal Snearly WN, Kaplan PA, Dussault RG. PubMed Epub 2013 Jun 6. Winters K, Tregnonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. no financial relationships to ineligible companies to disclose. . Conclusions: Correlation between various pattern of bone marrow oedema and type/mode of injury are shown in [Table/Fig-17]. 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. Location of bone bruises and other osseous injuries associated with acute grade III isolated and combined posterolateral knee injuries. The authors declare that they have no conflict of interest. PDF Diagnostic value of the lateral femoral notch sign and kissing Gong, H., Wang, H., Zhang, X. et al. Prognosis is particularly influenced by the presence of osteoarthritis. Mair SD, Schlegel TF, Gill TJ, Hawkins RJ, Steadman JR. 8600 Rockville Pike -. Skeletal Radiology 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);. Careers. The site is secure. Article 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]. Movement across knee helps in doing daily activities including walking, sitting, and standing. The double sulcus sign is a radiographic marker that confers a high probability of ACL injury. Kim SY, Spritzer CE, Utturkar GM, Toth AP, Garrett WE, DeFrate LE. A knee contusion can range from mild to severe. On MR images, trabecular contusion has the appearance of bone marrow oedema. The oedema pattern & suspected type/mode of injury on basis of MRI were then correlated with detailed patients history on mode of injury. Case Discussion. 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. 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%). A thorough understanding of knee injury patterns and their mechanisms may help in achieving more accurate assessment of injuries. 1998;69:2914. The pattern of bone bruise in knee injuries (a.k.a. -, Radiology. (PDF) The appearance of kissing contusion in the acutely injured knee Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). 2023-05-01T23:01:26-07:00 Part of Springer Nature. No meniscal tear. BMC Musculoskelet Disord 16:217, Article 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. How To Heal A Knee Contusion - Brandon Orthopedics In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern. Lateral-compartment bone contusions in adolescents with intact anterior cruciate ligaments. MRI follow-up of posttraumatic bone bruises of the knee in general practice. Transient lateral patellar dislocation: diagnosis with MR imaging. Call Us Today! 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. A. M. Ali. - 103.57.222.214. of knee injury in pediatric patients. In current study unclassifiable injuries pattern was noted in 6 cases. In this study hyperextension injury noted in 4 cases in 138 cases (2.9%). 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. Bone contusions of the knee: increased lesion detection with fast spin-echo MR imaging with spectroscopic fat saturation. Rangger C, Kathrein A, Freund MC, Klestil T, Kreczy A. PubMed None of the knees had been injured before. 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]. Patients were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. 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. Bethesda, MD 20894, Web Policies -. 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). Bone bruise patterns in knee injuries: where are they found? Our Facilities. HG contributed to the article writing and data collection. Am J Sports Med. PubMed Jeli D, Masulovi D. Bone bruise of the knee associated with the lesions of anterior cruciate ligament and menisci on magnetic resonance imaging. MacMahon PJ, Palmer WE. PDFS Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. You can help Wikipedia by expanding it. 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 associated injuries were confirmed by arthroscopy in 12/16 patients. 1989 Jun;171(3):761-6 This injury most commonly occurs when the knee strikes against the dashboard during an automobile accident or fall against the ground on flexed knee. Bethesda, MD 20894, Web Policies CAS Br J Sports Med. 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]. 2003;37:1379. 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. In this study, the time gap between injury and doing MRI was not considered. The appearance of kissing contusion in the acutely injured knee in the Kessler R, Campbell S, Wong D, Mansfield LB. Over 2600 credentialed providers acrosstheUS. 3 Professor, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Our imaging services center is on the 1st floor of the hospital, directly behind our main reception area. -, Radiology. Other structures are injured less frequently and have weaker associations with bone bruise distribution. The positive rate of KC in the experimental group (183/500) was markedly higher than that in the control group (3/500) (P<0.05). 1993;189:9014. Hayes CW, Brigido MK, Jamadar DA, Propeck Tim. For KC, the corresponding values were 36.6% and 99.4%, respectively. 2006;238:85362. 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). Elsevier Health Sciences. Price excludes VAT (USA) ADVERTISEMENT: Supporters see fewer/no ads. J Orthop Surg Res. Epub 2022 May 3. The posteromedial corner of the knee is a capsuloligamentous complex in the posterior aspect of the medial compartment. Bone contusions of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee at MR imaging. 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]. government site. Bretlau T, Tuxe J, Larsen L, Jrgensen U, Thomsen HS, Lausten GS. Inclusion criteria were patients with recent knee injuries (<6weeks) and normal plain radiograph with no signs of pathology. 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. Boks SS, Vroegindeweij D, Koes BW, Bernsen RM, Hunink MG, Bierma-Zeinstra SM. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic bone bruise distribution. and transmitted securely. Please enable it to take advantage of the complete set of features! In suspected ACL injury, bone marrow contusion may not be necessarily present. 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. -, Radiology. 2021 Nov 11;6(4):e21.00069. Acute findings of a joint effusion and posterior tibial plateau contusion are present. Keywords: Biomechanical and anatomical assessment after knee hyperextension injury. 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 %). No fractures were present on x ray. 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. 2016;10(4):TC0611. -, Arthroscopy. Accessibility 33 0 obj In this study, patients with history of knee injury <6 weeks were considered as recent knee injuries. In this study, inclusion criteria were acute knee injury only in athletes while in our study there were no such selection criteria. Mechanism-based pattern approach to classification of complex injuries of the knee depicted at mr imaging. 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). Methods: Pivot shift pattern is most common contusion pattern and the most common type/mode of sports related injury. J Bone Joint Surg Am. Kapelov RS, Terris LM, Bradley WG, Bucciarelli NR, Murakami DM, Mullin WJ, et al. 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. Green DW, Hidalgo Perea S, Kelly AM, Potter HG. Pure passive hyperextension of the human cadaver knee generates simultaneous bicruciate ligament rupture. Clin Radiol 2004;59:439-445. . In our study, bone marrow oedema was seen in 138 cases (69%) out of 200 cases. Semin Ultrasound CT MR. 1994 Oct;15(5):396-409. doi: 10.1016/s0887-2171(05)80006-x. Clin Radiol. 2015;43(10):251521. Correlation between type or mode of injury and patterns of bone marrow oedema was determined using p-value and chi-square method. Bone marrow oedema may also show delayed enhancement following administration of gadolinium DTPA. On applying fisher-exact test, p = 0.1655 i.e. The appearance of kissing contusion in the acutely injured knee in the <>stream Notch syndrome refers to the enlarged and deepened lateral femoral condyle. Bone marrow oedema on T2 weighted magnetic resonance (MR) images is recognized as an ill-defined hyperintensity in the bone marrow where standard radiographs showed nonspecific osteopenia or normal findings [3]. Check for errors and try again. Hong CK, Hoshino Y, Watanabe S, Nagai K, Matsushita T, Su WR, Kuroda R. Knee Surg Sports Traumatol Arthrosc. Hyperextension knee injury | Radiology Case | Radiopaedia.org Clipboard, Search History, and several other advanced features are temporarily unavailable. An official website of the United States government. 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%). Oedema is seen at the anterior aspect of the tibia and, occasionally, at the posterior surface of the patella [8]. Radiographics : a Review Publication of the Radiological Society of North America, Inc , 01 Oct 2000, 20 Spec No: S135-51. The spectrum of damage includes stretching, partial tearing, and complete rupture [4]. 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]. In our study pivot shift pattern is noted in 78 cases (56.5%). PLT: Posterolateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. A knee contusion is a bruised knee. Kung JW, Yablon CM, Eisenberg RL. -, Acta Orthop Scand. Injury in PCL is seen in all the cases. 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. Looking for more information? [12] Herbst E, Hoser C, Tecklenburg K, Filipovic M, Dallapozza C, Herbort M, et al. +(91)-9821210096 | paula deen meatloaf with brown gravy. sharing sensitive information, make sure youre on a federal For outpatient testing, Valley Regional Imaging is open Monday to Friday from m 8 a.m. to 8 p.m. Saturday hours are available for obstetrics (OB) and CAT Scans only from 8 a.m. to noon. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic 'bone bruise' distribution. Zeiss J, Paley K, Murray K, Saddemi SR. 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. https://doi.org/10.1007/s00402-022-04366-9, DOI: https://doi.org/10.1007/s00402-022-04366-9. Disclaimer. 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. Among the 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). 1030). A knee contusion can usually be treated . Computed Tomography & Magnetic Resonance Imaging Of The Whole Body. Other soft tissue injuries include: ACL (100%), PCL (7.6%), Medial meniscus (89.7%), Lateral meniscus (23.1%), LCL (7.6%). Accessibility 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. Br J Sports Med 38(5):592596, Article In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern [Table/Fig-6]. https://doi.org/10.1007/s00256-017-2754-y, DOI: https://doi.org/10.1007/s00256-017-2754-y. Surgical Strategy for Anterior Tibial Plateau Fractures in Hyperextension Knee Injuries. By directing imaging . 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). PDFS Coronal: Bone marrow contusion at lateral femoral condyle and lateral tibial plateau in Pivot shift injury pattern. 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]. 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). Why continue to overpay for your most common Imaging procedures? 1 0 obj -, Radiol Clin North Am. Results: Matrix in various sequences were listed as : T1 Saggital 307 x 384, T2 Axial - 314 x 448, T2 Saggital 314 x 448, PD Saggital 307 x 384, PD Coronal 355 x 384, PDFS Saggital 288 x 384, PDFS Coronal 311 x 384, MEDIC Axial 240 x 320. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. 4. Am J Sports Med. 2013;41(8):18017. Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. There has been limited investigation to subdividing the bone contusion model in the medial and lateral directions of the tibial plateau and the . 5 out of 8 patients with a double sulcus on the lateral radiograph had ACL injury. Knee Surg Sports Traumatol Arthrosc. J Bone Joint Surg Am. Epub 2022 Aug 30. Correlation between contusion pattern in clip injury and type/mode of injury. Epub 2019 Mar 26. At the time the article was last revised Joshua Yap had 2019. 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). The knee may also be swollen and bruised. To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. 1997;93(12):404. MeSH endobj Patient was placed in supine position with knee externally rotated 10-20 degree 21. The datasets used or analysed during the current study are available from the corresponding author on reasonable request. 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 +/-. Arch Orthop Trauma Surg 143, 927934 (2023). 1993;21:2203. Epub 2022 Apr 12. 1989 Mar;170(3 Pt 1):823-9 2015;23(8):22508. 2015;49:145260. Radiology. Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. endobj National Library of Medicine MRI is used widespread to interpret more complex injuries. Arch Orthop Trauma Surg 140(12):20132020, Article In patients with bone marrow contusion, 14 were women (10.1%) and 124 were men (89.9%). Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures. After knee injury, bone marrow oedema is frequently subchondral in location and may be associated with either trabecular or cortically based lines [4]. Radiology. A load that is too low to cause cortical fracture may be sufficient to disrupt trabecular bone and produce marrow contusion. 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.
Tk Maxx Amanda Wakeley,
Cookshop Rotisserie Air Frying Cooker,
Judge Rickmon Will County,
Articles K