2011;68:7626. Prognosis is particularly influenced by the presence of osteoarthritis. Archives of Orthopaedic and Trauma Surgery -, Radiology. This article about a disease of musculoskeletal and connective tissue is a stub. N Z Med J. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR=7.8, p=0.03). Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Bethesda, MD 20894, Web Policies Texas Health Care Imaging is a radiology clinic located in Brownsville, TX. Contusions of both surfaces of the knee joint are known as kissing contusions. Google Scholar. Femoral Head Osteochondral Lesions in Painful Hips of Athletes Am J Sports Med. Other soft tissue injuries include: ACL (100%), PCL (7.6%), Medial meniscus (89.7%), Lateral meniscus (23.1%), LCL (7.6%). 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. The pattern of bone bruise in knee injuries (a.k.a. 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? 2023 Feb;143(2):927-934. doi: 10.1007/s00402-022-04366-9. The posteromedial corner of the knee is a capsuloligamentous complex in the posterior aspect of the medial compartment. 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. Pure passive hyperextension of the human cadaver knee generates simultaneous bicruciate ligament rupture. Clin Imaging. Lianxu Chen. In patients with bone marrow contusion, 14 were women (10.1%) and 124 were men (89.9%). 2014;55(8):9618. Part of Springer Nature. volume143,pages 927934 (2023)Cite this article. Increase in interstitial water content and hyperperfusion contributes to bone marrow oedema formation. Pattern of marrow oedema as per classification. PMC 1999 Jun;211(3):747-53 Kessler R, Campbell S, Wong D, Mansfield LB. Five classic bone contusion patterns have been described 1-4: The knee is a complex synovial joint that can be affected by a range of pathologies: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Google Scholar. NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Ashish Garg, A-4, Ashok Nagar, Mandoli Road, Shahdara, Delhi-110093, India. 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]. Orthop Surg. Become a Gold Supporter and see no third-party ads. No funding was received to assist with the preparation of this manuscript. Mild high signal of the distal semimembranosus insertion, however, the remaining posteromedial corner structures appear uninjured. Am J Sports Med. . There were 2 cases with hyperextension injury while playing football and 2 patients attained the injury after being hit by car. On applying fisher-exact test, p = 0.1655 i.e. The pattern of bone bruise in knee injuries (a.k.a. Sanders classified bone marrow contusions in five different patterns as: Clip injury, Pivot shift injury, Dashboard injury, Hyperextension injury, and Lateral patellar dislocation [8]. Why continue to overpay for your most common Imaging procedures? 2019. Bone bruises: their patterns and significance. Characteristic magnetic resonance imaging (MRI) findings often lead to the diagnosis. MRIs, plain radiographs and clinical details of these patients were reviewed. Epub 2022 Apr 12. Knee kinematics during noncontact anterior cruciate ligament injury as determined from bone bruise location. Sports Health. Posterior oblique ligament tear in the posteromedial knee | Radiology Imaging the knee: Ligaments. While the knee is in a state of flexion, twisting motion of the knee can lead to transient dislocation of knee. Bone contusions of the knee: increased lesion detection with fast spin-echo MR imaging with spectroscopic fat saturation. bone bruises on magnetic resonance imaging evaluation of anterior cruciate ligament injuries. 1 0 obj After knee injury, bone marrow oedema is frequently subchondral in location [4]. 2015;43(10):251521. Clipboard, Search History, and several other advanced features are temporarily unavailable. ;S'XhM. The most common symptom of a knee contusion is pain. In this study 8 cases (5.7%) had dashboard injury pattern of bone marrow contusion at anterior aspect of proximal tibia. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. This site needs JavaScript to work properly. 31 0 obj Unclassified injury pattern in 6 cases with type /mode of injury and location of bone marrow contusion. Bookshelf Google Scholar. Correspondence to PubMed Waiving out of pocket expenses incentivizes your members to use the KISx network resulting in savings for both planandmember. HW contributed to some imaging data and surgery. FOIA HHS Vulnerability Disclosure, Help 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. Bethesda, MD 20894, Web Policies 1997;93(12):404. All the patients underwent magnetic resonance imaging (MRI) preoperatively, and the diagnosis was confirmed with the aid of arthroscopy. Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. Patel SA, Hageman J, Quatman CE, Wordeman SC, Hewett TE. Osteochondral Lesions of the Knee: Differentiating the Most Common 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. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Sanders TG, Medynski MA, Feller JF, Lawhorn KW. official website and that any information you provide is encrypted uuid:a4a67e17-1dd1-11b2-0a00-340827bd7200 Radiology. Mandalia V, Fogg AJB, Chari R, Murray J, Beale A, Henson JHL. Compression and tension are two basic loads that commonly act on the knee [4]. Kissing contusion | 3 Publications | 31 Citations | Top Authors 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. no significant difference in location for different type/ mode of injury. 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. 13 0 obj Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. <>stream Anterior cruciate, and medial and lateral collateral ligaments are intact. Computed Tomography & Magnetic Resonance Imaging Of The Whole Body. In 6 cases bone marrow contusion could not be explained by various patterns. MacMahon PJ, Palmer WE. . Accessibility Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). PDFS Coronal: Bone marrow contusion at lateral femoral condyle and lateral tibial plateau in Pivot shift injury pattern. sharing sensitive information, make sure youre on a federal Epub 2021 May 11. This is a preview of subscription content, access via your institution. Radiology. Transient lateral patellar dislocation: review of imaging findings Br J Sports Med 38(5):592596, Article -, Radiology. J Bone Joint Surg Am. PDFS Coronal: Bone marrow oedema at Medial femoral condyle and Metadiaphysis. These contusions are generally found by magnetic resonance imaging and most cases are associated with ligamentous or menisceal injuries.[1]. Below is the link to the electronic supplementary material. PubMed To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic bone bruise distribution. 1993;189:9014. Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Sagittal proton density images showing (A) typical kissing contusion Boks SS, Vroegindeweij D, Koes BW, Hunink MG, Bierma-Zeinstra SM. Call Us Today! <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> J Orthop Surg Res. Hong CK, Lin YJ, Cheng TA, Chang CH, Hsu KL, Kuan FC, Su WR. Twenty-five patients were identified (median time from injury to MRI=24days). Mandalia V, Henson JH. Patterns of bone bruise in knee injury | Radiology Reference Article Wright RW, Phaneuf MA, Limbird TJ, Spindler KP. Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. Am J Sports Med. PDFS Saggital: Bone marrow oedema at Lateral femoral and posterolateral tibial plateau in Pivot shift injury. Case study, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-83381. Pivot shift pattern is most common contusion pattern and the most common type/mode of sports related injury. PubMed Google Scholar; . KIS Imaging <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Mechanism-based pattern approach to classification of complex injuries of the knee depicted at mr imaging. 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. Radiographics. Rangger C, Kathrein A, Freund MC, Klestil T, Kreczy A. official website and that any information you provide is encrypted In these 16 cases, contusion in medial compartment was noted in 2 cases (12.5%) [13]. 2006;238:85362. Contusions of both surfaces of the knee joint are known as kissing contusions. 2019 Nov;27(11):3633-3637. doi: 10.1007/s00167-019-05490-7. The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. Acta Orthop Traumatol Turc. PMC official website and that any information you provide is encrypted Article Bookshelf 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]. Dashboard injury occurs when force is applied to the anterior aspect of the proximal tibia while the knee is in a flexed position. Radiographic features Five classic bone contusion patterns have been described 1-4: pivot-shift injury valgus stress to flexed and externally rotated knee
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