Sports Health. PubMed Central Study of imaging pattern in bone marrow oedema in MRI in recent knee injuries and its correlation with type of knee injury. 2004-09-01T13:26:27Z It is a rare (6.3% in this series) but significant injury, often associated with ligamentous or menisceal tears. Archives of Orthopaedic and Trauma Surgery In distraction injury, excessive tension may damage the joint capsule, retinacula, ligaments, and tendons as well as their osseous attachment sites. Case study, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-83381. 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]. Skeletal Radiology Biomechanical Approach to MRI of Acute Knee Injuries. In many cases, Bone marrow contusion might have resolved at time of MRI. 1996 Jan;198(1):205-8 DOI: 10.1148/radiographics.20.suppl_1.g00oc19s135 PMID: 11046168. Google Scholar, Kanakamedala AC, Burnham JM, Pfeiffer TR et al (2018) Lateral femoral notch depth is not associated with increased rotatory instability in ACL-injured knees: a quantitative pivot shift analysis. PubMed Bratisl Lek Listy 113(9):539543, Svoboda SJ (2014) ACL injury and posttraumatic osteoarthritis. Br J Sports Med. 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. <> Careers, Unable to load your collection due to an error. Results are comparable to the study conducted by Kaplan et al., in which bone marrow contusion at posterior lip of medial tibial condyle was seen in 25 out of 215 cases (11.6%) and contusion in lateral compartment was noted in 24 out of 25 cases (96%) and contusion at medial femoral condyle was seen in 5 in 25 cases (20%) [7]. 10 0 obj Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. Posttraumatic Subchondral Bone Contusions and Fractures of the 2004;32:16817. 2011 Aug 17;93(16):1510-8. doi: 10.2106/JBJS.J.01320. 5 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). As a library, NLM provides access to scientific literature. Knee joint is one of strongest joint in body and allows transmission of body weight to leg. Skeletal Radiol 32(11):639646, Flint J, Wade A, Giuliani J, Rue J (2014) Defining the terms acute and chronic in orthopaedic sports injuries: a systematic review. CAS 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. Arch Orthop Trauma Surg 140(12):20132020, Article [11] Anterior displacement of tibia refers to increased distance from the posterior cortex of the lateral tibial plateau to the posterior cortex of the femur. Posterior oblique ligament tear in the posteromedial knee | Radiology An axial acquisition through the patella femoral joint was used as the initial localizer for subsequent coronal and saggital images. Prognosis is particularly influenced by the presence of osteoarthritis. J Biomech Eng. It can also damage interposed soft tissues, most commonly the articular cartilage and meniscus. The https:// ensures that you are connecting to the Objective: Imaging the knee: Ligaments. SuzanneWitjes, Tammo HPels Rijcken, Cor Pvan der Hart. Twenty-five patients were identified (median time from injury to MRI=24days). no financial relationships to ineligible companies to disclose. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. The LFNS and KC have strong clinical significance in the diagnosis of ACL injuries. "The appearance of kissing contusion in the acutely injured knee in the athletes", https://en.wikipedia.org/w/index.php?title=Kissing_contusion&oldid=903873252, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 28 June 2019, at 13:40. Conclusions: endobj +(91)-9821210096 | paula deen meatloaf with brown gravy. NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Ashish Garg, A-4, Ashok Nagar, Mandoli Road, Shahdara, Delhi-110093, India. Am J Sports Med. MeSH Hyperextension results in the "kissing" contusion pattern involving the anterior aspect of the proximal tibia and distal femur. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a casecontrol study. Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees. Patterns of bone bruise in knee injury. MacMahon PJ, Palmer WE. This mechanism of injury involves other soft tissue structures like tears/posterior capsule and arcuate ligament, medial collateral ligament (MCL) and the menisci. Contusions of both surfaces of the joint are known as kissing contusions. By analysing bone marrow contusion pattern, type/mode can be determined in most of the cases. . 1989 Jun;171(3):761-6 Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. eCollection 2020 Apr. 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. 2019 Nov;27(11):3633-3637. doi: 10.1007/s00167-019-05490-7. MeSH MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. Check for errors and try again. Patients were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. Snearly WN, Kaplan PA, Dussault RG. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR=7.8, p=0.03). Clin Imaging. This injury most commonly occurs when the knee strikes against the dashboard during an automobile accident or fall against the ground on flexed knee. The .gov means its official. 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. 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]. Bone bruise, Compressisve force, Early degeneration, Microfracture, Torsional force. PubMed 1998;69:2914. 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]. Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). sharing sensitive information, make sure youre on a federal On applying fisher-exact test, p = 0.1655 i.e. Kapelov SR, Teresi LM, Bradley WG, Bucciarelli NR, Murakami DM, Mullin WJ, et al. 2011;133:011012. 2014 . Radiographics : a Review Publication of the Radiological Society of North America, Inc , 01 Oct 2000, 20 Spec No: S135-51. 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. The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. It is a common injury that can occur from a fall, blow, or collision. Contusions of both surfaces of the knee joint are known as kissing contusions. 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. J Bone Joint Surg Am. Mri knee trauma - SlideShare Article Before Part of Springer Nature. Medial and lateral meniscal tears usually involving the . No significant difference was noted in location of bone marrow contusion in clip injury for different type/mode of injury. Most common location of marrow oedema in pivot shift pattern was posterolateral tibial plateau and lateral femoral condyle and medial tibial condyle and medial femoral condyle in 31 cases (39.7 %) [Table/Fig-9]. Magnetic Resonance Imaging of Sports injuries of knee. Jeli D, Masulovi D. Bone bruise of the knee associated with the lesions of anterior cruciate ligament and menisci on magnetic resonance imaging. Herbst E, Hoser C, Tecklenburg K, Filipovic M, Dallapozza C, Herbort M, et al. 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. Felt a "popping" sensation after landing on a straightened knee. 2022 Jan 11;17(1):17. doi: 10.1186/s13018-022-02912-0. 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). The double sulcus sign is a radiographic marker that confers a high probability of ACL injury. Google Scholar, Pao DG (2001) The lateral femoral notch sign. These contusions are generally found by magnetic resonance imaging and most cases are associated with ligamentous or menisceal injuries.