In 6 cases bone marrow contusion could not be explained by various patterns. Conclusions: 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. Wright RW, Phaneuf MA, Limbird TJ, Spindler KP. AJR Am J Roentgenol. Hyperextension results in the "kissing" contusion pattern involving the anterior aspect of the proximal tibia and distal femur. 8600 Rockville Pike Grade II ACL tears represent intraligamentous injury and an increase in ligament length. https://doi.org/10.1007/s00256-017-2754-y, DOI: https://doi.org/10.1007/s00256-017-2754-y. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Hyperextension knee injury. Bone Marrow Edema Injury Patterns in the Pediatric Knee: An MRI Study. Am J Sports Med. PubMed LF directed the writing of the article. severe contusions may cause the knee to give out or lock. This article about a disease of musculoskeletal and connective tissue is a stub. Clin Orthop Relat Res. Br J Sports Med. The lateral femoral notch sign following ACL injury: frequency, morphology and relation to meniscal injury and sports activity. Asai K, Nakase J, Oshima T, Shimozaki K, Yoshimizu R, Tsuchiya H (2020) Partial resection of the infrapatellar fat pad during anterior cruciate ligament reconstruction has no effect on clinical outcomes including anterior knee pain. Kim SY, Spritzer CE, Utturkar GM, Toth AP, Garrett WE, DeFrate LE. endobj Unauthorized use of these marks is strictly prohibited. Bone bruising of the knee. bone contusion) can give clues for the mechanism and associated injuries. This site needs JavaScript to work properly. Transient lateral patellar dislocation: review of imaging findings 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. Femoral Head Osteochondral Lesions in Painful Hips of Athletes Methods: Unable to process the form. and transmitted securely. Accessibility Sanders TG, Medynski MA, Feller JF et-al. In distraction injury, excessive tension may damage the joint capsule, retinacula, ligaments, and tendons as well as their osseous attachment sites. Skeletal Radiology 2023 Springer Nature Switzerland AG. Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees. The classic bone contusion includes involvement of the antero-lateral aspect of the lateral femoral condyle and the inferomedial aspect of the patella. 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. Epub 2013 Jun 6. 2000;28:6637. 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. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. 2023 Feb;19(1):107-112. doi: 10.1177/15563316221092320. Our imaging services center is on the 1st floor of the hospital, directly behind our main reception area. uuid:a4a67e17-1dd1-11b2-0a00-340827bd7200 Bone marrow contusion usually resolves in 6-8 weeks [6]. Accessibility 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). <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> 1996 Sep;(330):133-42 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. Article The Lateral Femoral Notch Sign | Radiology Contusions of both surfaces of the joint are known as kissing contusions. This is a preview of subscription content, access via your institution. 2014;24:14817. 2013;41(8):18017. https://doi.org/10.1007/s00256-017-2754-y, https://doi.org/10.1016/j.arthro.2016.03.015. Comparison of magnetic resonance imaging for patients with a - LWW The .gov means its official. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. 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. MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. Clin Radiol. J Biomech Eng. Orthop Surg. Orthop J Sports Med 2014;2:2325967113519741. At the time the article was created Henry Knipe had no recorded disclosures. Bone marrow edema and low T1 signal through the proximal tibial epiphysis anteriorly associated periosteal edema. no financial relationships to ineligible companies to disclose. A thorough understanding of knee injury patterns and their mechanisms may help in achieving more accurate assessment of injuries. Before Magnetic Resonance Imaging of Bone Marrow: A Review Part II. 1998;69:2914. PubMed CAS CAS Grade 1 refers to the uniform-ly low normal meniscal signal, grade 2 de-scribes increased signal within the meniscus . endobj A knee contusion is a bruised knee. doi: 10.2106/JBJS.OA.21.00069. Lim YS, Peh WC. Correlation between type or mode of injury and patterns of bone marrow oedema was determined using p-value and chi-square method. Extensive posterior capsular edema in keeping with a hyperextension injury. Characteristic magnetic resonance imaging (MRI) findings often lead to the diagnosis. Compression and tension are two basic loads that commonly act on the knee [4]. Hayes CW, Brigido MK, Jamadar DA, Propeck Tim. Table showing Type/Mode of injury in pivot shift injury. Our study only involves the image information of patients. Archives of Orthopaedic and Trauma Surgery, https://doi.org/10.1007/s00402-022-04366-9. bone contusion) can give clues for the mechanism and associated injuries. Acta Orthop Traumatol Turc. 98 0 obj The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. Arndt WA, Traux AL, Baranett FM, Simmon GE, Brown DC. Xie D, Murray J, Lartey R, Gaj S, Kim J, Li M, Eck BL, Winalski CS, Altahawi F, Jones MH, Obuchowski NA, Huston LJ, Harkins KD, Friel HT, Damon BM, Knopp MV, Kaeding CC, Spindler KP, Li X. Osteoarthritis Cartilage. Type/Mode of injury were twisting injury while getting downstairs (1 case), twisting injury while doing household work (1 case) and injury while playing football (1 case). Meniscal injury was unrelated to the extent or pattern of bone bruising. Article endobj Below is the link to the electronic supplementary material. [101 0 R] [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. The authors have no relevant financial or non-financial interests to disclose. In current study unclassifiable injuries pattern was noted in 6 cases. 2014 Feb;44(2):281-93. doi: 10.1007/s40279-013-0116-z. Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. PubMed Bone bruise, Compressisve force, Early degeneration, Microfracture, Torsional force. 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. 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. 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 clinical history, location of bone marrow oedema and the presence of other trauma related findings. 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. 2000;24:37180. This site needs JavaScript to work properly. National Library of Medicine Type I lesions are most common on the lateral femoral condyle and type III on the lateral tibial condyle. The appearance of kissing contusion in the acutely injured knee in the Become a Gold Supporter and see no third-party ads. Bone bruises: MR characteristics and histological correlation in the young pig. 2015;49:145260. Exclusion criteria were history of any infection, surgery or neoplasm of knee joint, patients having any prosthetic heart valve implant, any pacemaker implant, aortic stent graft, cochlear implant or any metallic orthopedic implants, any joint replacement surgery and claustrophobic patients. 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. Ciuffreda P, Lelario M, Milillo P, Vinci R, et al. PubMed Central Notch syndrome refers to the enlarged and deepened lateral femoral condyle. Application of biomechanical approach in MR interpretation helps in effortless assessment of osseous contusion and ligament rupture and mark delicate but significant abnormalities. 2023 Feb;143(2):927-934. doi: 10.1007/s00402-022-04366-9. The KIS Imaging program was designed to direct patient care, through a concierge service, in which employees and employers can realize up to an 80% savings on all major imaging. Careers. As a library, NLM provides access to scientific literature. Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. KIS Imaging Posterior oblique ligament tear in the posteromedial knee | Radiology CAS Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in -. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. A. M. Ali. Disabling symptoms are often prolonged. Other associated injury in ACL (87.5%), Medial meniscus (50 %) and lateral meniscus (75%). 3. The .gov means its official. Meyer EG, Baumer TG, Haut RC. 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. Surgical Strategy for Anterior Tibial Plateau Fractures in Hyperextension Knee Injuries. Inpatient imaging services are available 24/7. Biomechanical and anatomical assessment after knee hyperextension injury. Pivot shift pattern is most common contusion pattern and the most common type/mode of injury is sports related injury. It can also damage interposed soft tissues, most commonly the articular cartilage and meniscus. Sports Med. judge timothy kenny political affiliation. In many cases, Bone marrow contusion might have resolved at time of MRI. 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. While the knee is in a state of flexion, twisting motion of the knee can lead to transient dislocation of knee. -, Acta Orthop Scand. 2022 Jan 11;17(1):17. doi: 10.1186/s13018-022-02912-0. Hong CK, Lin YJ, Cheng TA, Chang CH, Hsu KL, Kuan FC, Su WR. endstream Among the 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). Acute findings of a joint effusion and posterior tibial plateau contusion are present. The appearance of kissing contusion in the acutely injured knee in the In this study hyperextension injury noted in 4 cases in 138 cases (2.9%). Traumatic Bone Bruises in the Athlete's Knee. Epub 2013 Jun 6. 1996 Jan;198(1):205-8 Boks et al., conducted a study of the natural course of bone bruises in posttraumatic knees and to describe possible determinants of this course and concluded that Median healing time of bone bruises is 42.1 weeks [5]. Other structures are injured less frequently and have weaker associations with bone bruise distribution. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. Mild high signal of the distal semimembranosus insertion, however, the remaining posteromedial corner structures appear uninjured.