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. Vojnosanit Pregl. Epub 2022 May 3. no financial relationships to ineligible companies to disclose. Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. Over 2600 credentialed providers acrosstheUS. DOI: 10.1148/radiographics.20.suppl_1.g00oc19s135 PMID: 11046168. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. Mechanism of traumatic knee injuries and MR findings. CAS -, Radiol Clin North Am. T2 Axial: Bone marrow oedema in Inferiomedial aspect of patella and lateral femoral condyle in lateral patellar dislocation. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> PLT: Posterloateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. Call Us Today! On MRI these injuries appears as ill defined, subchondral, reticulated or stellate region of low signal intensity on T1W and high signal intensity on T2W images [6]. 2011;197 (3): 568-77. Rangger C, Klestil T, Kathrein A, Indester A, Hamid L. Influence of magnetic resonance imaging on indications for arthroscopy of the knee. Correlation between various pattern of bone marrow oedema and type/mode of injury. PDFS Saggital: Bone marrow oedema at Medial femoral and Medial tibial condyle in Hyperextension injury. 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. endobj On MR images, trabecular contusion has the appearance of bone marrow oedema. Bone marrow oedema of the knee may cause substantial clinical entities, as they cause acute pain and functional loss in the joint. government site. In addition to trauma, marrow oedema can be seen in a broad spectrum of entities, including infection, transient osteoporosis of the hip bone marrow, and neoplasm demonstrates relatively hyperintense T2 and hypointense T1 signal, but the clinical history and location of injury typically allows the correct diagnosis to be made [2]. 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. 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. The authors declare that they have no conflict of interest. Traumatic Bone Bruises in the Athlete's Knee. ;S'XhM. Characteristic magnetic resonance imaging (MRI) findings often lead to the diagnosis. official website and that any information you provide is encrypted PubMed This is a preview of subscription content, access via your institution. Methods: Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. Why continue to overpay for your most common Imaging procedures? 1993;189:9014. Arch Orthop Trauma Surg 140(11):17511757, Article Medial and lateral meniscal tears usually involving the . 2023 Feb;143(2):927-934. doi: 10.1007/s00402-022-04366-9. For KC, the corresponding values were 36.6% and 99.4%, respectively. Radiographics. 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. 2000;20 Spec No (suppl_1): S135-51. They can be used to diagnose ACL injuries. official website and that any information you provide is encrypted There were high rates of injury to the posterior capsule (52%), ACL (40%) and PCL (40%) but lower rates of injury to the menisci (20%), medial and lateral collateral ligaments (16%) and posterolateral corner (16%). Sahoo K, Garg A, Saha P, Dodia JV, Raj VR, Bhairagond SJ. The usefulness of the oblique coronal plane in knee MRI on the evaluation of the posterior cruciate ligament. Clipboard, Search History, and several other advanced features are temporarily unavailable. Google Scholar. HWnWhl2 p$%SgdR`Qvs4a^q~z]&O_F?`7%|8W.Zyxc\4x{gJSp>)nO|-6bhLCntyFTVe7WwtR?fs;fLh;>|*E{mIvqGUlT! sharing sensitive information, make sure youre on a federal In this study, patients with history of knee injury <6 weeks were considered as recent knee injuries. Right knee injury was noted in 87 cases (63%) and left knee in 51 cases (37%). 2000;24:37180. None of the knees had been injured before. 8600 Rockville Pike Bratisl Lek Listy 113(9):539543, Svoboda SJ (2014) ACL injury and posttraumatic osteoarthritis. Davies NH, Niall D, King LJ, Lavelle J, Healy JC. Epub 2021 Apr 4. Perin B, Nardacchione R, Bonaga S, Angelini F, Girotto A, Giovagnoni A, et al. Increase in interstitial water content and hyperperfusion contributes to bone marrow oedema formation. MacMahon PJ, Palmer WE. Knee Surg Sports Traumatol Arthrosc. In this study hyperextension injury noted in 4 cases in 138 cases (2.9%). Epub 2022 Mar 1. Careers, Unable to load your collection due to an error. 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. 2011 Aug 17;93(16):1510-8. doi: 10.2106/JBJS.J.01320. We have included all the patients coming with acute knee injuries irrespective of type/mode of injury. PMC 2022. Clin Imaging. The lateral femoral notch sign (LFNS) and the kissing contusion (KC) are two indirect signs of anterior cruciate ligament (ACL) injuries. Traumatic bone bruising-a review article. 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. Dashboard injury occurs when force is applied to the anterior aspect of the proximal tibia while the knee is in a flexed position. volume47,pages 173179 (2018)Cite this article. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. 1. There has been limited investigation to subdividing the bone contusion model in the medial and lateral directions of the tibial plateau and the . 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. A load that is too low to cause cortical fracture may be sufficient to disrupt trabecular bone and produce marrow contusion. The purpose of this review is to illustrate the MRI findings of lateral patellar dislocation and concomitant injuries, such as kissing contusions of the medial patella and lateral femoral condyle; osteochondral and avulsion fractures; and injuries of the medial patellofemoral ligament/retinacular complex. Thank Professor Zhuozhao Zheng and my girlfriend Danyu Chen for their advice and help on this study. The double sulcus sign is a radiographic marker that confers a high probability of ACL injury. These contusions are generally found by magnetic resonance imaging and most cases are associated with ligamentous or menisceal injuries.[1]. 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]. Looking for more information? CAS Bone bruises: MR characteristics and histological correlation in the young pig. NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Ashish Garg, A-4, Ashok Nagar, Mandoli Road, Shahdara, Delhi-110093, India. 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. 99 0 obj Pivot shift injury in different location and its correlation with sports related injury and other type/mode of injury. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. -, Radiology. Article MRI follow-up of posttraumatic bone bruises of the knee in general practice. Clin Orthop Relat Res. A biomechanical approach to MRI of acute knee injuries. 1996 Sep;(330):133-42 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]. The primary aim of the study was 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. 5 out of 8 patients with a double sulcus on the lateral radiograph had ACL injury. Lianxu Chen. Google Scholar. Contusions of both surfaces of the knee joint are known as kissing contusions. Inpatient imaging services are available 24/7. 2003;37:1379. Bone bruising; Knee hyperextension; MRI. PubMed 2011;93:15108. Check for errors and try again. E-mail: Received 2016 Jan 13; Revisions requested 2016 Jan 29; Accepted 2016 Feb 28. Follow-up of occult bone lesions detected at MR imaging: systematic review. Other associated injury in ACL (87.5%), Medial meniscus (50 %) and lateral meniscus (75%). Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. Prognosis is particularly influenced by the presence of osteoarthritis. National Library of Medicine Twenty-five patients were identified (median time from injury to MRI=24days). 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. Bethesda, MD 20894, Web Policies no significant difference in location for different type/ mode of injury. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> MRI of the Pediatric Knee Pediatric Imaging Review. and transmitted securely. 35 0 obj Inclusion in an NLM database does not imply endorsement of, or agreement with, 2011;68:7626. Accessibility Mandalia V, Fogg AJB, Chari R, Murray J, Beale A, Henson JHL. No funding was received to assist with the preparation of this manuscript. Arndt WA, Traux AL, Baranett FM, Simmon GE, Brown DC. 2004-09-01T13:26:27Z Ciuffreda P, Lelario M, Milillo P, Vinci R, et al. Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. LXC designed the study and was responsible for the paper. Furthermore, it is anterior tibial oedema rather than the presence of kissing lesions than predicts cruciate ligament injury (OR = 10.5, p = 0.02). Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. 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]. Bone bruise, Compressisve force, Early degeneration, Microfracture, Torsional force. 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. Other structures are injured less frequently and have weaker associations with bone bruise distribution. Radiology. endobj 2014;24:14817. Soft tissue abnormalities may include injury of ACL or PCL and a meniscal injury along with injury of the popliteal neurovascular structure, complete disruption of the posterolateral complex, gastrocnemius injury [8]. The datasets used or analysed during the current study are available from the corresponding author on reasonable request. Radiology. Acta Radiol. . Bone marrow contusion showed five patterns (according to Sanders classification) i.e., Clip injury in 39 cases (28.3%), Pivot shift injury in 78 cases (56.5%), Dashboard injury in eight cases (5.8%), Hyperextension injury in four cases (2.9%), Lateral patellar dislocation in three cases (2.2%). CAS In compressive load, bones collide leading to impaction. Accessibility 2015;43(10):251521. Results: A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. The pattern of bone bruise in knee injuries (a.k.a. <> 2 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. Archives of Orthopaedic and Trauma Surgery 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. The .gov means its official. (2008) ISBN:0323076211. ACL tears are classified into three grades: Grade I ACL tears represent intraligamentous injury without a change in ligament length. Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Shi H, Ding L, Jiang Y, Zhang H, Ren S, Hu X, Liu Z, Huang H, Ao Y. Orthop J Sports Med. PMC -. Horizontal Rafting Plate for Treatment of the Tibial Plateau Fracture. FOIA Department of Radiology, Wilford Hall Medical Center, 759th MDTS/MTRD, 2200 Bergquist Dr, Ste 1, Lackland AFB, TX 78236-5300, USA. Google Scholar. Deangelis JP, Spindler KP. 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. 2015;23(8):22508. government site. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Hyperextension knee injury. Mechanism-based pattern approach to classification of complex injuries of the knee depicted at mr imaging. endobj 2011;133:011012. Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures. 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). CAS PubMed It can also damage interposed soft tissues, most commonly the articular cartilage and meniscus. An official website of the United States government. Epub 2013 Jun 6. https://doi.org/10.1007/s00256-017-2754-y, https://doi.org/10.1016/j.arthro.2016.03.015. Bone bruise patterns in knee injuries: where are they found? J Bone Joint Surg Am. <>stream Orthopedic radiology Philadelphia, Pa: Saunders, 1986; 502, 511. Hyperextension results in the "kissing" contusion pattern involving the anterior aspect of the proximal tibia and distal femur. https://doi.org/10.1007/s00402-022-04366-9, DOI: https://doi.org/10.1007/s00402-022-04366-9. HG contributed to the article writing and data collection. 1 Kacey Court, Suite 100, Mechanicsburg, Pa, 17055. Careers. Moderate edema at the gastrocnemius/soleus interface and overlying the superficial medial gastrocnemius proximal myotendinous junction. Tax calculation will be finalised during checkout. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR=7.8, p=0.03). Bone bruises: their patterns and significance. Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Assessment with magnetic resonance, correlated with arthroscopy. 255 MRI examinations in athletes with acutely injured knees (197 men; 58 women; mean age 24.2 years) were reviewed by two independent examiners; 219 MRIs were done within the first month after the injury and 36 within two to four months. Graf BK, Cook DA, De Smet AA, Keene JS. severe contusions may cause the knee to give out or lock. MacMahon PJ, Palmer WE. Federal government websites often end in .gov or .mil. Am J Sports Med. 2005;60:62736. Transient lateral patellar dislocation: diagnosis with 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]. "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. 2012;2 (5): 398-402. Meniscal injury was unrelated to the extent or pattern of bone bruising. Google Scholar. 2004;38:5926. Radiology. Bethesda, MD 20894, Web Policies Unauthorized use of these marks is strictly prohibited. Comparison of bone contusion seen by MRI in partial and complete tears of the anterior cruciate ligament. Our Facilities. 2021 May;13(3):966-978. doi: 10.1111/os.12997. 2010 Dec;38(12):2502-8. doi: 10.1177/0363546510376232. Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees. Conclusions: Injury in PCL is seen in all the cases. Materials and methods: 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]. In 6 cases bone marrow contusion could not be explained by various patterns. PubMed Central 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. Effusion in the adjacent deep infrapatellar bursa. Bone Bruise Distribution Patterns After Acute Anterior Cruciate Ligament Ruptures: Implications for the Injury Mechanism. CAS Clin Radiol. HHS Vulnerability Disclosure, Help In patients with bone marrow contusion, 14 were women (10.1%) and 124 were men (89.9%). 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. Google Scholar. Eur J Orthop Surg Traumatol. ADVERTISEMENT: Supporters see fewer/no ads. On applying fisher-exact test, p = 0.1655 i.e. Kapelov RS, Terris LM, Bradley WG, Bucciarelli NR, Murakami DM, Mullin WJ, et al. The saggital plane was primarily used to evaluate the bone marrow oedema which was confirmed on coronal images.
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