kissing contusion knee radiology

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. PubMed Google Scholar. There were 2 cases with hyperextension injury while playing football and 2 patients attained the injury after being hit by car. Analytical Services; Analytical Method Development and Validation Follow up scan could not be done to establish the presumable diagnosis of bone marrow contusion. Graf BK, Cook DA, De Smet AA, Keene JS. Careers. Kim-Wang SY, Spritzer CE, Owusu-Akyaw K, Coppock JA, Goode AP, Englander ZA, Wittstein JR, DeFrate LE. Plain radiograph of knee was done in all patients and they were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. AJR Am J Roentgenol. 1 Professor and HOD, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. 1999;211:74753. Bone bruises: their patterns and significance. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. Notch syndrome refers to the enlarged and deepened lateral femoral condyle. (2008) ISBN:0323076211. -, Radiol Clin North Am. J Orthop Surg Res. Application of valgus load to the knee in various degree of flexion combined with external rotation of the tibia or internal rotation of the femur lead to pivot shift injury resulting in disruption of Anterior Cruciate Ligament (ACL). The LFNS and KC have strong clinical significance in the diagnosis of ACL injuries. It can also damage interposed soft tissues, most commonly the articular cartilage and meniscus. *Other cause include fall while getting down from bus (1 case), fall while jumping (1 case), fall while getting downstairs. The datasets used or analysed during the current study are available from the corresponding author on reasonable request. Bone marrow oedema is responsible for patient symptoms and may lead to early degenerative changes [7]. [Table/Fig-10,,1111 and and12]12] show the aetiologies and location for pivot shift injury, Type /Mode of injury among dashboard injury pattern (8 cases) were - Impact from dashboard in 4 cases, fall from bike (2 cases), running downstairs (1 case) and fall while paying cricket (1 case). The knee may also be swollen and bruised. Background: The location and severity of tibiofemoral bone contusions in magnetic resonance imaging scans in patients with acute non-contact anterior cruciate ligament injuries can reflect the primary mechanisms of anterior cruciate ligament injuries. Magnetic Resonance Imaging of Bone Marrow: A Review Part II. Radiology 184(3):855858, Dimitriou D, Reimond M, Foesel A et al (2021) The deep lateral femoral notch sign: a reliable diagnostic tool in identifying a concomitant anterior cruciate and anterolateral ligament injury. Clin Orthop Relat Res. 2011;93:15108. 2019. Compressive load causes bone marrow contusion and, if sufficient in magnitude, depressed cortical fracture. E-mail: Received 2016 Jan 13; Revisions requested 2016 Jan 29; Accepted 2016 Feb 28. MR feature of bone bruising reflects increase in water content in marrow cavity as a result of haemorrhage, therefore water sensitive sequence like fat saturated T2W, PD weighted image or STIR are used [1,11,12]. PubMed Sanders TG, Medynski MA, Feller JF, Lawhorn KW. Boks SS, Vroegindeweij D, Koes BW, Hunink MG, Bierma-Zeinstra SM. The magnitude of the force is a major determinant of the imaging findings. Unclassified injury pattern in 6 cases with type /mode of injury and location of bone marrow contusion. 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). Fornalski S, McGarry MH, Csintalan RP, Fithian DC, Lee TQ. Knee kinematics during noncontact anterior cruciate ligament injury as determined from bone bruise location. judge timothy kenny political affiliation. 2012;2 (5): 398-402. 1997;93(12):404. Contusions of both surfaces of the joint are known as kissing contusions.Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint.Methods: 255 MRI examinations in athletes with acutely injured knees (197 men; 58 women; Related Papers Arndt WA, Traux AL, Baranett FM, Simmon GE, Brown DC. 8600 Rockville Pike Br J Sports Med. Furthermore, it is anterior tibial oedema rather than the presence of kissing lesions than predicts cruciate ligament injury (OR = 10.5, p = 0.02). -, Radiology. Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. In present study clip injury pattern is noted in 39 cases (28.6%). A total of 1000 patients were enrolled in this study, including 500 patients with ACL injuries who assigned to experimental group and 500 patients with meniscal tear (MT) who allocated to control group. Hyperextension results in the "kissing" contusion pattern involving the anterior aspect of the proximal tibia and distal femur. 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. PubMed Central In our study, bone marrow oedema was seen in 138 cases (69%) out of 200 cases. 2014 . Bone Bruise Distribution Patterns After Acute Anterior Cruciate Ligament Ruptures: Implications for the Injury Mechanism. Part of Springer Nature. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Kim SY, Spritzer CE, Utturkar GM, Toth AP, Garrett WE, DeFrate LE. Why continue to overpay for your most common Imaging procedures? Bone marrow oedema of the knee may cause substantial clinical entities, as they cause acute pain and functional loss in the joint. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament 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]. 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. Price excludes VAT (USA) PMC Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees. In this study, inclusion criteria included history of knee injury within 6 weeks or suspected ACL injury [12]. 4. 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]. 2019 Nov;27(11):3633-3637. doi: 10.1007/s00167-019-05490-7. PubMed Increase in interstitial water content and hyperperfusion contributes to bone marrow oedema formation. Inclusion in an NLM database does not imply endorsement of, or agreement with, PDFS Coronal: Bone marrow oedema at Medial femoral condyle and proximal tibia. Traumatic bone bruising-a review article. Ciuffreda P, Lelario M, Milillo P, Vinci R, et al. Study was conducted between May 2014 to September 2015 with sample size of 200 patients, after taking the institutional ethical clearance. Pattern of marrow oedema as per classification. N Z Med J. Pure passive hyperextension of the human cadaver knee generates simultaneous bicruciate ligament rupture. At the time the case was submitted for publication Henry Knipe had no recorded disclosures. The https:// ensures that you are connecting to the Winters K, Tregnonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. - 103.57.222.214. Traumatic mechanisms are sometimes too complex or poorly understood which cannot be comprehend [4]. Chi-square = 1.926, p =0.3817 i.e. PubMedGoogle Scholar. The purpose of this review is to . doi: 10.2106/JBJS.OA.21.00069. Imaging the knee: Ligaments. PubMed Disclaimer. Grade 1 refers to the uniform-ly low normal meniscal signal, grade 2 de-scribes increased signal within the meniscus . Due to superior ability to produce high resolution images with exquisite soft tissue contrast, MRI is the modality of choice for evaluation of bone marrow. Zeiss J, Paley K, Murray K, Saddemi SR. Patterns of bone bruise in knee injury. "Kissing contusion" refers to a bone contusion on both side of the knee joint. . from publication: The appearance of kissing contusion in the acutely injured knee in the athletes | Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely. sharing sensitive information, make sure youre on a federal 2015;43(10):251521. Please enable it to take advantage of the complete set of features! Clin Imaging. The usefulness of the oblique coronal plane in knee MRI on the evaluation of the posterior cruciate ligament. Reflecting presence of increased free water oedema, appears hyperintense on inversion recovery and fat suppressed images and shows increase diffusivity on Diffusion weighted images [10]. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Texas Health Care Imaging is a radiology clinic located in Brownsville, TX. In one of these patients, the lesion was still seen at 1-month follow-up, and in the other patient, complete resolution occurred after 10 months. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> 1996;198:2058. Wright RW, Phaneuf MA, Limbird TJ, Spindler KP. Extensive posterior capsular edema in keeping with a hyperextension injury. Bone marrow bruise is ill defined subchondral reticular or stellate region of low signal intensity on T1 and high signal intensity on T2W images [6]. The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Bone contusion of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee. Traumatic Bone Bruises in the Athlete's Knee. Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures. https://doi.org/10.1007/s00256-017-2754-y, https://doi.org/10.1016/j.arthro.2016.03.015. Minor focus of edema in the anterior aspect of the lateral femoral condyle. Google Scholar. Before 99 0 obj This article about a disease of musculoskeletal and connective tissue is a stub. In tensile load, on the other hand, bones pull apart leading to distraction across the joint and traction on stabilizing structures. Arch Orthop Trauma Surg. 2022 Dec;30(12):1647-1657. doi: 10.1016/j.joca.2022.08.006. Song GY, Zhang H, Wang QQ, Zhang J, Li Y, Feng H. Bone contusions after acute noncontact anterior cruciate ligament injury are associated with knee joint laxity, concomitant meniscal lesions, and anterolateral ligament abnormality. 2008;67:5461. Waldn M, Krosshaug T, Bjrneboe J, Andersen TE, Faul O, Hgglund M. Three distinct mechanisms predominate in non-contact anterior cruciate ligament injuries in male professional football players: a systematic video analysis of 39 cases. ACL tears are classified into three grades: Grade I ACL tears represent intraligamentous injury without a change in ligament length. endobj 2005;118(1209):U1301. By directing imaging to outpatient sites, not hospital settings, it creates a better patient experience while yielding substantial savings. The site is secure. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic 'bone bruise' distribution. PubMed Central and transmitted securely. Transient lateral patellar dislocation: diagnosis with MR imaging. eCollection 2022 Oct. Moran J, Katz LD, Schneble CA, Li D, Kahan JB, Wang A, Porrino J, Jokl P, Hewett TE, Medvecky MJ. MRI follow-up of posttraumatic bone bruises of the knee in general practice. 2023-05-01T23:01:26-07:00 Arch Orthop Trauma Surg 143, 927934 (2023). The https:// ensures that you are connecting to the Over 2600 credentialed providers acrosstheUS. 2007;41 Suppl 2:98-104. Ryu KN, Jin W, Ko YT, Yoon Y, Oh JH, Park YK, et al. This injury most commonly occurs when the knee strikes against the dashboard during an automobile accident or fall against the ground on flexed knee. Rodriguez W, Vinson EN, Helms AC, Toth PA. MRI appearance of posterior cruciate ligament tears. Gong, H., Wang, H., Zhang, X. et al. Felt a "popping" sensation after landing on a straightened knee. Kirsch MD, Fitzgerald SW, Friedman H, Rogers LF. 2014;24:14817. FOIA Twenty-five patients were identified (median time from injury to MRI = 24 days). Other associated injury in ACL (87.5%), Medial meniscus (50 %) and lateral meniscus (75%). Objective: steve stricker wrist lock; what channel are the st louis cardinals playing on today Inclusion criteria were patients with recent knee injuries (<6weeks) and normal plain radiograph with no signs of pathology. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. 2002;10:96101. No significant difference was noted in location of bone marrow contusion in clip injury for different type/mode of injury. It is a common injury that can occur from a fall, blow, or collision. endobj MacMahon PJ, Palmer WE. 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. Kessler R, Campbell S, Wong D, Mansfield LB. Unable to process the form. 2 cases (50%) are hyperextension injury with kissing contusion at anterior aspect of proximal tibia and distal femur caused due to hit by car in RTA. Shi H, Ding L, Jiang Y, Zhang H, Ren S, Hu X, Liu Z, Huang H, Ao Y. Orthop J Sports Med. Incidence and location of bone bruises after acute posterior cruciate ligament injury. bone contusion) can give clues for the mechanism and associated injuries. A cross-sectional study was done on all patients referred to Krishna Hospital, Karad for MRI knee with history of recent (< 6 weeks) knee injury. 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].

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