Furthermore, it is anterior tibial oedema rather than the presence of kissing lesions than predicts cruciate ligament injury (OR = 10.5, p = 0.02). Kissing contusion - Wikipedia PubMed 2000 Nov-Dec;24(6):371-80 Boks SS, Vroegindeweij D, Koes BW, Hunink MG, Bierma-Zeinstra SM. Anterior cruciate, and medial and lateral collateral ligaments are intact. Comparison of magnetic resonance imaging for patients with a - LWW - 103.57.222.214. Table showing Type/Mode of injury in pivot shift injury. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. 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. Contusions of both surfaces of the joint are known as kissing contusions. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. J Bone Joint Surg Am 92(2):353360, Yu JS, Bosch E, Pathria MN et al (1995) The deep lateral femoral sulcus:correlation in 124 patients with anterior cruciate ligament tear. 5 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Acta Orthop Scand. 2011 Aug 17;93(16):1510-8. doi: 10.2106/JBJS.J.01320. government site. 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]. +(91)-9821210096 | paula deen meatloaf with brown gravy. PubMed Google Scholar, Department of Orthopaedic Surgery, Chelsea and Westminster Hospital, London, UK, Department of Radiology, Chelsea and Westminster Hospital, London, UK, Department of Orthopaedic Surgery, Homerton University Hospital, London, UK, You can also search for this author in 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 Twenty of the 23 patients had follow-up imaging. Article Bone bruise patterns in knee injuries: where are they found? 2007;41 Suppl 2:98-104. Extensive posterior capsular edema in keeping with a hyperextension injury. Clipboard, Search History, and several other advanced features are temporarily unavailable. 1 Kacey Court, Suite 100, Mechanicsburg, Pa, 17055. Adult patients with ACL tears have greater tibial internal rotation in MRI compared to adolescent patients. -, Arthroscopy. sharing sensitive information, make sure youre on a federal Google Scholar. CAS CAS no significant difference in location for different type/ mode of injury. Unauthorized use of these marks is strictly prohibited. In total 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR=7.8, p=0.03). On 1.5 T, knee joint was examined in Saggital (T1, T2, PD, PDFS), Coronal (T2/ PDFS), Axial (T2, Medic) sequences. National Library of Medicine 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. The .gov means its official. Therefore, an influence by the number of bone bruises on healing time was marked; the higher the number, the more likely that there will be one slowly resolving lesion. Mechanisms of non-contact anterior cruciate ligament injury as - PubMed 3 Professor, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> 1995;19:7736. Am J Sports Med. Acta Radiol. Pure passive hyperextension of the human cadaver knee generates simultaneous bicruciate ligament rupture. Price excludes VAT (USA) Part of Springer Nature. Imaging the knee: Ligaments APPLIED RADIOLOGY Federal government websites often end in .gov or .mil. Biomechanical Approach to MRI of Acute Knee Injuries. 2015;23(8):22508. 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 saggital plane was primarily used to evaluate the bone marrow oedema which was confirmed on coronal images. Age, type of bone bruise, and number of bruises also have prognostic value. 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. Dashboard injury occurs when force is applied to the anterior aspect of the proximal tibia while the knee is in a flexed position. HW contributed to some imaging data and surgery. Semin Ultrasound CT MR. 1994 Oct;15(5):396-409. doi: 10.1016/s0887-2171(05)80006-x. How To Heal A Knee Contusion - Brandon Orthopedics Skeletal Radiol 47, 173179 (2018). All the patients underwent magnetic resonance imaging (MRI) preoperatively, and the diagnosis was confirmed with the aid of arthroscopy. Waiving out of pocket expenses incentivizes your members to use the KISx network resulting in savings for both planandmember. This study was approved by the ethical committee of Beijing Tsinghua Changgung Hospital (No. LXC designed the study and was responsible for the paper. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. 2016;10(4):TC0611. Patterns of bone bruise in knee injury. 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. Am J Sports Med. NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Ashish Garg, A-4, Ashok Nagar, Mandoli Road, Shahdara, Delhi-110093, India. The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. Kissing contusion is a(n) research topic. the contents by NLM or the National Institutes of Health. Compressive load causes bone marrow contusion and, if sufficient in magnitude, depressed cortical fracture. doi: 10.2106/JBJS.OA.21.00069. Epub 2022 Apr 12. On MR images, trabecular contusion has the appearance of bone marrow oedema. government site. An axial acquisition through the patella femoral joint was used as the initial localizer for subsequent coronal and saggital images. 1. Book an Appointment. official website and that any information you provide is encrypted 8600 Rockville Pike Would you like email updates of new search results? In suspected ACL injury, bone marrow contusion may not be necessarily present. Biomechanical and anatomical assessment after knee hyperextension injury. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Yap J, Al Kabbani A, et al. 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. Google Scholar. It can also damage interposed soft tissues, most commonly the articular cartilage and meniscus. of knee injury in pediatric patients. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. Conclusions: Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. Radiology. The https:// ensures that you are connecting to the 5 out of 8 patients with a 'double sulcus' on the lateral radiograph had ACL injury. Radiographics. The datasets used or analysed during the current study are available from the corresponding author on reasonable request. 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. No funding was received to assist with the preparation of this manuscript. Moderate edema at the gastrocnemius/soleus interface and overlying the superficial medial gastrocnemius proximal myotendinous junction. 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. Felt a "popping" sensation after landing on a straightened knee. Osteochondral Lesions of the Knee: Differentiating the Most Common Other soft tissue injuries include: ACL (100%), PCL (7.6%), Medial meniscus (89.7%), Lateral meniscus (23.1%), LCL (7.6%). 2011;68:7626. Bone marrow contusion usually resolves in 6-8 weeks [6]. Analysis of bone marrow oedema was done by a single observer based on MRI [9], its patterns were studied and possible type/mode of injury was determined before elucidating the history from the patient. Terzidis et al., 20 conducted a study on acute knee injuries in 255 athletes with acutely injured knees, 219 MRIs were done within the first month after the injury and 36 within two to four months [13]. 2015;43(10):251521. HHS Vulnerability Disclosure, Help Inpatient imaging services are available 24/7. Associated MCL injury is noted in 31 cases (79.5%). Bone Marrow Signal Alteration in the Extremities. MRI of Sports Injuries in Children and Adolescents: What's - Springer Knee Surg Sports Traumatol Arthrosc. Kapelov et al., conducted a study to demonstrate that T2 weighted fast spin echo (FSE) images with spectroscopic fat saturation (FS- FSE) increase conspicuity between marrow contusion and normal marrow in post traumatic knee and found bone marrow contusion in 21 out of 76 cases (27.6%) which is less than our study (69%) [11]. Sports Med. Mechanism-based pattern approach to classification of complex injuries of the knee depicted at mr imaging. FOIA Texas Health Care Imaging | Radiology Clinic in Brownsville, TX Over the lifetime, 3 publication(s) have been published within this topic receiving 31 citation(s). severe contusions may cause the knee to give out or lock. Learn more about Institutional subscriptions. Contusion in medial femoral condyle occurs secondary to the avulsion to medial collateral ligament from site of attachment at medial femoral condyle [8]. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). khloe kardashian hidden hills house address. 2002;10:96101. 2022 Jan 11;17(1):17. doi: 10.1186/s13018-022-02912-0. Contusions of both surfaces of the joint are known as kissing contusions. Correlation between contusion pattern in clip injury and type/mode of injury. In impaction, the compressive force directly strikes cortical bone and is dissipated into trabecular bone [4]. PubMed Clin Radiol. 2008;36:804. 21033-6-01). Inclusion in an NLM database does not imply endorsement of, or agreement with, Google Scholar. 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. Snearly WN, Kaplan PA, Dussault RG. Eur J Orthop Surg Traumatol. 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. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). Bone marrow oedema is responsible for patient symptoms and may lead to early degenerative changes [7]. 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]. Traumatic bone bruising-a review article. The https:// ensures that you are connecting to the and kissing contusions of the lat-eral femoral condyle and medial tibial pla . We have included all the patients coming with acute knee injuries irrespective of type/mode of injury. Federal government websites often end in .gov or .mil. Twenty-five patients were identified (median time from injury to MRI=24days). Call Us Today! Conventional radiograph evaluation of skeleton following trauma divides injury into presence or absence of fracture. Rangger C, Kathrein A, Freund MC, Klestil T, Kreczy A. Sagittal proton density images showing (A) typical kissing contusion 2020 Apr 15;8(4):2325967120911162. doi: 10.1177/2325967120911162. Among the 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). Br J Sports Med. 2021 May;13(3):966-978. doi: 10.1111/os.12997. These contusions are generally found by magnetic resonance imaging and most cases are associated with ligamentous or menisceal injuries. Contusions of both surfaces of the knee joint are known as kissing contusions. Increase in interstitial water content and hyperperfusion contributes to bone marrow oedema formation. A lateral radiograph of the right knee a shows osseous fragmentation of the tibial tuberosity and soft tissue swelling ( white arrow ). No cost for the Employer or Employee with up to 80% savings. Radiol Med. Knee Surg Sports Traumatol Arthrosc 23(8):22502258, Hoffelner T, Pichler I, Moroder P et al (2015) Segmentation of the lateral femoral notch sign with MRI using a new measurement technique. endobj PubMed The appearance of kissing contusion in the acutely injured knee in the ADVERTISEMENT: Supporters see fewer/no ads. Hyperextension injuries of the knee: do patterns of bone bruising Bone contusion is also noted in posterior lip of the medial tibial condyle [8] or medial femoral condyle and medial tibial condyle [7]. 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. steve stricker wrist lock; what channel are the st louis cardinals playing on today Expansive network access, savings and no red tape An absolute win-win foreveryone! In tensile load, on the other hand, bones pull apart leading to distraction across the joint and traction on stabilizing structures. Elsevier Health Sciences. Our Facilities. official website and that any information you provide is encrypted 35 0 obj Sanders classified bone marrow contusions in five different patterns as: Clip injury, Pivot shift injury, Dashboard injury, Hyperextension injury, and Lateral patellar dislocation [8]. <>stream
Type I lesions are most common on the lateral femoral condyle and type III on the lateral tibial condyle. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. Clin Sports Med 33(4):633640, Tauber M, Fox M, Koller H, Klampfer H, Resch H (2008) Arthroscopic treatment of a large lateral femoral notch in acute anterior cruciate ligament tear. 2022 Oct 17;10(10):23259671221120636. doi: 10.1177/23259671221120636. 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. Arthroscopy. 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. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic 'bone bruise' distribution. Please enable it to take advantage of the complete set of features! 2007;189:55662. Traumatic mechanisms are sometimes too complex or poorly understood which cannot be comprehend [4]. Bone contusion patterns of the knee at MR imaging: footprint of the PDFS Coronal: Bone marrow contusion at lateral femoral condyle and lateral tibial plateau in Pivot shift injury pattern. You can use Radiopaedia cases in a variety of ways to help you learn and teach. Am J Sports Med. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. 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]. 2000;20:S13551. 1 Professor and HOD, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. CAS Br J Sports Med 42(6):394412, Saxena A, Ray B, Rajagopal K, DSouza A, Pyrtuh S (2012) Morphometry and magnetic resonance imaging of anterior cruciate ligament and measurement of secondary signs of anterior cruciate ligament tear. Winters K, Tregnonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. [1] References [ edit] ^ Terzidis, I. P. (October 2004). 2016 Nov;32(11):2331-2341 Clin Imaging. 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. In these 16 cases, contusion in medial compartment was noted in 2 cases (12.5%) [13]. No significant difference was noted in location of bone marrow contusion in clip injury for different type/mode of injury. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. 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. Mandalia V, Henson JH. Medial and lateral meniscal tears usually involving the . Bookshelf 2000;20 Spec No (suppl_1): S135-51. In this study, patients with history of knee injury <6 weeks were considered as recent knee injuries. Kissing contusion refers to the bone contusions in both femoral and tibial surfaces of the knee. Texas Health Care Imaging is a radiology clinic located in Brownsville, TX. 6 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Liu ZY, Zhang JL, Liu C, Cao Q, Shen QJ, Zhao JC. Bone marrow contusion at posterior lip of medial tibial condyle was seen in 59 cases. XZ contributed to part of the statistics of the article. 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. 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. Case study, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-83381. Am J Sports Med. Study was conducted between May 2014 to September 2015 with sample size of 200 patients, after taking the institutional ethical clearance. -, Radiology. https://doi.org/10.1007/s00256-017-2754-y, DOI: https://doi.org/10.1007/s00256-017-2754-y. Horizontal Rafting Plate for Treatment of the Tibial Plateau Fracture. 2000;24:37180. 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. 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. Radiology 193(3):835840, Grimberg A, Shirazian H, Torshizy H, Smitaman E, Chang EY, Resnick DL (2015) Deep lateral notch sign and double notch sign in complete tears of the anterior cruciate ligament: MR imaging evaluation. Other structures are injured less frequently and have weaker associations with bone bruise distribution. Epub 2022 May 3. 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. 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). At the time the article was created Henry Knipe had no recorded disclosures. <>
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