kissing contusion knee radiology
In this study hyperextension injury noted in 4 cases in 138 cases (2.9%). Patient demographics, the clinical presentation, and the role of trauma are critical for . Unable to process the form. 1997;93(12):404. Unauthorized use of these marks is strictly prohibited. Posterior tibial bone bruising associated with posterior-medial meniscal tear in patients with acute anterior cruciate ligament injury. PubMedGoogle Scholar. 2007;189:55662. An official website of the United States government. Emerg Radiol 17(6):435444, Murphy BJ, Smith RL, Uribe JW, Janecki CJ, Hechtman KS, Mangasarian RA (1992) Bone signal abnormalities in the posterolateral tibia and lateral femoral condyle in complete tears of the anterior cruciate ligament: a specific sign? Contusions of both surfaces of the joint are known as kissing contusions. 2016;10(4):TC0611. bone bruises on magnetic resonance imaging evaluation of anterior cruciate ligament injuries. 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. 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. [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. This pattern is thought to result resolution from contrecoup forces in the medial compartment at the forced valgus forces. 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. Rodriguez W, Vinson EN, Helms AC, Toth PA. MRI appearance of posterior cruciate ligament tears. 1 0 obj -. %PDF-1.4 % N Z Med J. 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]. Patients were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. 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. School of Clinical Medicine, Tsinghua University, Beijing, China, Peking University Third Hospital, Beijing, China, Beijing Tsinghua Changgung Hospital Affiliated To Tsinghua University, Beijing, China, Heng Gong,Xiaofei Zhang,Ligong Fu&Lianxu Chen, You can also search for this author in 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%). 2023-05-01T23:01:26-07:00 1989 Mar;170(3 Pt 1):823-9 On analysing the bone marrow contusion pattern, type/mode can be determined in most of cases. Computed Tomography & Magnetic Resonance Imaging Of The Whole Body. 35 0 obj The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Five classic bone contusion patterns have been described 1-4: The knee is a complex synovial joint that can be affected by a range of pathologies: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. The Predicted Position of the Knee Near the Time of ACL Rupture Is Similar Between 2 Commonly Observed Patterns of Bone Bruising on MRI. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. Br J Sports Med 38(5):592596, Article Learn more about Institutional subscriptions. Knee kinematics during noncontact anterior cruciate ligament injury as determined from bone bruise location. Additionally, the program is designed to drive true consumer engagement with waived out of pocket expenses and no pre-certification, which allows patients fast and efficient access to providers for their imaging needs. Bone marrow contusions are frequently identified at magnetic . Patterns of bone bruise in knee injury. The relationship and characteristics between these two indicators was explored. 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. Clin Imaging. HHS Vulnerability Disclosure, Help - 103.57.222.214. Pivot shift injury pattern according to Location of marrow oedema. NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Ashish Garg, A-4, Ashok Nagar, Mandoli Road, Shahdara, Delhi-110093, India. 2000;28:6637. Among 46 cases, football was most common sports leading to injury followed by Kabaddi. 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. 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. 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. 1993;21:2203. After knee injury, bone marrow oedema is frequently subchondral in location [4]. Felt a "popping" sensation after landing on a straightened knee. Boks SS, Vroegindeweij D, Koes BW, Bernsen R, Hunink MGM, Zeinstra SM. Arch Orthop Trauma Surg 143, 927934 (2023). and transmitted securely. 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. Rangger C, Klestil T, Kathrein A, Indester A, Hamid L. Influence of magnetic resonance imaging on indications for arthroscopy of the knee. On MR images, trabecular contusion has the appearance of bone marrow oedema. Epub 2019 Mar 26. Chi-square = 1.926, p =0.3817 i.e. Hyperextension results in the "kissing" contusion pattern involving the anterior aspect of the proximal tibia and distal femur. After knee injury, bone marrow oedema is frequently subchondral in location and may be associated with either trabecular or cortically based lines [4]. https://doi.org/10.1007/s00256-017-2754-y, https://doi.org/10.1016/j.arthro.2016.03.015. Google Scholar. In suspected ACL injury, bone marrow contusion may not be necessarily present. Bone marrow contusion at posterior lip of medial tibial condyle was seen in 59 cases. A 14-year-old male football player with chronic anterior knee pain who experienced acute knee pain after jumping and landing awkwardly. Characteristic magnetic resonance imaging (MRI) findings often lead to the diagnosis. 2010 Dec;38(12):2502-8. doi: 10.1177/0363546510376232. bone contusion) can give clues for the mechanism and associated injuries. Meniscal injury was unrelated to the extent or pattern of bone bruising. Orthopedic radiology Philadelphia, Pa: Saunders, 1986; 502, 511. Kapelov SR, Teresi LM, Bradley WG, Bucciarelli NR, Murakami DM, Mullin WJ, et al. Bethesda, MD 20894, Web Policies 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. 1996;198:2058. Looking for more information? Liu ZY, Zhang JL, Liu C, Cao Q, Shen QJ, Zhao JC. 1. PubMed Knee joint is one of strongest joint in body and allows transmission of body weight to leg. Most common type / mode of injury in patients with unclassified pattern in fall from bike (3 cases) followed by hit by car/ motor vehicle (2 cases) and injury while lifting heavy weight in 1 case [Table/Fig-13]. Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. 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]. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a casecontrol study. The classic bone contusion includes involvement of the antero-lateral aspect of the lateral femoral condyle and the inferomedial aspect of the patella. 2022 Jan 11;17(1):17. doi: 10.1186/s13018-022-02912-0. 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. These findings are comparable to Arndt et al., who conducted a study in MR diagnosis of contusion of knee in < 6 weeks and described bone marrow contusion in 23 cases out of 51 cases (45.1%). Hong CK, Lin YJ, Cheng TA, Chang CH, Hsu KL, Kuan FC, Su WR. 1989 Jun;171(3):761-6 Application of biomechanical approach in MR interpretation helps in effortless assessment of osseous contusion and ligament rupture and mark delicate but significant abnormalities. Google Scholar. A knee contusion can range from mild to severe. 2007;41 Suppl 2:98-104. Bone bruise patterns in knee injuries: where are they found? The appearance of kissing contusion in the acutely injured knee in the Other structures are injured less frequently and have weaker associations with bone bruise distribution. The most common symptom of a knee contusion is pain. Bone marrow contusion was noted in 71 cases out of 255 cases (27.8%). Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. Follow-up of occult bone lesions detected at MR imaging: systematic review. 99 0 obj Shi H, Ding L, Jiang Y, Zhang H, Ren S, Hu X, Liu Z, Huang H, Ao Y. Orthop J Sports Med. 2011;197 (3): 568-77. 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. 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). Correspondence to MRI Introduction Anterior cruciate ligament (ACL) injuries are among the most common sports injuries. MRIs, plain radiographs and clinical details of these patients were reviewed. Check for errors and try again. Epub 2013 Jun 6. Skeletal Radiology Over 2600 credentialed providers acrosstheUS. Chin YC, Wijaya R, Chong le R, Chang HC, Lee YH. In this study, inclusion criteria were acute knee injury only in athletes while in our study there were no such selection criteria. CAS Prognosis is particularly influenced by the presence of osteoarthritis. Correlation between contusion pattern in clip injury and type/mode of injury. In distraction injury, excessive tension may damage the joint capsule, retinacula, ligaments, and tendons as well as their osseous attachment sites. <> In 6 cases bone marrow contusion could not be explained by various patterns. -, Radiology. HW contributed to some imaging data and surgery. 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. 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. Dashboard injury occurs when force is applied to the anterior aspect of the proximal tibia while the knee is in a flexed position. 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. FOIA In impaction, the compressive force directly strikes cortical bone and is dissipated into trabecular bone [4]. Pivot shift injury depending on location and type/mode of injury. 3 Professor, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. KIS Imaging is the nations largest direct contracting imaging network with over 2,600 providers covering all major imaging needs: MRI, CT and PET.Where Can I Exchange Ghana Cedis To Pounds, How To See Channel Points On Twitch When Offline, Is There A Stomach Bug Going Around Houston 2021, Heat Protectant With Water Soluble Silicone, Novia Mexican Bread Recipe, Articles K