Deangelis JP, Spindler KP. https://doi.org/10.1007/s00402-022-04366-9, DOI: https://doi.org/10.1007/s00402-022-04366-9. Eight of the kissing contusions were associated with anterior cruciate ligament tears, three with menisceal tears, four were isolated lesions, and one was delayed, following a menisceal tear. Texas Health Care Imaging is a radiology clinic located in Brownsville, TX. 5 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Biomechanical Approach to MRI of Acute Knee Injuries. FOIA National Library of Medicine 1993;189:9014. Grade 1 refers to the uniform-ly low normal meniscal signal, grade 2 de-scribes increased signal within the meniscus . Tax calculation will be finalised during checkout. No meniscal tear. 2014 Feb;44(2):281-93. doi: 10.1007/s40279-013-0116-z. Other soft tissue injuries include: ACL (100%), PCL (7.6%), Medial meniscus (89.7%), Lateral meniscus (23.1%), LCL (7.6%). endstream Epub 2022 Mar 1. Rangger C, Klestil T, Kathrein A, Indester A, Hamid L. Influence of magnetic resonance imaging on indications for arthroscopy of the knee. -, Radiol Clin North Am. Conclusions: Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. Lim YS, Peh WC. Bone Contusion Patterns of the Knee at MR Imaging: Footprint of the Kung JW, Yablon CM, Eisenberg RL. 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. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. Bone marrow contusions are frequently identified at magnetic . The notch depth of lateral femoral condyle in the experimental group (0.990.56mm) was significantly greater than that in the control group (0.490.28mm) (P<0.05). CAS Among the 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic bone bruise distribution. Nippon Igaku Hoshasen Gakkai Zasshi 55(6):375379, CAS Type / Mode of injury in Clip injury pattern. Anterior cruciate, and medial and lateral collateral ligaments are intact. Pivot shift pattern is most common contusion pattern and the most common type/mode of injury is sports related injury. Bone Marrow Edema Injury Patterns in the Pediatric Knee: An MRI Study. endobj Conventional radiograph evaluation of skeleton following trauma divides injury into presence or absence of fracture. Snearly WN, Kaplan PA, Dussault RG. 2015;49:145260. Contusion is seen in the anterior aspect of the distal femur and proximal tibia or located in medial femoral and tibial condyle (valgus force applied). PDFS Coronal: Bone marrow oedema at Medial femoral condyle and Metadiaphysis. The positive rate of KC in the experimental group (183/500) was markedly higher than that in the control group (3/500) (P<0.05). Transient patellar dislocation is a common sports-related injury in young adults. and transmitted securely. 1 0 obj 2022 Dec;30(12):1647-1657. doi: 10.1016/j.joca.2022.08.006. Magnetic Resonance Imaging of Bone Marrow: A Review Part II. Epub 2022 May 3. Oedema is seen at the anterior aspect of the tibia and, occasionally, at the posterior surface of the patella [8]. The double sulcus sign is a radiographic marker that confers a high probability of ACL injury. Mair SD, Schlegel TF, Gill TJ, Hawkins RJ, Steadman JR. PubMed In total 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). eCollection 2020 Apr. Bratisl Lek Listy 113(9):539543, Svoboda SJ (2014) ACL injury and posttraumatic osteoarthritis. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. In tensile load, on the other hand, bones pull apart leading to distraction across the joint and traction on stabilizing structures. In present study clip injury pattern is noted in 39 cases (28.6%). Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. Bone bruise patterns in knee injuries: where are they found? sharing sensitive information, make sure youre on a federal PDF Diagnostic value of the lateral femoral notch sign and kissing No significant difference was noted in location of bone marrow contusion in clip injury for different type/mode of injury. Fill out the form below and a representative will be in touch. The magnitude of the force is a major determinant of the imaging findings. Careers, Unable to load your collection due to an error. Kissing contusion | 3 Publications | 31 Citations | Top Authors You can help Wikipedia by expanding it. Sagittal proton density images showing (A) typical kissing contusion Article 13 0 obj If the knee is exposed to forces beyond its physiologic range, risk of injury to bone or soft tissue structures increases. Bethesda, MD 20894, Web Policies 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. Over 2600 credentialed providers acrosstheUS. Calvo-Gurry M, Hurley ET, Withers D, Vioreanu M, Moran R. Knee Surg Sports Traumatol Arthrosc. 2006;238:85362. PDFS Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. Waiving out of pocket expenses incentivizes your members to use the KISx network resulting in savings for both planandmember. National Library of Medicine Extensive posterior capsular edema in keeping with a hyperextension injury. Bone contusion is also noted in posterior lip of the medial tibial condyle [8] or medial femoral condyle and medial tibial condyle [7]. Before PMC Accessibility You can use Radiopaedia cases in a variety of ways to help you learn and teach. The datasets used or analysed during the current study are available from the corresponding author on reasonable request. LF directed the writing of the article. The spectrum of damage includes stretching, partial tearing, and complete rupture [4]. Arthroscopy. endobj Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Bone bruises: their patterns and significance. Orthopedic radiology Philadelphia, Pa: Saunders, 1986; 502, 511. Injury in PCL is seen in all the cases. Incidence and location of bone bruises after acute posterior 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]. In this study, inclusion criteria included history of knee injury within 6 weeks or suspected ACL injury [12]. Epub 2019 Mar 26. Correlation between contusion pattern in clip injury and type/mode of injury. Texas Health Care Imaging | Radiology Clinic in Brownsville, TX Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. J Bone Joint Surg Am. Objective: HSS J. This case demonstrates a hyperextension knee injury consisting of. 2023-05-01T23:01:26-07:00 KIS Imaging 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]. Bethesda, MD 20894, Web Policies Sanders TG, Medynski MA, Feller JF, Lawhorn KW. MeSH Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). J Bone Joint Surg Am. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Felt a "popping" sensation after landing on a straightened knee. Mandalia V, Fogg AJB, Chari R, Murray J, Beale A, Henson JHL. Other associated injury in ACL (87.5%), Medial meniscus (50 %) and lateral meniscus (75%). The Predicted Position of the Knee Near the Time of ACL Rupture Is Similar Between 2 Commonly Observed Patterns of Bone Bruising on MRI. MRI of the Pediatric Knee 1999 Jun;211(3):747-53 Epub 2021 May 11. To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. 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. Following informed consent, complete history from the patient and relative (attendant) about injury was recorded. Knee Surg Sports Traumatol Arthrosc 27(2):659664, Miller LS, Yu JS (2010) Radiographic indicators of acute ligament injuries of the knee: a mechanistic approach. Lateral-compartment bone contusions in adolescents with intact anterior cruciate ligaments. Clin Radiol 2004;59:439-445. "Kissing contusion" refers to a bone contusion on both side of the knee joint. Magnetic Resonance Imaging of Sports injuries of knee. Book an Appointment. PubMed According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). Fornalski S, McGarry MH, Csintalan RP, Fithian DC, Lee TQ. 8600 Rockville Pike 2022. doi: 10.2106/JBJS.OA.21.00069. MRI of Sports Injuries in Children and Adolescents: What's - Springer -. By directing imaging to outpatient sites, not hospital settings, it creates a better patient experience while yielding substantial savings. government site. MRI Introduction Anterior cruciate ligament (ACL) injuries are among the most common sports injuries. How To Heal A Knee Contusion - Brandon Orthopedics Bone contusions of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee at MR imaging. Case study, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-83381. Bone marrow contusion usually resolves in 6-8 weeks [6]. Dashboard injury occurs when force is applied to the anterior aspect of the proximal tibia while the knee is in a flexed position. In this study, patients with history of knee injury <6 weeks were considered as recent knee injuries. Park HJ, Lee SY, Chung EC, Rho MH, Ahn JH, Kim M, et al. Rangger C, Kathrein A, Freund MC, Klestil T, Kreczy A. Disclaimer. *no pattern of bone marrow contusion could be explained as per the classification. 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.
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