Mair SD, Schlegel TF, Gill TJ, Hawkins RJ, Steadman JR. 1 Professor and HOD, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Kapelov RS, Terris LM, Bradley WG, Bucciarelli NR, Murakami DM, Mullin WJ, et al. An axial acquisition through the patella femoral joint was used as the initial localizer for subsequent coronal and saggital images. A 124(62%) had trauma in right knee and 76(38%) in left knee. Boks SS, Vroegindeweij D, Koes BW, Hunink MG, Bierma-Zeinstra SM. Our team of experienced agents will hand hold the member through theentireprocess. HHS Vulnerability Disclosure, Help 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]. Incidence and location of bone bruises after acute posterior cruciate ligament injury. Below is the link to the electronic supplementary material. Boks et al., conducted a study of the natural course of bone bruises in posttraumatic knees and to describe possible determinants of this course and concluded that Median healing time of bone bruises is 42.1 weeks [5]. Case study, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-83381. 2014 . The lateral femoral notch sign following ACL injury: frequency, morphology and relation to meniscal injury and sports activity. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. 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]. eCollection 2022 Oct. Moran J, Katz LD, Schneble CA, Li D, Kahan JB, Wang A, Porrino J, Jokl P, Hewett TE, Medvecky MJ. government site. 31 0 obj Bone marrow oedema may also show delayed enhancement following administration of gadolinium DTPA. In our study pivot shift pattern is noted in 78 cases (56.5%). 2012;2 (5): 398-402. Bone bruise, Compressisve force, Early degeneration, Microfracture, Torsional force. Popular works include The appearance of kissing contusion in the acutely injured knee in the athletes, Role of Magnetic Resonance Imaging in Study of the Patellofemoral Joint Morphological Abnormalities Predisposing to Patellar Instability and more. 36 0 obj 2010 Dec;38(12):2502-8. doi: 10.1177/0363546510376232. bubble tea consumption statistics australia. Epub 2010 Sep 13. 2022 Oct;30(10):3508-3514. doi: 10.1007/s00167-022-06970-z. Gong, H., Wang, H., Zhang, X. et al. National Library of Medicine Kissing contusion refers to the bone contusions in both femoral and tibial surfaces of the knee. Kirialanis P, Malliou P, Beneka A, Giannakopoulos K. Occurrence of acute lower limb injuries in artistic gymnasts in relation to event and exercise phase. Type I lesions are most common on the lateral femoral condyle and type III on the lateral tibial condyle. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. Vojnosanit Pregl. Article Clin Orthop Relat Res. 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. Clin Imaging. MeSH Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Journal of Clinical and Diagnostic Research : JCDR, Lateral tibial plateau and medial femoral condyle, Medial femoral condyle, Metadiaphysis femur, Medial femoral condyle, proximal tibia and head. -, Am J Sports Med. -. Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. 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. Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. 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]. 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]. -, Arthroscopy. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). Type / Mode of injury in Clip injury pattern. BMC Musculoskelet Disord 16:217, Article Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees. +(91)-9821210096 | paula deen meatloaf with brown gravy. Bone Marrow Signal Alteration in the Extremities. J Comput Assist Tomogr. Radiology 219(3):800801, Ra H, Kim J, Lee D (2020) Comparative clinical outcomes of anterolateral ligament reconstruction versus lateral extra-articular tenodesis in combination with anterior cruciate ligament reconstruction: systematic review and meta-analysis. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> doi: 10.2106/JBJS.OA.21.00069. Deangelis JP, Spindler KP. FOIA 2022 Dec;30(12):1647-1657. doi: 10.1016/j.joca.2022.08.006. Thank Professor Zhuozhao Zheng and my girlfriend Danyu Chen for their advice and help on this study. . 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]. This case demonstrates a hyperextension knee injury consisting of partial posterior cruciate ligament tear proximal tibia epiphysis bone contusion and minor "kissing contusion" of the lateral femoral condyle posterior soft tissue injuries involving the knee joint capsule, fibular attachment of soleus and distal semimembranosus tendon Other structures are injured less frequently and have weaker associations with bone bruise distribution. 2016;10(4):TC0611. Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. By applying a biomechanical approach in MR interpretation, it is possible to detect lesions like ligament rupture and osseous contusion, to predict subtle but it might overlook important abnormalities. Movement across knee helps in doing daily activities including walking, sitting, and standing. -, Acta Orthop Scand. According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). 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. The lateral femoral notch sign (LFNS) and the kissing contusion (KC) are two indirect signs of anterior cruciate ligament (ACL) injuries. 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]. 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. 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%). 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. Bethesda, MD 20894, Web Policies Google Scholar, Pao DG (2001) The lateral femoral notch sign. PubMed Central 5 0 obj PubMed Central MacMahon PJ, Palmer WE. Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. Location of bone marrow contusion in hyperextension injury (4 cases) was - medial tibial and medial femoral condyle (2 cases) and anterior aspect of proximal tibia and femur (2cases). Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Learn more about Institutional subscriptions. Increase in interstitial water content and hyperperfusion contributes to bone marrow oedema formation. The site is secure. J Clin Diagn Res. Twenty of the 23 patients had follow-up imaging. 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. 2023 Feb;19(1):107-112. doi: 10.1177/15563316221092320. As a library, NLM provides access to scientific literature. 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. 2011;93:15108. Kim SY, Spritzer CE, Utturkar GM, Toth AP, Garrett WE, DeFrate LE. Semin Ultrasound CT MR. 1994 Oct;15(5):396-409. doi: 10.1016/s0887-2171(05)80006-x. In suspected ACL injury, bone marrow contusion may not be necessarily present. Patients were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. This is a preview of subscription content, access via your institution. Hayes CW, Brigido MK, Jamadar DA, Propeck Tim. 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. Asai K, Nakase J, Oshima T, Shimozaki K, Yoshimizu R, Tsuchiya H (2020) Partial resection of the infrapatellar fat pad during anterior cruciate ligament reconstruction has no effect on clinical outcomes including anterior knee pain. Notch depth equal to 0.72mm can be basically considered as the optimal cut-off point for LFNS in statistics. 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. Table showing Type/Mode of injury in pivot shift injury. 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. Extensive posterior capsular edema in keeping with a hyperextension injury. The authors declare that they have no conflict of interest. Winters K, Tregnonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by 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. Arch Orthop Trauma Surg 140(12):20132020, Article The site is secure. The usefulness of the oblique coronal plane in knee MRI on the evaluation of the posterior cruciate ligament. PubMed 2005;118(1209):U1301. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. It is a rare (6.3% in this series) but significant injury, often associated with ligamentous or menisceal tears. Arndt WA, Traux AL, Baranett FM, Simmon GE, Brown DC. The https:// ensures that you are connecting to the No significant difference was noted in location of bone marrow contusion in clip injury for different type/mode of injury. Adult patients with ACL tears have greater tibial internal rotation in MRI compared to adolescent patients. Accessibility In compressive load, bones collide leading to impaction. Before 2015;23(8):22508. Zeiss J, Paley K, Murray K, Saddemi SR. Kirsch MD, Fitzgerald SW, Friedman H, Rogers LF. Informed consent was obtained from the patients in English or regional language. endobj Skeletal Radiol 32(11):639646, Flint J, Wade A, Giuliani J, Rue J (2014) Defining the terms acute and chronic in orthopaedic sports injuries: a systematic review. 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. By analysing bone marrow contusion pattern, type/mode can be determined in most of the cases. Herbst E, Hoser C, Tecklenburg K, Filipovic M, Dallapozza C, Herbort M, et al. Arch Orthop Trauma Surg 143, 927934 (2023). Inpatient imaging services are available 24/7. PubMed Follow-up of occult bone lesions detected at MR imaging: systematic review. Correspondence to 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. None of the knees had been injured before. Clin Radiol. Radiographics : a Review Publication of the Radiological Society of North America, Inc , 01 Oct 2000, 20 Spec No: S135-51. Sanders TG, Medynski MA, Feller JF, Lawhorn KW. Bone bruise patterns in knee injuries: where are they found? Kapelov SR, Teresi LM, Bradley WG, Bucciarelli NR, Murakami DM, Mullin WJ, et al. This mechanism of injury involves other soft tissue structures like tears/posterior capsule and arcuate ligament, medial collateral ligament (MCL) and the menisci. PubMed 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]. -, Radiology. 2004-09-01T13:26:27Z 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). Rodriguez W, Vinson EN, Helms AC, Toth PA. MRI appearance of posterior cruciate ligament tears. Pivot shift pattern is most common contusion pattern and the most common type/mode of injury is sports related injury. government site. In many cases, Bone marrow contusion might have resolved at time of MRI. 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]. 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). Sanders classified bone marrow contusions in five different patterns as: Clip injury, Pivot shift injury, Dashboard injury, Hyperextension injury, and Lateral patellar dislocation [8]. At the time the article was last revised Joshua Yap had MeSH Follow up scan could not be done to establish the presumable diagnosis of bone marrow contusion. Oedema or interisital fluid within marrow extracellular space similar to free fluid shows long T1 and T2 decay characteristics and appear hypointense on T1 and hyperintense on T2W. Mechanism-based pattern approach to classification of complex injuries of the knee depicted at mr imaging. Compression and tension are two basic loads that commonly act on the knee [4]. KIS Imaging is the nations largest direct contracting imaging network with over 2,600 providers covering all major imaging needs: MRI, CT and PET. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. 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. On analysing the bone marrow contusion pattern, type/mode can be determined in most of cases. "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. Case Discussion. *no pattern of bone marrow contusion could be explained as per the classification. Bone contusion of knee: Increase lesion detection with fast spin echo MR Imaging with spectroscopic Fat saturation. Other soft tissue injuries include: ACL (100%), PCL (7.6%), Medial meniscus (89.7%), Lateral meniscus (23.1%), LCL (7.6%). Reference article, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-43268, Case 3: pivot-shift injury with ACL and meniscal tears, Case 4: pivot-shift injury with impacted tibial plateau fracture, see full revision history and disclosures, doi:10.1148/radiographics.20.suppl_1.g00oc19s135, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, Ahlback classification system in assessing osteoarthritis of the knee joint, Kellgren and Lawrence system for classification of osteoarthritis, anterior cruciate ligament mucoid degeneration, MRI grading system for meniscal signal intensity, Pattern of bone contusion in knee injuries, valgus stress to flexed and externally rotated knee, contusion pattern:posterolateral tibial plateau and mid part of lateral femoral condyle, anterior force to tibia in a flexed knee (e.g. 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. khloe kardashian hidden hills house address. A load that is too low to cause cortical fracture may be sufficient to disrupt trabecular bone and produce marrow contusion. Google Scholar; . Knee joint is one of strongest joint in body and allows transmission of body weight to leg. Shea KG, Archibald-Seiffer N, Murdock E, Grimm NL, Jacobs JC Jr, Willick S, Van Houten H. Knee injuries in downhill skiers: a 6-year survey study. 2022. 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. Patterns of bone bruise in knee injury. - 103.57.222.214. Dashboard injury occurs when force is applied to the anterior aspect of the proximal tibia while the knee is in a flexed position. Bone marrow oedema may also be rarely seen at adductor tubercle of the medial femoral condyle due to avulsion injury of the medial patellofemoral ligament. 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. Correspondence to 98 0 obj It typically occurs in teenagers and young adults involved in athletic activities. endobj Meyer EG, Baumer TG, Haut RC. Bretlau T, Tuxe J, Larsen L, Jrgensen U, Thomsen HS, Lausten GS. Kessler R, Campbell S, Wong D, Mansfield LB. Google Scholar. PDFS Saggital: Bone marrow oedema at Lateral femoral and posterolateral tibial plateau in Pivot shift injury. The oedema pattern & suspected type/mode of injury on basis of MRI were then correlated with detailed patients history on mode of injury. 1989 Jun;171(3):761-6 KIS Imaging is the nations largest direct contracting imaging network with over 2,600 providers covering all major imaging needs: MRI, CT and PET. While the knee is in a state of flexion, twisting motion of the knee can lead to transient dislocation of knee. PLT: Posterloateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. 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. <>stream Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. Book an Appointment. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. Pivot shift injury in different location and its correlation with sports related injury and other type/mode of injury. 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. -. Why continue to overpay for your most common Imaging procedures? CAS This article about a disease of musculoskeletal and connective tissue is a stub. 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. Unauthorized use of these marks is strictly prohibited. Ryu KN, Jin W, Ko YT, Yoon Y, Oh JH, Park YK, et al. Assessment with magnetic resonance, correlated with arthroscopy. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic 'bone bruise' distribution. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. 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? [12] The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR=7.8, p=0.03). Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. At the time the case was submitted for publication Henry Knipe had no recorded disclosures. 2004;32:16817. Unable to load your collection due to an error, Unable to load your delegates due to an error. Yoon KH, Yoo JH, Kim KI. CAS After knee injury, bone marrow oedema is frequently subchondral in location [4]. Knee kinematics during noncontact anterior cruciate ligament injury as determined from bone bruise location. JB JS Open Access. This is a preview of subscription content, access via your institution. No meniscal tear. Type/Mode of injury were twisting injury while getting downstairs (1 case), twisting injury while doing household work (1 case) and injury while playing football (1 case). Magnetic Resonance Imaging of Sports injuries of knee. 2020 Apr 15;8(4):2325967120911162. doi: 10.1177/2325967120911162. It also was revealed that when the optimal cut-off point of LFNS was 0.72mm (area under the curve (AUC)=81%), the values of specificity and sensitivity were 67% and 84%, respectively. Bone marrow contusion is transient dislocation of patella noted in anterior aspect of lateral femoral condyle and inferiomedial aspect of patella in all the cases (100 %). Br J Sports Med. A cross-section study was done on all patients reffered to Krishna Hospital, Karad for MRI knee with history of recent (< 6 weeks) knee injury. Correlation between contusion pattern in clip injury and type/mode of injury. DOI: 10.1148/radiographics.20.suppl_1.g00oc19s135 PMID: 11046168. Texas Health Care Imaging has been registered with the National Provider Identifier database since May 25, 2021 and its NPI number is 1053986786 (certified on 05/25/2021). AJR Am J Roentgenol. Sports Health. Prognosis is particularly influenced by the presence of osteoarthritis. It is not necessary to obtain consent. Orthopedic radiology Philadelphia, Pa: Saunders, 1986; 502, 511. 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]. Furthermore, it is anterior tibial oedema rather than the presence of kissing lesions than predicts cruciate ligament injury (OR = 10.5, p = 0.02). In this study 8 cases (5.7%) had dashboard injury pattern of bone marrow contusion at anterior aspect of proximal tibia. Sahoo K, Garg A, Saha P, Dodia JV, Raj VR, Bhairagond SJ. T2 Axial: Bone marrow oedema in Inferiomedial aspect of patella and lateral femoral condyle in lateral patellar dislocation. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). Rangger C, Klestil T, Kathrein A, Indester A, Hamid L. Influence of magnetic resonance imaging on indications for arthroscopy of the knee. Arch Orthop Trauma Surg 139(6):807816, Fayad LM, Parellada JA, Parker L, Schweitzer ME (2003) MR imaging of anterior cruciate ligament tears: is there a gender gap? Eur J Radiol. Prevalence and location of bone bruises associated with anterior cruciate ligament injury and implications for mechanism of injury: a systematic review. The spectrum of damage includes stretching, partial tearing, and complete rupture [4]. Traumatic bone bruising-a review article. 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.
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kissing contusion knee radiology