Kapelov SR, Teresi LM, Bradley WG, Bucciarelli NR, Murakami DM, Mullin WJ, et al. 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. Patterns of bone bruise in knee injury. 2003;37:1379. Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. Radiology. The appearance of kissing contusion in the acutely injured knee in the Epub 2022 Aug 30. Home; Service. 1989 Sep;27(5):983-1002 1030). Gong, H., Wang, H., Zhang, X. et al. 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. In addition to trauma, marrow oedema can be seen in a broad spectrum of entities, including infection, transient osteoporosis of the hip bone marrow, and neoplasm demonstrates relatively hyperintense T2 and hypointense T1 signal, but the clinical history and location of injury typically allows the correct diagnosis to be made [2]. [101 0 R] Lim YS, Peh WC. Twenty of the 23 patients had follow-up imaging. HSS J. Bone contusion patterns of the knee at MR imaging: footprint of the Other soft tissue injuries include: ACL (100%), PCL (7.6%), Medial meniscus (89.7%), Lateral meniscus (23.1%), LCL (7.6%). Kirialanis P, Malliou P, Beneka A, Giannakopoulos K. Occurrence of acute lower limb injuries in artistic gymnasts in relation to event and exercise phase. Clin Orthop Relat Res. Acta Radiol. 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. Sagittal proton density images showing (A) typical kissing contusion 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. Other structures are injured less frequently and have weaker associations with bone bruise distribution. AJR Am J Roentgenol. Looking for more information? Article Prevalence and location of bone bruises associated with anterior cruciate ligament injury and implications for mechanism of injury: a systematic review. 2 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Keywords: Byrd JM, Colak C, Yalcin S; Clevel and Clinic Sports Medicine*; Winalski C; Cleveland Clinic Sports Medicine group; Briskin I, Farrow LD, Jones MH, Miniaci AA, Parker RD, Rosneck JT, Saluan PM, Strnad GJ, Spindler KP. The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. PubMed 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. 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. In our study pivot shift pattern is noted in 78 cases (56.5%). Frequent abnormalities found on MR imaging include labral tear or injury, stress fracture, and avascular necrosis . 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. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic 'bone bruise' distribution. 2004;38:5926. Br J Sports Med. Pivot shift pattern is most common contusion pattern and the most common type/mode of injury is sports related injury. Arthroscopy. PMC 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). A. M. Ali. bubble tea consumption statistics australia. 1996;198:2058. judge timothy kenny political affiliation. After knee injury, bone marrow oedema is frequently subchondral in location [4]. PubMed PDFS Coronal: Bone marrow oedema at Medial femoral condyle and Metadiaphysis. "Kissing contusion" refers to a bone contusion on both side of the knee joint. An axial acquisition through the patella femoral joint was used as the initial localizer for subsequent coronal and saggital images. A deeper notch often indicates a more complex knee injury. Before J Comput Assist Tomogr. . It typically occurs in teenagers and young adults involved in athletic activities. Herbst E, Hoser C, Tecklenburg K, Filipovic M, Dallapozza C, Herbort M, et al. 2000;24:37180. Bone marrow contusion was noted in lateral femoral condyle in 15 cases (38.5%) and involving lateral and medial femoral condyle in 24 cases (61.5%). A knee contusion can usually be treated . Correspondence to 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 We have included all the patients coming with acute knee injuries irrespective of type/mode of injury. Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. 2011;197 (3): 568-77. [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. 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. Knee Surg Sports Traumatol Arthrosc. Lateral-compartment bone contusions in adolescents with intact anterior cruciate ligaments. Bone contusions of the knee: increased lesion detection with fast spin-echo MR imaging with spectroscopic fat saturation. Fornalski S, McGarry MH, Csintalan RP, Fithian DC, Lee TQ. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic bone bruise distribution. 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. 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. Notch depth equal to 0.72mm can be basically considered as the optimal cut-off point for LFNS in statistics. [1] References [ edit] ^ Terzidis, I. P. (October 2004). The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). Bone bruise in the acutely injured knee. The https:// ensures that you are connecting to the No meniscal tear. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Kissing contusion | 3 Publications | 31 Citations | Top Authors Arndt WA, Traux AL, Baranett FM, Simmon GE, Brown DC. J Biomech Eng. Radiographics. Am J Sports Med. Our team of experienced agents will hand hold the member through theentireprocess. no significant difference in location for different type/ mode of injury. Arch Orthop Trauma Surg 143, 927934 (2023). The depth of LFNS and the presence of KC were determined on MRI findings. In this study, the time gap between injury and doing MRI was not considered. 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. 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. Part of Springer Nature. [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). Kim-Wang SY, Spritzer CE, Owusu-Akyaw K, Coppock JA, Goode AP, Englander ZA, Wittstein JR, DeFrate LE. Kim SY, Spritzer CE, Utturkar GM, Toth AP, Garrett WE, DeFrate LE. Eur J Radiol. endobj 5 out of 8 patients with a double sulcus on the lateral radiograph had ACL injury. 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. 1996;330:13342. Epub 2022 Apr 12. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. 36 0 obj This case demonstrates a hyperextension knee injury consisting of. Clipboard, Search History, and several other advanced features are temporarily unavailable. Pivot shift injury depending on location and type/mode of injury. 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. PubMed Central . Google Scholar. All the patients underwent magnetic resonance imaging (MRI) preoperatively, and the diagnosis was confirmed with the aid of arthroscopy. Compressive load causes bone marrow contusion and, if sufficient in magnitude, depressed cortical fracture. LF directed the writing of the article. 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 is a preview of subscription content, access via your institution. Application of biomechanical approach in MR interpretation helps in effortless assessment of osseous contusion and ligament rupture and mark delicate but significant abnormalities. In our study, bone marrow oedema was seen in 138 cases (69%) out of 200 cases. Following informed consent, complete history from the patient and relative (attendant) about injury was recorded. The appearance of kissing contusion in the acutely injured knee in the Bone marrow edema and low T1 signal through the proximal tibial epiphysis anteriorly associated periosteal edema. Am J Sports Med. Bone bruise of the knee: histology and cryosections in 5 cases. ADVERTISEMENT: Supporters see fewer/no ads. Mechanism-based pattern approach to classification of complex injuries of the knee depicted at mr imaging. 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. Other structures are injured less frequently and have weaker associations with bone bruise distribution. 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. 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). The authors declare that they have no conflict of interest. This site needs JavaScript to work properly. These lesions also referred to as bone bruises, are presumably the result of microfracture of the medullar trabecula [5]. PDFS Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. 1993 Mar-Apr;21(2):220-3 Bone marrow oedema is usually most prominent in the lateral femoral condyle secondary to the direct blow, whereas a second smaller area of oedema in the medial femoral condyle secondary to avulsive stress to the MCL. Kissing contusion refers to the bone contusions in both femoral and tibial surfaces of the knee. Correlation between type or mode of injury and patterns of bone marrow oedema was determined using p-value and chi-square method. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Yap J, Al Kabbani A, et al. By directing imaging . 2007;189:55662. Acrobat Distiller 5.0.5 (Windows) 2005;60:62736. khloe kardashian hidden hills house address. https://doi.org/10.1007/s00402-022-04366-9, DOI: https://doi.org/10.1007/s00402-022-04366-9. This site needs JavaScript to work properly. Background: Graf BK, Cook DA, De Smet AA, Keene JS. 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. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Hyperextension knee injury. Unable to load your collection due to an error, Unable to load your delegates due to an error. HG contributed to the article writing and data collection. MRIs, plain radiographs and clinical details of these patients were reviewed. Sports Med. Pivot shift injury in different location and its correlation with sports related injury and other type/mode of injury. Kessler R, Campbell S, Wong D, Mansfield LB. government site. Before The knee may also be swollen and bruised. Bone bruise, Compressisve force, Early degeneration, Microfracture, Torsional force. MRI of Sports Injuries in Children and Adolescents: What's - Springer 13 0 obj The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). A load that is too low to cause cortical fracture may be sufficient to disrupt trabecular bone and produce marrow contusion. JB JS Open Access. KIS Imaging is the nations largest direct contracting imaging network with over 2,600 providers covering all major imaging needs: MRI, CT and PET. 2022 Oct 17;10(10):23259671221120636. doi: 10.1177/23259671221120636. *no pattern of bone marrow contusion could be explained as per the classification. Imaging was done using FOV: 160 mm, slice thickness of 3 mm on Saggital images; FOV: 170 mm, slice thickness of 3 mm on coronal images; FOV: 170 mm, slice thickness on 3.5 mm and axial images with interslice gap of 1.5 mm. 1993;189:9014. Am J Sports Med. 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. 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). 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]. -. The .gov means its official. In these 16 cases, contusion in medial compartment was noted in 2 cases (12.5%) [13]. A 14-year-old male football player with chronic anterior knee pain who experienced acute knee pain after jumping and landing awkwardly. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). Traumatic bone bruising-a review article. Kung JW, Yablon CM, Eisenberg RL. Out of 200 patients, 32 were women (16%) and 168 men (84%). Orthop Surg. In this study hyperextension injury noted in 4 cases in 138 cases (2.9%). endobj Results: A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. 2022 Oct;30(10):3508-3514. doi: 10.1007/s00167-022-06970-z. MacMahon PJ, Palmer WE. Texas Health Care Imaging is a radiology clinic located in Brownsville, TX. kissing contusion ankle No funding was received to assist with the preparation of this manuscript. 5 out of 8 patients with a 'double sulcus' on the lateral radiograph had ACL 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. Vojnosanit Pregl. 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 Meniscal injury was unrelated to the extent or pattern of bone bruising. Age, type of bone bruise, and number of bruises also have prognostic value. Bone marrow contusion at posterior lip of medial tibial condyle was seen in 59 cases. Sanders TG, Medynski MA, Feller JF et-al. Am J Sports Med. sharing sensitive information, make sure youre on a federal Comparison of bone contusion seen by MRI in partial and complete tears of the anterior cruciate ligament. Bookshelf 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. Ali, A.M., Pillai, J.K., Gulati, V. et al. Imaging the knee: Ligaments. PubMed National Library of Medicine Disabling symptoms are often prolonged. Hong CK, Lin YJ, Cheng TA, Chang CH, Hsu KL, Kuan FC, Su WR. Radiology. Inclusion in an NLM database does not imply endorsement of, or agreement with, Mandalia V, Henson JH. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. Our results therefore suggest that kissing contusions are more common following knee hyperextension than in other forms of knee injury and predominantly affect the medial side. A thorough understanding of knee injury patterns and their mechanisms may help in achieving more accurate assessment of injuries. -, Radiol Clin North Am. 2021 Nov 11;6(4):e21.00069. 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%). The secondary aims were to study bone marrow oedema patterns in setting of acute knee trauma, to associate the type of knee injury (from clinical history) with bone marrow oedema pattern, to determine the most common oedema pattern and to assess the most common type/mode of injury. It is not necessary to obtain consent. SuzanneWitjes, Tammo HPels Rijcken, Cor Pvan der Hart. E-mail: Received 2016 Jan 13; Revisions requested 2016 Jan 29; Accepted 2016 Feb 28. Follow up scan could not be done to establish the presumable diagnosis of bone marrow contusion. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Clipboard, Search History, and several other advanced features are temporarily unavailable. Our imaging services center is on the 1st floor of the hospital, directly behind our main reception area. Disclaimer. Bone marrow contusion showed five patterns (according to Sanders classification) i.e., Clip injury in 39 cases (28.3%), Pivot shift injury in 78 cases (56.5%), Dashboard injury in eight cases (5.8%), Hyperextension injury in four cases (2.9%), Lateral patellar dislocation in three cases (2.2%). Knee Surg Sports Traumatol Arthrosc 26(5):13991405, Lodewijks P, Delawi D, Bollen TL, Dijkhuis GR, Wolterbeek N, Zijl JAC (2019) The lateral femoral notch sign: a reliable diagnostic measurement in acute anterior cruciate ligament injury. PubMed Central MRI of affected knee joint was done as per imaging protocol and images stored in compact disc. Radiology. https://doi.org/10.1007/s00256-017-2754-y, DOI: https://doi.org/10.1007/s00256-017-2754-y. Snearly WN, Kaplan PA, Dussault RG. Transient lateral patellar dislocation: review of imaging findings Contusions of both surfaces of the joint are known as kissing contusions. 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