By directing imaging to outpatient sites, not hospital settings, it creates a better patient experience while yielding substantial savings. Below is the link to the electronic supplementary material. . volume143,pages 927934 (2023)Cite this article. The patients age ranged from 17-65 years and majority of patients were in 21-30years age group. Pivot shift injury depending on location and type/mode of injury. Radiographics. While the knee is in a state of flexion, twisting motion of the knee can lead to transient dislocation of knee. Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. PDFS Coronal: Bone marrow contusion at lateral femoral condyle and lateral tibial plateau in Pivot shift injury pattern. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Hyperextension knee injury. Bethesda, MD 20894, Web Policies An official website of the United States government. official website and that any information you provide is encrypted MeSH Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. 1997;93(12):404. Bone bruises: MR characteristics and histological correlation in the young pig. Am J Sports Med. Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. PDFS Coronal: Bone marrow oedema at Medial femoral condyle and proximal tibia. Over the lifetime, 3 publication(s) have been published within this topic receiving 31 citation(s). "Kissing contusion" refers to a bone contusion on both side of the knee joint. PDFS Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. Increase in interstitial water content and hyperperfusion contributes to bone marrow oedema formation. Expansive network access, savings and no red tape An absolute win-win foreveryone! Anterior cruciate, and medial and lateral collateral ligaments are intact. Computed Tomography & Magnetic Resonance Imaging Of The Whole Body. 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. 2023 Feb;19(1):107-112. doi: 10.1177/15563316221092320. 1996 Jan;198(1):205-8 The authors have no relevant financial or non-financial interests to disclose. Shi H, Ding L, Jiang Y, Zhang H, Ren S, Hu X, Liu Z, Huang H, Ao Y. Orthop J Sports Med. ADVERTISEMENT: Supporters see fewer/no ads. 3 Professor, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. PDF ORIGINAL ARTICLE The appearance of kissing contusion in the acutely A lateral radiograph of the right knee a shows osseous fragmentation of the tibial tuberosity and soft tissue swelling ( white arrow ). The diagnostic outcome of LFNS was not in agreement with that of KC, as there was a poor coincidence according to the Kappa coefficient (Kappa=0.155<0.4, P=0.035). Epub 2010 Sep 13. N Z Med J. MacMahon PJ, Palmer WE. 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. Following informed consent, complete history from the patient and relative (attendant) about injury was recorded. Call Us Today! Knee Surg Sports Traumatol Arthrosc. XZ contributed to part of the statistics of the article. Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees. MRI of the Pediatric Knee Pediatric Imaging Review. Herbst E, Hoser C, Tecklenburg K, Filipovic M, Dallapozza C, Herbort M, et al. Assessment with magnetic resonance, correlated with arthroscopy. Minor focus of edema in the anterior aspect of the lateral femoral condyle. A. M. Ali. 2000 Nov-Dec;24(6):371-80 2016. https://doi.org/10.1016/j.arthro.2016.03.015. Orthopedic radiology Philadelphia, Pa: Saunders, 1986; 502, 511. -, Radiology. 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. Google Scholar. Article Park HJ, Lee SY, Chung EC, Rho MH, Ahn JH, Kim M, et al. "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. 35 0 obj Right knee injury was noted in 87 cases (63%) and left knee in 51 cases (37%). Pure passive hyperextension of the human cadaver knee generates simultaneous bicruciate ligament rupture. The pattern of bone bruise in knee injuries (a.k.a. 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. SuzanneWitjes, Tammo HPels Rijcken, Cor Pvan der Hart. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. endobj -, Acta Orthop Scand. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. 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%). Background: The location and severity of tibiofemoral bone contusions in magnetic resonance imaging scans in patients with acute non-contact anterior cruciate ligament injuries can reflect the primary mechanisms of anterior cruciate ligament injuries. PLT: Posterloateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. 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]. Accessibility 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. Jeli D, Masulovi D. Bone bruise of the knee associated with the lesions of anterior cruciate ligament and menisci on magnetic resonance imaging. 2019. Am J Sports Med. Am J Sports Med. <> Contusions of both surfaces of the joint are known as kissing contusions. endobj Correlation between various pattern of bone marrow oedema and type/mode of injury. Sanders TG, Medynski MA, Feller JF, Lawhorn KW. PDF Diagnostic value of the lateral femoral notch sign and kissing -, Radiol Clin North Am. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). PubMed Wright RW, Phaneuf MA, Limbird TJ, Spindler KP. Kirsch MD, Fitzgerald SW, Friedman H, Rogers LF. -, Arthroscopy. Part of Springer Nature. 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. Google Scholar. In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern. The coronal lateral collateral ligament sign in the anterior cruciate ligament-injured knees was observed regardless of the knee laxity based on the quantitative measurements. Patel SA, Hageman J, Quatman CE, Wordeman SC, Hewett TE. Meyer EG, Baumer TG, Haut RC. Epub 2013 Jun 6. - 134.209.62.117. Bone marrow contusion at posterior lip of medial tibial condyle was seen in 59 cases. PubMed KIS Imaging is the nations largest direct contracting imaging network with over 2,600 providers covering all major imaging needs: MRI, CT and PET. The depth of LFNS and the presence of KC were determined on MRI findings. We have included all the patients coming with acute knee injuries irrespective of type/mode of injury. Diagnosis of bone marrow oedema following traumatic event prompt a closer inspection for lesions such as ligamentous and meniscal tears. - 103.57.222.214. PubMed Central Hyperextension injuries of the knee: do patterns of bone bruising On 1.5 T, knee joint was examined in Saggital (T1, T2, PD, PDFS), Coronal (T2/ PDFS), Axial (T2, Medic) sequences. Oedema is seen at the anterior aspect of the tibia and, occasionally, at the posterior surface of the patella [8]. To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. 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 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). Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. An official website of the United States government. Lianxu Chen. The appearance of kissing contusion in the acutely injured knee in the PubMed The site is secure. Bookshelf Femoral Head Osteochondral Lesions in Painful Hips of Athletes Posttraumatic Subchondral Bone Contusions and Fractures of the It typically occurs in teenagers and young adults involved in athletic activities. Study was conducted between May 2014 to September 2015 with a sample size of 200 patients. After knee injury, bone marrow oedema is frequently subchondral in location and may be associated with either trabecular or cortically based lines [4]. PubMed Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Am J Sports Med. PubMed AJR Am J Roentgenol. eCollection 2022 Oct. Moran J, Katz LD, Schneble CA, Li D, Kahan JB, Wang A, Porrino J, Jokl P, Hewett TE, Medvecky MJ. 2023 Feb;143(2):927-934. doi: 10.1007/s00402-022-04366-9. 1 0 obj Part of Springer Nature. Materials and methods: 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. Price excludes VAT (USA) sharing sensitive information, make sure youre on a federal 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). of knee injury in pediatric patients. At the time the case was submitted for publication Henry Knipe had no recorded disclosures. 2015;49:145260. In this study 8 cases (5.7%) had dashboard injury pattern of bone marrow contusion at anterior aspect of proximal tibia. Clin Radiol. Bone contusion is also noted in posterior lip of the medial tibial condyle [8] or medial femoral condyle and medial tibial condyle [7]. A 124(62%) had trauma in right knee and 76(38%) in left knee. Epub 2022 May 3. 10 0 obj Sagittal proton density images showing (A) typical kissing contusion A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. uuid:a4a67e17-1dd1-11b2-0a00-340827bd7200 2004-09-01T13:26:27Z Acta Orthop Scand. The appearance of kissing contusion in the acutely injured knee in the MRI of the Pediatric Knee Biomechanical and anatomical assessment after knee hyperextension injury. In patients with bone marrow contusion, 14 were women (10.1%) and 124 were men (89.9%). The classic bone contusion includes involvement of the antero-lateral aspect of the lateral femoral condyle and the inferomedial aspect of the patella. Traumatic Bone Bruises in the Athlete's Knee. 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. 98 0 obj 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]. Acute knee block. Unable to load your collection due to an error, Unable to load your delegates due to an error. [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). Kissing contusion is a(n) research topic. The saggital plane was primarily used to evaluate the bone marrow oedema which was confirmed on coronal images. A deeper notch often indicates a more complex knee injury. Age, type of bone bruise, and number of bruises also have prognostic value. MRI follow-up of posttraumatic bone bruises of the knee in general practice. 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. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. Associated Soft tissue injuries include ACL and medial meniscus [8]. HW contributed to some imaging data and surgery. The associated injuries were confirmed by arthroscopy in 12/16 patients. Correspondence to Incidence and location of bone bruises after acute posterior cruciate ligament injury. A thorough understanding of knee injury patterns and their mechanisms may help in achieving more accurate assessment of injuries. Hong CK, Hoshino Y, Watanabe S, Nagai K, Matsushita T, Su WR, Kuroda R. Knee Surg Sports Traumatol Arthrosc. 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]. J Comput Assist Tomogr. Kessler R, Campbell S, Wong D, Mansfield LB. Google Scholar, Pao DG (2001) The lateral femoral notch sign. 6 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Sanders classified bone marrow contusions in five different patterns as: Clip injury, Pivot shift injury, Dashboard injury, Hyperextension injury, and Lateral patellar dislocation [8]. Bone marrow oedema on T2 weighted magnetic resonance (MR) images is recognized as an ill-defined hyperintensity in the bone marrow where standard radiographs showed nonspecific osteopenia or normal findings [3]. Comparison of bone contusion seen by MRI in partial and complete tears of the anterior cruciate ligament. None of the knees had been injured before. 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]. In many cases, Bone marrow contusion might have resolved at time of MRI. National Library of Medicine Epub 2019 Mar 26. and kissing contusions of the lat-eral femoral condyle and medial tibial pla . -, Am J Sports Med. %PDF-1.4 % Knee kinematics during noncontact anterior cruciate ligament injury as determined from bone bruise location. Biomechanical Approach to MRI of Acute Knee Injuries. 2016 Nov;32(11):2331-2341 You can help Wikipedia by expanding it. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. the contents by NLM or the National Institutes of Health. Green DW, Hidalgo Perea S, Kelly AM, Potter HG. endobj Patient was placed in supine position with knee externally rotated 10-20 degree 21. Transient lateral patellar dislocation: diagnosis with MR imaging. Bone Contusion Patterns of the Knee at MR Imaging: Footprint of the Radiology 182(1):221224, Niitsu M, Kuramochi M, Anno I, Itai Y (1995) Secondary signs of anterior cruciate ligament tear at MR imaging. Bone marrow oedema of the knee may cause substantial clinical entities, as they cause acute pain and functional loss in the joint. -. 2000;20 Spec No (suppl_1): S135-51. Unable to load your collection due to an error, Unable to load your delegates due to an error.
Menu
Menu
