kissing contusion knee radiology

Multi-vendor multi-site quantitative MRI analysis of cartilage degeneration 10Years after anterior cruciate ligament reconstruction: MOON-MRI protocol and preliminary results. 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. E-mail: Received 2016 Jan 13; Revisions requested 2016 Jan 29; Accepted 2016 Feb 28. HW contributed to some imaging data and surgery. Bethesda, MD 20894, Web Policies In this study, the time gap between injury and doing MRI was not considered. Kissing contusion | 3 Publications | 31 Citations | Top Authors Bone contusion of knee: Increase lesion detection with fast spin echo MR Imaging with spectroscopic Fat saturation. Extensive posterior capsular edema in keeping with a hyperextension injury. 2020 Apr 15;8(4):2325967120911162. doi: 10.1177/2325967120911162. 2021 May;13(3):966-978. doi: 10.1111/os.12997. Chi-square: 41.961 and p <0.001 suggests that clip injury was significantly high in fall from two wheeler and pivot shift injury was significantly higher in sports related injury. Matrix in various sequences were listed as : T1 Saggital 307 x 384, T2 Axial - 314 x 448, T2 Saggital 314 x 448, PD Saggital 307 x 384, PD Coronal 355 x 384, PDFS Saggital 288 x 384, PDFS Coronal 311 x 384, MEDIC Axial 240 x 320. 1030). Sanders TG, Medynski MA, Feller JF et-al. Clin Sports Med 33(4):633640, Tauber M, Fox M, Koller H, Klampfer H, Resch H (2008) Arthroscopic treatment of a large lateral femoral notch in acute anterior cruciate ligament tear. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. At the time the article was created Henry Knipe had no recorded disclosures. Analytical Services; Analytical Method Development and Validation 1 Professor and HOD, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Language links are at the top of the page across from the title. The depth of LFNS and the presence of KC were determined on MRI findings. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. 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. Bethesda, MD 20894, Web Policies 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]. 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. Patterns of bone bruise in knee injury. Comparison of magnetic resonance imaging for patients with a - LWW Knee joint is one of strongest joint in body and allows transmission of body weight to leg. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. Bone Contusion Patterns of the Knee at MR Imaging: Footprint of the Knee Surg Sports Traumatol Arthrosc. 4. MRI of the Pediatric Knee Pediatric Imaging Review. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. Orthop J Sports Med 2014;2:2325967113519741. Biomechanical and anatomical assessment after knee hyperextension injury. No cost for the Employer or Employee with up to 80% savings. Knee Surg Sports Traumatol Arthrosc. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. This mechanism of injury involves other soft tissue structures like tears/posterior capsule and arcuate ligament, medial collateral ligament (MCL) and the menisci. An axial acquisition through the patella femoral joint was used as the initial localizer for subsequent coronal and saggital images. Application of biomechanical approach in MR interpretation helps in effortless assessment of osseous contusion and ligament rupture and mark delicate but significant abnormalities. Correlation between various pattern of bone marrow oedema and type/mode of injury are shown in [Table/Fig-17]. 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]. Please enable it to take advantage of the complete set of features! Call Us Today! Part of Springer Nature. Bone contusion of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee. Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. Zeiss J, Paley K, Murray K, Saddemi SR. Wright RW, Phaneuf MA, Limbird TJ, Spindler KP. [1] References [ edit] ^ Terzidis, I. P. (October 2004). 2012;2 (5): 398-402. The .gov means its official. Google Scholar; . Epub 2022 May 3. Looking for more information? 8600 Rockville Pike 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. By directing imaging to outpatient sites, not hospital settings, it creates a better patient experience while yielding substantial savings. Lim YS, Peh WC. Article Hyperextension knee injury | Radiology Case | Radiopaedia.org The authors have no relevant financial or non-financial interests to disclose. An official website of the United States government. Twenty-five patients were identified (median time from injury to MRI = 24 days). 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). 1996 Sep;(330):133-42 PubMed . Price excludes VAT (USA) -. Radiol Med. Clin Orthop Relat Res. [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). Epub 2010 Sep 13. Graf BK, Cook DA, De Smet AA, Keene JS. According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). On analysing the bone marrow contusion pattern, type/mode can be determined in most of cases. Rodriguez W, Vinson EN, Helms AC, Toth PA. MRI appearance of posterior cruciate ligament tears. There has been limited investigation to subdividing the bone contusion model in the medial and lateral directions of the tibial plateau and the . Bone contusion patterns of the knee at MR imaging: footprint of the In suspected ACL injury, bone marrow contusion may not be necessarily present. Grade 1 refers to the uniform-ly low normal meniscal signal, grade 2 de-scribes increased signal within the meniscus . Traumatic bone bruising-a review article. All the patients underwent magnetic resonance imaging (MRI) preoperatively, and the diagnosis was confirmed with the aid of arthroscopy. MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. Bone Marrow Edema Injury Patterns in the Pediatric Knee: An MRI Study. MRIs, plain radiographs and clinical details of these patients were reviewed. By directing 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. The pattern of bone bruise in knee injuries (a.k.a. The appearance of kissing contusion in the acutely injured knee in the 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);. The patients age ranged from 17-65 years and majority of patients were in 21-30years age group. PubMed Central 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. PubMed Fornalski S, McGarry MH, Csintalan RP, Fithian DC, Lee TQ. 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]. 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. Bone marrow contusion was noted in 71 cases out of 255 cases (27.8%). 2000;24:37180. official website and that any information you provide is encrypted Acta Orthop Scand. endobj MRI of the Pediatric Knee NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Ashish Garg, A-4, Ashok Nagar, Mandoli Road, Shahdara, Delhi-110093, India. Xie D, Murray J, Lartey R, Gaj S, Kim J, Li M, Eck BL, Winalski CS, Altahawi F, Jones MH, Obuchowski NA, Huston LJ, Harkins KD, Friel HT, Damon BM, Knopp MV, Kaeding CC, Spindler KP, Li X. Osteoarthritis Cartilage. Posteromedial Tibial Bone Bruise After Anterior Cruciate Ligament Injury: An MRI Study of Bone Bruise Patterns in 208 Patients. Study was conducted between May 2014 to September 2015 with sample size of 200 patients, after taking the institutional ethical clearance. In this study hyperextension injury noted in 4 cases in 138 cases (2.9%). 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). eCollection 2022 Oct. Moran J, Katz LD, Schneble CA, Li D, Kahan JB, Wang A, Porrino J, Jokl P, Hewett TE, Medvecky MJ. -, Radiology. 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. MRI follow-up of posttraumatic bone bruises of the knee in general practice. sharing sensitive information, make sure youre on a federal An official website of the United States government. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern [Table/Fig-6]. [101 0 R] Radiology. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Epub 2022 Aug 30. No meniscal tear. AJR Am J Roentgenol. Radiographic features Five classic bone contusion patterns have been described 1-4: pivot-shift injury valgus stress to flexed and externally rotated knee Park HJ, Lee SY, Chung EC, Rho MH, Ahn JH, Kim M, et al. Knee Surg Sports Traumatol Arthrosc. Radiology. Prognosis is particularly influenced by the presence of osteoarthritis. -, Radiol Clin North Am. Google Scholar, Wierer G, Simetinger T, Hudelmaier M, Moroder P, Hoffelner T (2020) Fate of the lateral femoral notch following early anterior cruciate ligament reconstruction. Bone marrow oedema of the knee may cause substantial clinical entities, as they cause acute pain and functional loss in the joint. "Kissing contusions," a commonly seen secondary sign of ACL injury caused by the previously mentioned pivot-shift mechanism of injury, occur on the posterior aspect of the tibial plateau and the mid to anterior aspect of the femoral condyle (Figure 4). Type / Mode of injury in Clip injury pattern. Correlation between various pattern of bone marrow oedema and type/mode of injury. 2014 . bone contusion) can give clues for the mechanism and associated injuries. In our study pivot shift pattern is noted in 78 cases (56.5%). The oedema pattern & suspected type/mode of injury on basis of MRI were then correlated with detailed patients history on mode of injury. Book an Appointment. Lateral-compartment bone contusions in adolescents with intact anterior cruciate ligaments. 2006;238:85362. Boks SS, Vroegindeweij D, Koes BW, Bernsen R, Hunink MGM, Zeinstra SM. 2016;10(4):TC0611. Semin Ultrasound CT MR. 1994 Oct;15(5):396-409. doi: 10.1016/s0887-2171(05)80006-x. 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. 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]. 2008;67:5461. Bratisl Lek Listy 113(9):539543, Svoboda SJ (2014) ACL injury and posttraumatic osteoarthritis. The https:// ensures that you are connecting to the 2011 Aug 17;93(16):1510-8. doi: 10.2106/JBJS.J.01320. At the time the case was submitted for publication Henry Knipe had no recorded disclosures. 5 out of 8 patients with a 'double sulcus' on the lateral radiograph had ACL injury. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). SuzanneWitjes, Tammo HPels Rijcken, Cor Pvan der Hart. 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 site is secure. Disabling symptoms are often prolonged. Bone bruise in the acutely injured knee. no financial relationships to ineligible companies to disclose. 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. volume47,pages 173179 (2018)Cite this article. 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. 2010 Dec;38(12):2502-8. doi: 10.1177/0363546510376232. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic 'bone bruise' distribution. PDFS Saggital: Bone marrow oedema in Intercondylar region tibia with subchondral cysts. Bone contusion is also noted in posterior lip of the medial tibial condyle [8] or medial femoral condyle and medial tibial condyle [7]. 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). Chi-square = 1.926, p =0.3817 i.e. Dashboard injury occurs when force is applied to the anterior aspect of the proximal tibia while the knee is in a flexed position. Arch Orthop Trauma Surg 143, 927934 (2023). National Library of Medicine Compressive load causes bone marrow contusion and, if sufficient in magnitude, depressed cortical fracture. A deeper notch often indicates a more complex knee injury. Ciuffreda P, Lelario M, Milillo P, Vinci R, et al. Kirsch MD, Fitzgerald SW, Friedman H, Rogers LF. It typically occurs in teenagers and young adults involved in athletic activities. 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. 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]. uuid:a4a67e17-1dd1-11b2-0a00-340827bd7200 Age, type of bone bruise, and number of bruises also have prognostic value. Bone Marrow Signal Alteration in the Extremities. Bone marrow bruise is ill defined subchondral reticular or stellate region of low signal intensity on T1 and high signal intensity on T2W images [6]. 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. The associated injuries were confirmed by arthroscopy in 12/16 patients. Movement across knee helps in doing daily activities including walking, sitting, and standing. On MR images, trabecular contusion has the appearance of bone marrow oedema. Mandalia V, Fogg AJB, Chari R, Murray J, Beale A, Henson JHL. 31 0 obj -. Article Google Scholar. A thorough understanding of knee injury patterns and their mechanisms may help in achieving more accurate assessment of injuries. 2000;28:6637. Kissing contusion is a(n) research topic. and kissing contusions of the lat-eral femoral condyle and medial tibial pla . The site is secure. Bone contusion patterns of the knee at MR imaging: footprint of the PDFS Coronal: Bone marrow oedema at Medial femoral condyle and Metadiaphysis. Epub 2019 Mar 26. severe contusions may cause the knee to give out or lock. 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. 35 0 obj Over the lifetime, 3 publication(s) have been published within this topic receiving 31 citation(s). 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. Green DW, Hidalgo Perea S, Kelly AM, Potter HG. Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures. Horizontal Rafting Plate for Treatment of the Tibial Plateau Fracture. Characteristic magnetic resonance imaging (MRI) findings often lead to the diagnosis. Winters K, Tregnonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Kapelov RS, Terris LM, Bradley WG, Bucciarelli NR, Murakami DM, Mullin WJ, et al. Resulting bone contusion pattern will be present in the posterior aspect of the lateral tibial plateau and midportion of the lateral femoral condyle near the condylopatellar sulcus. 1996 Jan;198(1):205-8 The clip injury results in a prominent area of edema involving the lateral femoral condyle and a smaller area of edema involving the medial femoral condyle. For KC, the corresponding values were 36.6% and 99.4%, respectively. "Kissing contusion" refers to a bone contusion on both side of the knee joint. Unclassified injury pattern in 6 cases with type /mode of injury and location of bone marrow contusion. 36 0 obj Radiology. This is a preview of subscription content, access via your institution. 1 Kacey Court, Suite 100, Mechanicsburg, Pa, 17055. Why continue to overpay for your most common Imaging procedures? ADVERTISEMENT: Supporters see fewer/no ads. knees against dashboard in motor vehicle collision, or fall onto flexed knee), contusion pattern:anterior tibia +/- posterior patella, contusion pattern: lateral femoral condyle and lateral tibial plateau +/- medial femoral condyle from medial collateral ligament (MCL) avulsive stress, direct force to anterior tibia with foot planted, contusion pattern: "kissing contusions" of anterior tibial plateau and anterior femoral condyle, contusion pattern: anterolateral lateral femoral condyle and inferomedial patella, associated with medial patellar retinaculum +/-. After knee injury, bone marrow oedema is frequently subchondral in location and may be associated with either trabecular or cortically based lines [4]. 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%). MRI of Sports Injuries in Children and Adolescents: What's - Springer 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]. and transmitted securely. Inclusion criteria were patients with recent knee injuries (<6weeks) and normal plain radiograph with no signs of pathology. 2011;68:7626. The usefulness of the oblique coronal plane in knee MRI on the evaluation of the posterior cruciate ligament. Sahoo K, Garg A, Saha P, Dodia JV, Raj VR, Bhairagond SJ. Twenty of the 23 patients had follow-up imaging. 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. No funding was received to assist with the preparation of this manuscript. 2015;23(8):22508. Plain radiograph of knee was done in all patients and they were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. Epub 2013 Jun 6. Sports Med. Article Unauthorized use of these marks is strictly prohibited. Gong, H., Wang, H., Zhang, X. et al. 33 0 obj official website and that any information you provide is encrypted The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). KIS Imaging endobj Before PLT: Posterolateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. -, Arthroscopy. These lesions also referred to as bone bruises, are presumably the result of microfracture of the medullar trabecula [5]. Meniscal injury was unrelated to the extent or pattern of bone bruising. Sanders TG, Medynski MA, Feller JF, Lawhorn KW. PDFS Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). doi: 10.2106/JBJS.OA.21.00069. Tensile load can cause ligament and tendon tears as well as avulsion fracture. 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 Patient demographics, the clinical presentation, and the role of trauma are critical for . bone bruises on magnetic resonance imaging evaluation of anterior cruciate ligament injuries. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Acta Orthop Traumatol Turc. 2022 Oct 17;10(10):23259671221120636. doi: 10.1177/23259671221120636. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Federal government websites often end in .gov or .mil. N Z Med J. Our imaging services center is on the 1st floor of the hospital, directly behind our main reception area.

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