kissing contusion knee radiology
Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a casecontrol study. PubMed Central Minor focus of edema in the anterior aspect of the lateral femoral condyle. 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]. Contusions of both surfaces of the knee joint are known as kissing contusions. Br J Sports Med. 2011;197 (3): 568-77. Am J Sports Med. <> MRI of affected knee joint was done as per imaging protocol and images stored in compact disc. 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%). This case demonstrates a hyperextension knee injury consisting of. An official website of the United States government. AJR Am J Roentgenol. Anterior cruciate, and medial and lateral collateral ligaments are intact. PDFS Saggital: Bone marrow oedema at proximal tibia in Dashboard injury. Bone marrow contusion usually resolves in 6-8 weeks [6]. Traumatic mechanisms are sometimes too complex or poorly understood which cannot be comprehend [4]. Over 2600 credentialed providers acrosstheUS. 36 0 obj Google Scholar; . 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. No cost for the Employer or Employee with up to 80% savings. 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. 35 0 obj The https:// ensures that you are connecting to the 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. 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%). This study was approved by the ethical committee of Beijing Tsinghua Changgung Hospital (No. N Z Med J. Inclusion criteria were patients with recent knee injuries (<6weeks) and normal plain radiograph with no signs of pathology. Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. khloe kardashian hidden hills house address. Mandalia V, Fogg AJB, Chari R, Murray J, Beale A, Henson JHL. 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. Winters K, Tregnonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. 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. In patients with bone marrow contusion, 14 were women (10.1%) and 124 were men (89.9%). To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. Medial and lateral meniscal tears usually involving the . Epub 2022 Apr 12. CAS National Library of Medicine Bone Marrow Signal Alteration in the Extremities. PubMed Other structures are injured less frequently and have weaker associations with bone bruise distribution. A deeper notch often indicates a more complex knee injury. Prognosis is particularly influenced by the presence of osteoarthritis. Radiology 182(1):221224, Niitsu M, Kuramochi M, Anno I, Itai Y (1995) Secondary signs of anterior cruciate ligament tear at MR imaging. No significant difference was noted in location of bone marrow contusion in clip injury for different type/mode of injury. 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). Unclassified injury pattern in 6 cases with type /mode of injury and location of bone marrow contusion. Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. BMC Musculoskelet Disord 16:217, Article "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). 2 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> This is a preview of subscription content, access via your institution. 2007;41 Suppl 2:98-104. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. Clin Imaging. 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]. 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. FOIA Assessment with magnetic resonance, correlated with arthroscopy. Pivot shift pattern is most common contusion pattern and the most common type/mode of sports related injury. 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? Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. 8600 Rockville Pike Arch Orthop Trauma Surg 140(12):20132020, Article In impaction, the compressive force directly strikes cortical bone and is dissipated into trabecular bone [4]. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. Check for errors and try again. 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). Am J Sports Med. Disabling symptoms are often prolonged. Sports Med. Waiving out of pocket expenses incentivizes your members to use the KISx network resulting in savings for both planandmember. Analytical Services; Analytical Method Development and Validation Sanders TG, Medynski MA, Feller JF, Lawhorn KW. eCollection 2020 Apr. Below is the link to the electronic supplementary material. 2022 Dec;30(12):1647-1657. doi: 10.1016/j.joca.2022.08.006. . sharing sensitive information, make sure youre on a federal The site is secure. Careers, Unable to load your collection due to an error. Knee joint is one of strongest joint in body and allows transmission of body weight to leg. -, Radiol Clin North Am. Acute findings of a joint effusion and posterior tibial plateau contusion are present. According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). Contusions of both surfaces of the knee joint are known as kissing contusions. Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees. In this study 8 cases (5.7%) had dashboard injury pattern of bone marrow contusion at anterior aspect of proximal tibia. 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]. There has been limited investigation to subdividing the bone contusion model in the medial and lateral directions of the tibial plateau and the . 1. Thank Professor Zhuozhao Zheng and my girlfriend Danyu Chen for their advice and help on this study. 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 Other structures are injured less frequently and have weaker associations with bone bruise distribution. PubMed Unauthorized use of these marks is strictly prohibited. It is a rare (6.3% in this series) but significant injury, often associated with ligamentous or menisceal tears. 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. MRI Introduction Anterior cruciate ligament (ACL) injuries are among the most common sports injuries. Pivot shift pattern is most common contusion pattern and the most common type/mode of injury is sports related injury. Epub 2019 Mar 26. T2 Axial: Bone marrow oedema in Inferiomedial aspect of patella and lateral femoral condyle in lateral patellar dislocation. 2023-05-01T23:01:26-07:00 Bone bruise represents as acute, occult microfractures of subchondral trabecular bone with subsequent haemorrhage, oedema and hyperemia. Article 2004;32:16817. Contusions of both surfaces of the joint are known as kissing contusions. In this study, inclusion criteria were acute knee injury only in athletes while in our study there were no such selection criteria. 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]. Kissing contusion is a(n) research topic. 2014;24:14817. Case Discussion. A knee contusion can range from mild to severe. CAS The .gov means its official. Arch Orthop Trauma Surg. Fill out the form below and a representative will be in touch. 1998 Jun;69(3):291-4 Bone bruises: MR characteristics and histological correlation in the young pig. Bethesda, MD 20894, Web Policies Transient lateral patellar dislocation: diagnosis with MR imaging. A 30-year-old woman with acute knee injury. 2015;43(10):251521. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. Meniscal injury was unrelated to the extent or pattern of bone bruising. 2011;93:15108. 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]. 2000;28:6637. 2014 Feb;44(2):281-93. doi: 10.1007/s40279-013-0116-z. [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). Before 2 cases (50%) are hyperextension injury with kissing contusion at anterior aspect of proximal tibia and distal femur caused due to hit by car in RTA. Moderate edema at the gastrocnemius/soleus interface and overlying the superficial medial gastrocnemius proximal myotendinous junction. Would you like email updates of new search results? 31 0 obj J Bone Joint Surg Am. Tensile load can cause ligament and tendon tears as well as avulsion fracture. bone bruises on magnetic resonance imaging evaluation of anterior cruciate ligament injuries. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). 2019 Nov;27(11):3633-3637. doi: 10.1007/s00167-019-05490-7. This pattern is thought to result resolution from contrecoup forces in the medial compartment at the forced valgus forces. Acta Orthop Traumatol Turc. JB JS Open Access. 98 0 obj In current study unclassifiable injuries pattern was noted in 6 cases. MeSH Clipboard, Search History, and several other advanced features are temporarily unavailable. Hayes CW, Brigido MK, Jamadar DA, Propeck Tim. Application of biomechanical approach in MR interpretation helps in effortless assessment of osseous contusion and ligament rupture and mark delicate but significant abnormalities. HW contributed to some imaging data and surgery. PLT: Posterolateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. 2022 Jan 11;17(1):17. doi: 10.1186/s13018-022-02912-0. 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. Bone contusion of knee: Increase lesion detection with fast spin echo MR Imaging with spectroscopic Fat saturation. 2023 Feb;19(1):107-112. doi: 10.1177/15563316221092320. PDFS Saggital: Bone marrow oedema in Intercondylar region tibia with subchondral cysts. Contusions of both surfaces of the joint are known as kissing contusions. Magnetic Resonance Imaging of Bone Marrow: A Review Part II. 2021 May;13(3):966-978. doi: 10.1111/os.12997. PubMed Central By analysing bone marrow contusion pattern, type/mode can be determined in most of the cases. Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. government site. Ali, A.M., Pillai, J.K., Gulati, V. et al. Why continue to overpay for your most common Imaging procedures? -. Google Scholar. 5 0 obj Horizontal Rafting Plate for Treatment of the Tibial Plateau Fracture. steve stricker wrist lock; what channel are the st louis cardinals playing on today HG contributed to the article writing and data collection. 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. Background: 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]. At the time the article was created Henry Knipe had no recorded disclosures. Unable to load your collection due to an error, Unable to load your delegates due to an error. ADVERTISEMENT: Supporters see fewer/no ads. Radiographics. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Yap J, Al Kabbani A, et al. Clin Imaging. Patel SA, Hageman J, Quatman CE, Wordeman SC, Hewett TE. Comparison of bone contusion seen by MRI in partial and complete tears of the anterior cruciate ligament. The most common symptom of a knee contusion is pain. 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. J Bone Joint Surg Am. Bookshelf The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR=7.8, p=0.03). Chin YC, Wijaya R, Chong le R, Chang HC, Lee YH. Arndt WA, Traux AL, Baranett FM, Simmon GE, Brown DC. PubMed Looking for more information? endobj 2011 Aug 17;93(16):1510-8. doi: 10.2106/JBJS.J.01320. MRIs, plain radiographs and clinical details of these patients were reviewed. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. 2012;2 (5): 398-402. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> 21033-6-01). Study was conducted between May 2014 to September 2015 with a sample size of 200 patients. Herbst E, Hoser C, Tecklenburg K, Filipovic M, Dallapozza C, Herbort M, et al. Sanders TG, Medynski MA, Feller JF, Lawhorn KW. https://doi.org/10.1007/s00256-017-2754-y, https://doi.org/10.1016/j.arthro.2016.03.015. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. <>stream Article 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);. For outpatient testing, Valley Regional Imaging is open Monday to Friday from m 8 a.m. to 8 p.m. Saturday hours are available for obstetrics (OB) and CAT Scans only from 8 a.m. to noon. -, Arthroscopy. On 1.5 T, knee joint was examined in Saggital (T1, T2, PD, PDFS), Coronal (T2/ PDFS), Axial (T2, Medic) sequences. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). PubMed LF directed the writing of the article. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Materials and methods: 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. CAS 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. Clipboard, Search History, and several other advanced features are temporarily unavailable. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. 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. %PDF-1.4 % Epub 2022 Aug 30. Mild high signal of the distal semimembranosus insertion, however, the remaining posteromedial corner structures appear uninjured. On MRI these injuries appears as ill defined, subchondral, reticulated or stellate region of low signal intensity on T1W and high signal intensity on T2W images [6].
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