kissing contusion knee radiology

On analysing the bone marrow contusion pattern, type/mode can be determined in most of cases. 6 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Clin Orthop Relat Res. 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). The authors declare that they have no conflict of interest. 2000;24:37180. Clin Radiol 2004;59:439-445. 31 0 obj and transmitted securely. E-mail: Received 2016 Jan 13; Revisions requested 2016 Jan 29; Accepted 2016 Feb 28. Accessibility Felt a "popping" sensation after landing on a straightened knee. Other soft tissue injuries include: ACL (100%), PCL (7.6%), Medial meniscus (89.7%), Lateral meniscus (23.1%), LCL (7.6%). There has been limited investigation to subdividing the bone contusion model in the medial and lateral directions of the tibial plateau and the . {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Yap J, Al Kabbani A, et al. The https:// ensures that you are connecting to the endobj Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in These contusions are generally found by magnetic resonance imaging and most cases are associated with ligamentous or menisceal injuries.[1]. 1996 Sep;(330):133-42 2. 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. Pattern of marrow oedema as per classification. Language links are at the top of the page across from the title. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Article This injury most commonly occurs when the knee strikes against the dashboard during an automobile accident or fall against the ground on flexed knee. Federal government websites often end in .gov or .mil. Rangger C, Klestil T, Kathrein A, Indester A, Hamid L. Influence of magnetic resonance imaging on indications for arthroscopy of the knee. Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. -, Radiology. Google Scholar. An official website of the United States government. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. Sanders TG, Medynski MA, Feller JF, Lawhorn KW. 2023 Jan;51(1):58-65. doi: 10.1177/03635465221131551. government site. 2011 Aug 17;93(16):1510-8. doi: 10.2106/JBJS.J.01320. 5 out of 8 patients with a 'double sulcus' on the lateral radiograph had ACL injury. Am J Sports Med. endobj Careers, Unable to load your collection due to an error. HWnWhl2 p$%SgdR`Qvs4a^q~z]&O_F?`7%|8W.Zyxc\4x{gJSp>)nO|-6bhLCntyFTVe7WwtR?fs;fLh;>|*E{mIvqGUlT! 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 There were 2 cases with hyperextension injury while playing football and 2 patients attained the injury after being hit by car. Our team of experienced agents will hand hold the member through theentireprocess. 2016. https://doi.org/10.1016/j.arthro.2016.03.015. Follow-up of occult bone lesions detected at MR imaging: systematic review. 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. J Bone Joint Surg Am. Deangelis JP, Spindler KP. 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. Twenty-five patients were identified (median time from injury to MRI = 24 days). endobj Hong CK, Hoshino Y, Watanabe S, Nagai K, Matsushita T, Su WR, Kuroda R. Knee Surg Sports Traumatol Arthrosc. Jeli D, Masulovi D. Bone bruise of the knee associated with the lesions of anterior cruciate ligament and menisci on magnetic resonance imaging. 2014;55(8):9618. Patient demographics, the clinical presentation, and the role of trauma are critical for . The values of notch depth in patients who had ACL rupture concomitant lateral MT injuries and medial collateral ligament (MCL) injuries were 1.120.64 and 1.230.74mm, respectively, which were significantly higher than those in patients with only ACL injury (0.890.49mm) (P<0.05). MRI of the Pediatric Knee Pediatric Imaging Review. 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. Bone contusion of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee. PDFS Saggital: Bone marrow oedema in Intercondylar region tibia with subchondral cysts. According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). Pivot shift injury pattern according to Location of marrow oedema. Prognosis is particularly influenced by the presence of osteoarthritis. Age, type of bone bruise, and number of bruises also have prognostic value. 8600 Rockville Pike In total 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). Am J Sports Med. In compressive load, bones collide leading to impaction. Disabling symptoms are often prolonged. 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);. Waldn M, Krosshaug T, Bjrneboe J, Andersen TE, Faul O, Hgglund M. Three distinct mechanisms predominate in non-contact anterior cruciate ligament injuries in male professional football players: a systematic video analysis of 39 cases. Green DW, Hidalgo Perea S, Kelly AM, Potter HG. Kapelov RS, Terris 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. NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Ashish Garg, A-4, Ashok Nagar, Mandoli Road, Shahdara, Delhi-110093, India. 1993;189:9014. Incidence and location of bone bruises after acute posterior cruciate ligament injury. Bone bruise in the acutely injured knee. Bone marrow contusion was noted in 71 cases out of 255 cases (27.8%). Our study only involves the image information of patients. Check for errors and try again. <> Why continue to overpay for your most common Imaging procedures? PubMed Central Adult patients with ACL tears have greater tibial internal rotation in MRI compared to adolescent patients. 13 0 obj PDFS Saggital: Bone marrow oedema at Lateral femoral and posterolateral tibial plateau in Pivot shift injury. The Predicted Position of the Knee Near the Time of ACL Rupture Is Similar Between 2 Commonly Observed Patterns of Bone Bruising on MRI. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. The site is secure. no significant difference in location for different type/ mode of injury. 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]. 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. 4 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. <>stream 2000;20 Spec No (suppl_1): S135-51. The purpose of this review is to . Elsevier Health Sciences. Hayes CW, Brigido MK, Jamadar DA, Propeck Tim. Mri knee trauma - SlideShare The .gov means its official. Correlation between contusion pattern in clip injury and type/mode of injury. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. 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%). 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. This study was approved by the ethical committee of Beijing Tsinghua Changgung Hospital (No. The lateral femoral notch sign (LFNS) and the kissing contusion (KC) are two indirect signs of anterior cruciate ligament (ACL) injuries. Keywords: - 103.57.222.214. Department of Radiology, Wilford Hall Medical Center, 759th MDTS/MTRD, 2200 Bergquist Dr, Ste 1, Lackland AFB, TX 78236-5300, USA. No meniscal tear. 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. 2011;93:15108. Anterior cruciate, and medial and lateral collateral ligaments are intact. Arch Orthop Trauma Surg 143, 927934 (2023). Bone contusions of the knee: increased lesion detection with fast spin-echo MR imaging with spectroscopic fat saturation. Am J Sports Med. 1 Kacey Court, Suite 100, Mechanicsburg, Pa, 17055. Learn more about Institutional subscriptions. J Biomech Eng. Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. Ciuffreda P, Lelario M, Milillo P, Vinci R, et al. 2022 Oct;30(10):3508-3514. doi: 10.1007/s00167-022-06970-z. None of the knees had been injured before. A 14-year-old male football player with chronic anterior knee pain who experienced acute knee pain after jumping and landing awkwardly. Acta Orthop Traumatol Turc. PubMed Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. Table showing Type/Mode of injury in pivot shift injury. Bone Marrow Edema Injury Patterns in the Pediatric Knee: An MRI Study. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). Inclusion criteria were patients with recent knee injuries (<6weeks) and normal plain radiograph with no signs of pathology. 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. 5 0 obj Minor focus of edema in the anterior aspect of the lateral femoral condyle. According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). Knee Surg Sports Traumatol Arthrosc. 2014;24:14817. sharing sensitive information, make sure youre on a federal 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].

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