Radiographic features Five classic bone contusion patterns have been described 1-4: pivot-shift injury valgus stress to flexed and externally rotated knee . Radiology. Bone Bruise Distribution Patterns After Acute Anterior Cruciate Ligament Ruptures: Implications for the Injury Mechanism. Unable to load your collection due to an error, Unable to load your delegates due to an error. It is a common injury that can occur from a fall, blow, or collision. PubMed Central *no pattern of bone marrow contusion could be explained as per the classification. Epub 2022 Aug 30. PubMed eCollection 2022 Oct. Moran J, Katz LD, Schneble CA, Li D, Kahan JB, Wang A, Porrino J, Jokl P, Hewett TE, Medvecky MJ. 35 0 obj Accessibility Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Yoon KH, Yoo JH, Kim KI. Article Bone marrow contusion at posterior lip of medial tibial condyle was seen in 59 cases. -, Am J Sports Med. MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. Clin Orthop Relat Res. Posteromedial Tibial Bone Bruise After Anterior Cruciate Ligament Injury: An MRI Study of Bone Bruise Patterns in 208 Patients. Over the lifetime, 3 publication(s) have been published within this topic receiving 31 citation(s). Boks SS, Vroegindeweij D, Koes BW, Hunink MG, Bierma-Zeinstra SM. 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. This pattern is thought to result resolution from contrecoup forces in the medial compartment at the forced valgus forces. Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. 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. Unable to load your collection due to an error, Unable to load your delegates due to an error. Arch Orthop Trauma Surg 140(11):17511757, Article Archives of Orthopaedic and Trauma Surgery, https://doi.org/10.1007/s00402-022-04366-9. Before Accessibility Radiographics. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). Bethesda, MD 20894, Web Policies Common entities include acute traumatic osteochondral injuries, subchondral insufficiency fracture, so-called spontaneous osteonecrosis of the knee, avascular necrosis, osteochondritis dissecans, and localized osteochondral abnormalities in osteoarthritis. You can help Wikipedia by expanding it. Am J Sports Med. Bone contusions of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee at MR imaging. Article This is a preview of subscription content, access via your institution. 4. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. Below is the link to the electronic supplementary material. 1030). In total 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). 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? By directing imaging to outpatient sites, not hospital settings, it creates a better patient experience while yielding substantial savings. The spectrum of damage includes stretching, partial tearing, and complete rupture [4]. They found that all the lesions in one patient do not heal at exactly the same speed. In this study, the time gap between injury and doing MRI was not considered. Rangger C, Klestil T, Kathrein A, Indester A, Hamid L. Influence of magnetic resonance imaging on indications for arthroscopy of the knee. Patients were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. 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. Epub 2022 Nov 28. Epub 2010 Sep 13. 2022 Jan 11;17(1):17. doi: 10.1186/s13018-022-02912-0. J Bone Joint Surg Am. Check for errors and try again. Elsevier Health Sciences. This mechanism of injury involves other soft tissue structures like tears/posterior capsule and arcuate ligament, medial collateral ligament (MCL) and the menisci. Felt a "popping" sensation after landing on a straightened knee. Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures. Eur J Orthop Surg Traumatol. Ready to get started? 2011 Aug 17;93(16):1510-8. doi: 10.2106/JBJS.J.01320. In distraction injury, excessive tension may damage the joint capsule, retinacula, ligaments, and tendons as well as their osseous attachment sites. These contusions are generally found by magnetic resonance imaging and most cases are associated with ligamentous or menisceal injuries. 2022 Dec;30(12):1647-1657. doi: 10.1016/j.joca.2022.08.006. Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. Other associated injury in ACL (87.5%), Medial meniscus (50 %) and lateral meniscus (75%). steve stricker wrist lock; what channel are the st louis cardinals playing on today Clin Imaging. Results are comparable to the study conducted by Kaplan et al., in which bone marrow contusion at posterior lip of medial tibial condyle was seen in 25 out of 215 cases (11.6%) and contusion in lateral compartment was noted in 24 out of 25 cases (96%) and contusion at medial femoral condyle was seen in 5 in 25 cases (20%) [7]. Background: sharing sensitive information, make sure youre on a federal J Biomech Eng. On applying fisher-exact test, p = 0.1655 i.e. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. 1 Professor and HOD, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. ADVERTISEMENT: Supporters see fewer/no ads. For KC, the corresponding values were 36.6% and 99.4%, respectively. government site. Would you like email updates of new search results? The depth of LFNS and the presence of KC were determined on MRI findings. 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. The posteromedial corner of the knee is a capsuloligamentous complex in the posterior aspect of the medial compartment. Kim-Wang SY, Spritzer CE, Owusu-Akyaw K, Coppock JA, Goode AP, Englander ZA, Wittstein JR, DeFrate LE. Conclusions: Bone contusion of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee. Assessment with magnetic resonance, correlated with arthroscopy. 2016;10(4):TC0611. 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. no financial relationships to ineligible companies to disclose. T1W Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. A cross-sectional study was done on all patients referred to Krishna Hospital, Karad for MRI knee with history of recent (< 6 weeks) knee injury. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> endobj The associated injuries were confirmed by arthroscopy in 12/16 patients. Horizontal Rafting Plate for Treatment of the Tibial Plateau Fracture. XZ contributed to part of the statistics of the article. Eur J Radiol. The saggital plane was primarily used to evaluate the bone marrow oedema which was confirmed on coronal images. Radiology 182(1):221224, Niitsu M, Kuramochi M, Anno I, Itai Y (1995) Secondary signs of anterior cruciate ligament tear at MR imaging. Shea KG, Archibald-Seiffer N, Murdock E, Grimm NL, Jacobs JC Jr, Willick S, Van Houten H. Knee injuries in downhill skiers: a 6-year survey study. 33 0 obj Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Bone marrow edema and low T1 signal through the proximal tibial epiphysis anteriorly associated periosteal edema. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> 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. Our Facilities. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. 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]. Hong CK, Lin YJ, Cheng TA, Chang CH, Hsu KL, Kuan FC, Su WR. Ali, A.M., Pillai, J.K., Gulati, V. et al. Correspondence to 1 Kacey Court, Suite 100, Mechanicsburg, Pa, 17055. Keywords: In many cases, Bone marrow contusion might have resolved at time of MRI. Epub 2022 Mar 1. - 103.57.222.214. Our imaging services center is on the 1st floor of the hospital, directly behind our main reception area. Location of bone bruises and other osseous injuries associated with acute grade III isolated and combined posterolateral knee injuries. 2021 Nov 11;6(4):e21.00069. Materials and methods: 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. In present study clip injury pattern is noted in 39 cases (28.6%). FOIA khloe kardashian hidden hills house address. 2003;37:1379. Our team of experienced agents will hand hold the member through theentireprocess. [101 0 R] On 1.5 T, knee joint was examined in Saggital (T1, T2, PD, PDFS), Coronal (T2/ PDFS), Axial (T2, Medic) sequences. Liu ZY, Zhang JL, Liu C, Cao Q, Shen QJ, Zhao JC. Computed Tomography & Magnetic Resonance Imaging Of The Whole Body. Arch Orthop Trauma Surg 128(11):13131316, Terzidis IP, Christodoulou AG, Ploumis AL, Metsovitis SR, Koimtzis M, Givissis P (2004) The appearance of kissing contusion in the acutely injured knee in the athletes. At the time the article was created Henry Knipe had no recorded disclosures. Knee Surg Sports Traumatol Arthrosc. Correlation between various pattern of bone marrow oedema and type/mode of injury are shown in [Table/Fig-17]. - 134.209.62.117. <>stream Follow up scan could not be done to establish the presumable diagnosis of bone marrow contusion. 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. Transient lateral patellar dislocation: diagnosis with MR imaging. Medial and lateral meniscal tears usually involving the . Clin Radiol. The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. Mild high signal of the distal semimembranosus insertion, however, the remaining posteromedial corner structures appear uninjured. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). 1996;198:2058. PDFS Saggital: Bone marrow oedema at Medial femoral and Medial tibial condyle in Hyperextension injury. Mandalia V, Fogg AJB, Chari R, Murray J, Beale A, Henson JHL. National Library of Medicine Traumatic Bone Bruises in the Athlete's Knee. 2013;41(8):18017. Associated Soft tissue injuries include ACL and medial meniscus [8]. Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees. 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. Sahoo K, Garg A, Saha P, Dodia JV, Raj VR, Bhairagond SJ. Contusions of both surfaces of the knee joint are known as kissing contusions. J Comput Assist Tomogr. 2014 Feb;44(2):281-93. doi: 10.1007/s40279-013-0116-z. application/pdf Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). Emerg Radiol 2:129134, Article Disabling symptoms are often prolonged. 1993;189:9014. 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. Notch depth equal to 0.72mm can be basically considered as the optimal cut-off point for LFNS in statistics. Google Scholar. Table showing Type/Mode of injury in pivot shift injury. see full revision history and disclosures, posterior soft tissue injuries involving the knee joint capsule, fibular attachment of soleus and distal semimembranosus tendon. Language links are at the top of the page across from the title. PDFS Coronal: Bone marrow oedema at Medial femoral condyle and proximal tibia. In current study unclassifiable injuries pattern was noted in 6 cases. Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. Bone marrow oedema may also show delayed enhancement following administration of gadolinium DTPA. Arch Orthop Trauma Surg 140(12):20132020, Article 2002;10:96101. Conclusions: Bone Marrow Edema Injury Patterns in the Pediatric Knee: An MRI Study. Epub 2013 Jun 6. 5 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. PLT: Posterolateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. CAS FOIA [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). 2022 Oct 17;10(10):23259671221120636. doi: 10.1177/23259671221120636. LXC designed the study and was responsible for the paper. 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. Results: https://doi.org/10.1007/s00256-017-2754-y, DOI: https://doi.org/10.1007/s00256-017-2754-y. 36 0 obj Zeiss J, Paley K, Murray K, Saddemi SR. Although patients often present to the emergency department with acute knee pain and hemarthrosis, spontaneous reduction frequently occurs, and half of cases are unsuspected clinically. They can be used to diagnose ACL injuries. "Kissing contusion" refers to a bone contusion on both side of the knee joint. Correlation between various pattern of bone marrow oedema and type/mode of injury. A lateral radiograph of the right knee a shows osseous fragmentation of the tibial tuberosity and soft tissue swelling ( white arrow ). In 6 cases bone marrow contusion could not be explained by various patterns. 2020 Apr 15;8(4):2325967120911162. doi: 10.1177/2325967120911162. PubMed Before 1995;19:7736. 13 0 obj No meniscal tear. Bone bruise, Compressisve force, Early degeneration, Microfracture, Torsional force. Multi-vendor multi-site quantitative MRI analysis of cartilage degeneration 10Years after anterior cruciate ligament reconstruction: MOON-MRI protocol and preliminary results. 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%). Pivot shift injury pattern according to Location of marrow oedema. Pivot shift injury depending on location and type/mode of injury. uuid:a4a67e17-1dd1-11b2-0a00-340827bd7200 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. Acta Orthop Scand. 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. Check for errors and try again. A. M. Ali. Hayes CW, Brigido MK, Jamadar DA, Propeck Tim. All the patients underwent magnetic resonance imaging (MRI) preoperatively, and the diagnosis was confirmed with the aid of arthroscopy. MacMahon PJ, Palmer WE. 2014 . Knee Surg Sports Traumatol Arthrosc 23(8):22502258, Hoffelner T, Pichler I, Moroder P et al (2015) Segmentation of the lateral femoral notch sign with MRI using a new measurement technique. This site needs JavaScript to work properly. 2023 Jan;51(1):58-65. doi: 10.1177/03635465221131551. 1993;21:2203. 10 0 obj Google Scholar. 1996 Jan;198(1):205-8 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); medial tibial condyle (n = 7; 2 type I, 5 type III); medial femoral condyle (n = 2; both type I). The most common symptom of a knee contusion is pain. NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Ashish Garg, A-4, Ashok Nagar, Mandoli Road, Shahdara, Delhi-110093, India. Waiving out of pocket expenses incentivizes your members to use the KISx network resulting in savings for both planandmember. 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. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic bone bruise distribution. 1998 Jun;69(3):291-4 Home; Service. Inpatient imaging services are available 24/7. Bone marrow oedema may also be rarely seen at adductor tubercle of the medial femoral condyle due to avulsion injury of the medial patellofemoral ligament. Pivot shift pattern is most common contusion pattern and the most common type/mode of injury is sports related injury. Bone marrow contusions are frequently identified at magnetic resonance imaging after an injury to the musculoskeletal system, and the mechanism of injury can be determined by studying the distribution of bone marrow edema, which enables one to predict with accuracy the specific soft-tissue abnormalities that are likely to be present. Results: A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. It can also damage interposed soft tissues, most commonly the articular cartilage and meniscus. CAS Hyperextension results in the "kissing" contusion pattern involving the anterior aspect of the proximal tibia and distal femur. Age, type of bone bruise, and number of bruises also have prognostic value. Learn more about Institutional subscriptions. Over 2600 credentialed providers acrosstheUS. Acta Orthop Traumatol Turc. A 14-year-old male football player with chronic anterior knee pain who experienced acute knee pain after jumping and landing awkwardly. 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). Ryu KN, Jin W, Ko YT, Yoon Y, Oh JH, Park YK, et al. Disclaimer. 8600 Rockville Pike Other structures are injured less frequently and have weaker associations with bone bruise distribution. KIS Imaging is the nations largest direct contracting imaging network with over 2,600 providers covering all major imaging needs: MRI, CT and PET. . Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. 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. Lianxu Chen. Informed consent was obtained from the patients in English or regional language. PubMed official website and that any information you provide is encrypted 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. Epub 2021 Apr 4. MRIs, plain radiographs and clinical details of these patients were reviewed. Grade II ACL tears represent intraligamentous injury and an increase in ligament length. Out of 200 patients, 32 were women (16%) and 168 men (84%). Call Us Today! endobj Twenty of the 23 patients had follow-up imaging. 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 +/-. Accessibility Among 46 cases, football was most common sports leading to injury followed by Kabaddi. HHS Vulnerability Disclosure, Help "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. 2000;28:6637. In our study pivot shift pattern is noted in 78 cases (56.5%). We have included all the patients coming with acute knee injuries irrespective of type/mode of injury. This injury most commonly occurs when the knee strikes against the dashboard during an automobile accident or fall against the ground on flexed knee. Bookshelf 2011;93:15108. bone bruises on magnetic resonance imaging evaluation of anterior cruciate ligament injuries. Federal government websites often end in .gov or .mil. Pure passive hyperextension of the human cadaver knee generates simultaneous bicruciate ligament rupture. At the time the article was last revised Joshua Yap had HW contributed to some imaging data and surgery. Injury in PCL is seen in all the cases. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. The .gov means its official. Our study only involves the image information of patients. Bone Marrow Signal Alteration in the Extremities. Texas Health Care Imaging is a radiology clinic located in Brownsville, TX. Arthroscopy. ADVERTISEMENT: Supporters see fewer/no ads. 5 out of 8 patients with a double sulcus on the lateral radiograph had ACL injury. 1996;330:13342. We describe the clinical and radiographic features of 11 athletes found to have femoral head lesions similar in MR imaging appearance to osteochondral lesions in other locations, such as the knee and ankle. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. T2 Axial: Bone marrow oedema in Inferiomedial aspect of patella and lateral femoral condyle in lateral patellar dislocation. Study was conducted between May 2014 to September 2015 with a sample size of 200 patients. Epub 2022 May 3. On analysing the bone marrow contusion pattern, type/mode can be determined in most of cases. Jeli D, Masulovi D. Bone bruise of the knee associated with the lesions of anterior cruciate ligament and menisci on magnetic resonance imaging. Pivot shift pattern is most common contusion pattern and the most common type/mode of sports related injury. https://doi.org/10.1007/s00402-022-04366-9, DOI: https://doi.org/10.1007/s00402-022-04366-9. As a library, NLM provides access to scientific literature. 21033-6-01). Orthop J Sports Med. 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]. KIS Imaging is the nations largest direct contracting imaging network with over 2,600 providers covering all major imaging needs: MRI, CT and PET. Shi H, Ding L, Jiang Y, Zhang H, Ren S, Hu X, Liu Z, Huang H, Ao Y. Orthop J Sports Med. 1998;69:2914. Google Scholar. To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. Muscle belly edema within the fibular attachment of the soleus with periosteal stripping of the posterior fibula. Kissing contusion refers to the bone contusions in both femoral and tibial surfaces of the knee. endstream 2023-05-01T23:01:26-07:00 Contusions of both surfaces of the joint are known as kissing contusions. DOI: 10.1148/radiographics.20.suppl_1.g00oc19s135 PMID: 11046168. PubMed Bratisl Lek Listy 113(9):539543, Svoboda SJ (2014) ACL injury and posttraumatic osteoarthritis. PubMedGoogle Scholar. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). 1 0 obj Kim SY, Spritzer CE, Utturkar GM, Toth AP, Garrett WE, DeFrate LE. Unauthorized use of these marks is strictly prohibited. The double sulcus sign is a radiographic marker that confers a high probability of ACL injury. "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. The relationship and characteristics between these two indicators was explored. 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). An axial acquisition through the patella femoral joint was used as the initial localizer for subsequent coronal and saggital images. 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. Arndt WA, Traux AL, Baranett FM, Simmon GE, Brown DC. Anterior cruciate, and medial and lateral collateral ligaments are intact. Bone marrow oedema of the knee may cause substantial clinical entities, as they cause acute pain and functional loss in the joint. endobj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Analysis of bone marrow oedema was done by a single observer based on MRI [9], its patterns were studied and possible type/mode of injury was determined before elucidating the history from the patient. Type / Mode of injury in Clip injury pattern. Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. sharing sensitive information, make sure youre on a federal

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