Type I lesions are most common on the lateral femoral condyle and type III on the lateral tibial condyle. 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]. The associated injuries were confirmed by arthroscopy in 12/16 patients. Careers. Kirialanis P, Malliou P, Beneka A, Giannakopoulos K. Occurrence of acute lower limb injuries in artistic gymnasts in relation to event and exercise phase. 2019 Nov;27(11):3633-3637. doi: 10.1007/s00167-019-05490-7. A. M. Ali. Disclaimer. Bone marrow oedema is responsible for patient symptoms and may lead to early degenerative changes [7]. Thank Professor Zhuozhao Zheng and my girlfriend Danyu Chen for their advice and help on this study. NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Ashish Garg, A-4, Ashok Nagar, Mandoli Road, Shahdara, Delhi-110093, India. Please enable it to take advantage of the complete set of features! Learn more about Institutional subscriptions. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. Radiographic features Five classic bone contusion patterns have been described 1-4: pivot-shift injury valgus stress to flexed and externally rotated knee J Bone Joint Surg Am. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR=7.8, p=0.03). Acta Orthop Traumatol Turc. Kapelov et al., conducted a study to demonstrate that T2 weighted fast spin echo (FSE) images with spectroscopic fat saturation (FS- FSE) increase conspicuity between marrow contusion and normal marrow in post traumatic knee and found bone marrow contusion in 21 out of 76 cases (27.6%) which is less than our study (69%) [11]. Type/Mode of injury in these cases are: impact during car accident in 4 cases, fall on flexed knee while playing cricket in 1 case, while getting downstairs in 1 case and fall from bike in flexed knee in 2 cases. Price excludes VAT (USA) Oedema is seen at the anterior aspect of the tibia and, occasionally, at the posterior surface of the patella [8]. This is a preview of subscription content, access via your institution. Bone marrow edema and low T1 signal through the proximal tibial epiphysis anteriorly associated periosteal edema. It is not necessary to obtain consent. 2023-05-01T23:01:26-07:00 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. Before 2008;36:804. 2 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. 35 0 obj Knee kinematics during noncontact anterior cruciate ligament injury as determined from bone bruise location. Methods: -. Careers, Unable to load your collection due to an error. severe contusions may cause the knee to give out or lock. Kissing contusion - Wikipedia Hyperextension injuries of the knee: do patterns of bone bruising Imaging Services | HCA Valley Regional Medical Center | Valley Regional Pivot shift injury depending on location and type/mode of injury. Waiving out of pocket expenses incentivizes your members to use the KISx network resulting in savings for both planandmember. MRI follow-up of posttraumatic bone bruises of the knee in general practice. 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. While the knee is in a state of flexion, twisting motion of the knee can lead to transient dislocation of knee. Epub 2022 Aug 30. Google Scholar. Knee Surg Sports Traumatol Arthrosc. Am J Sports Med. 2014;24:14817. Green DW, Hidalgo Perea S, Kelly AM, Potter HG. It is a rare (6.3% in this series) but significant injury, often associated with ligamentous or menisceal tears. bone bruises on magnetic resonance imaging evaluation of anterior cruciate ligament injuries. government site. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. Careers. Epub 2019 Mar 26. official website and that any information you provide is encrypted PubMed MRIs, plain radiographs and clinical details of these patients were reviewed. -, Radiology. No meniscal tear. Google Scholar, Bernard M, Pappas E, Georgoulis A, Haschemi A, Scheffler S, Becker R (2020) Risk of overconstraining femorotibial rotation after anatomical ACL reconstruction using bone patella tendon bone autograft. 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. 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.

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