Am J Sports Med. Lateral-compartment bone contusions in adolescents with intact anterior cruciate ligaments. application/pdf Kissing contusion refers to the bone contusions in both femoral and tibial surfaces of the knee. Hong CK, Lin YJ, Cheng TA, Chang CH, Hsu KL, Kuan FC, Su WR. Conventional radiograph evaluation of skeleton following trauma divides injury into presence or absence of fracture. Medial and lateral meniscal tears usually involving the . Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. Bethesda, MD 20894, Web Policies Inpatient imaging services are available 24/7. Other structures are injured less frequently and have weaker associations with bone bruise distribution. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> At the time the article was last revised Joshua Yap had Other structures are injured less frequently and have weaker associations with bone bruise distribution. Bone Marrow Signal Alteration in the Extremities. The saggital plane was primarily used to evaluate the bone marrow oedema which was confirmed on coronal images. Google Scholar; . PubMedGoogle Scholar. PDF Diagnostic value of the lateral femoral notch sign and kissing 2000;20:S13551. They found that all the lesions in one patient do not heal at exactly the same speed. Meniscal injury was unrelated to the extent or pattern of bone bruising. Twenty of the 23 patients had follow-up imaging. A thorough understanding of knee injury patterns and their mechanisms may help achieve more accurate assessment of injuries [8]. In compressive load, bones collide leading to impaction. Am J Sports Med 42(1):235241, Garth WP Jr, Greco J, House MA (2000) The lateral notch sign associated with acute anterior cruciate ligament disruption. endobj Bone marrow contusion is transient dislocation of patella noted in anterior aspect of lateral femoral condyle and inferiomedial aspect of patella in all the cases (100 %). 35 0 obj An axial acquisition through the patella femoral joint was used as the initial localizer for subsequent coronal and saggital images. 2022 Oct;30(10):3508-3514. doi: 10.1007/s00167-022-06970-z. Posteromedial Tibial Bone Bruise After Anterior Cruciate Ligament Injury: An MRI Study of Bone Bruise Patterns in 208 Patients. 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. Case Discussion. Bone marrow contusion usually resolves in 6-8 weeks [6]. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 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. Radiographics. Clin Radiol. Pure passive hyperextension of the human cadaver knee generates simultaneous bicruciate ligament rupture. PDF ORIGINAL ARTICLE The appearance of kissing contusion in the acutely 2023 Feb;143(2):927-934. doi: 10.1007/s00402-022-04366-9. In one of these patients, the lesion was still seen at 1-month follow-up, and in the other patient, complete resolution occurred after 10 months. 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%). It is a rare (6.3% in this series) but significant injury, often associated with ligamentous or menisceal tears. 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). Posterior oblique ligament tear in the posteromedial knee | Radiology [1] References [ edit] ^ Terzidis, I. P. (October 2004). In our study pivot shift pattern is noted in 78 cases (56.5%). endobj Sanders TG, Medynski MA, Feller JF, Lawhorn KW. Assessment with magnetic resonance, correlated with arthroscopy. doi: 10.2106/JBJS.OA.21.00069. Knee Surg Sports Traumatol Arthrosc. MRI follow-up of posttraumatic bone bruises of the knee in general practice. PDFS Saggital: Bone marrow oedema at Medial femoral and Medial tibial condyle in Hyperextension injury. We're here to help! Correlation between type or mode of injury and patterns of bone marrow oedema was determined using p-value and chi-square method. The appearance of kissing contusion in the acutely injured knee in the Unauthorized use of these marks is strictly prohibited. A deeper notch often indicates a more complex knee injury. Sanders TG, Medynski MA, Feller JF, Lawhorn KW. 8600 Rockville Pike In tensile load, on the other hand, bones pull apart leading to distraction across the joint and traction on stabilizing structures. E-mail: Received 2016 Jan 13; Revisions requested 2016 Jan 29; Accepted 2016 Feb 28. Mechanism of traumatic knee injuries and MR findings. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. and transmitted securely. <>stream endstream The site is secure. Radiology 193(3):835840, Grimberg A, Shirazian H, Torshizy H, Smitaman E, Chang EY, Resnick DL (2015) Deep lateral notch sign and double notch sign in complete tears of the anterior cruciate ligament: MR imaging evaluation.
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