kissing contusion knee radiology

A lateral radiograph of the right knee a shows osseous fragmentation of the tibial tuberosity and soft tissue swelling ( white arrow ). Meniscal injury was unrelated to the extent or pattern of bone bruising. Radiology 219(3):800801, Ra H, Kim J, Lee D (2020) Comparative clinical outcomes of anterolateral ligament reconstruction versus lateral extra-articular tenodesis in combination with anterior cruciate ligament reconstruction: systematic review and meta-analysis. Herbst E, Hoser C, Tecklenburg K, Filipovic M, Dallapozza C, Herbort M, et al. Traumatic mechanisms are sometimes too complex or poorly understood which cannot be comprehend [4]. Location of bone bruises and other osseous injuries associated with acute grade III isolated and combined posterolateral knee injuries. 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. MacMahon PJ, Palmer WE. 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? 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. 2008;67:5461. The https:// ensures that you are connecting to the In total 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). Posterior tibial bone bruising associated with posterior-medial meniscal tear in patients with acute anterior cruciate ligament injury. Bone contusions were diagnosed in 71 cases (27.8%); 55 (22.5%) were identified as single contusions and 16 (6.3%) as kissing contusions. 2011;133:011012. 2011;197 (3): 568-77. 1989 Sep;27(5):983-1002 The KIS Imaging program was designed to direct patient care, through a concierge service, in which employees and employers can realize up to an 80% savings on all major imaging. 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). In present study transient dislocation of patella pattern is noted in 3 cases (2.2%). J Bone Joint Surg Am. The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). Other soft tissue injuries include: ACL (100%), PCL (7.6%), Medial meniscus (89.7%), Lateral meniscus (23.1%), LCL (7.6%). Boks SS, Vroegindeweij D, Koes BW, Bernsen RM, Hunink MG, Bierma-Zeinstra SM. -, Radiology. Gong, H., Wang, H., Zhang, X. et al. Minor focus of edema in the anterior aspect of the lateral femoral condyle. PubMed -, Am J Sports Med. Sanders TG, Medynski MA, Feller JF, Lawhorn KW. PDFS Saggital: Bone marrow oedema at Medial femoral and Medial tibial condyle in Hyperextension injury. Twenty-five patients were identified (median time from injury to MRI = 24 days). <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Why continue to overpay for your most common Imaging procedures? This site needs JavaScript to work properly. Magnetic Resonance Imaging of Bone Marrow: A Review Part II. Objective: Moderate edema at the gastrocnemius/soleus interface and overlying the superficial medial gastrocnemius proximal myotendinous junction. 1996 Sep;(330):133-42 Careers. 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. In patients with bone marrow contusion, 14 were women (10.1%) and 124 were men (89.9%). [1] References [ edit] ^ Terzidis, I. P. (October 2004). doi: 10.2106/JBJS.OA.21.00069. 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]. Contusions of both surfaces of the joint are known as kissing contusions. Boks SS, Vroegindeweij D, Koes BW, Bernsen R, Hunink MGM, Zeinstra SM. FOIA Case study, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-83381. Call Us Today! 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. CAS Posteromedial Tibial Bone Bruise After Anterior Cruciate Ligament Injury: An MRI Study of Bone Bruise Patterns in 208 Patients. Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. Article After knee injury, bone marrow oedema is frequently subchondral in location and may be associated with either trabecular or cortically based lines [4]. Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). Twenty of the 23 patients had follow-up imaging. PDFS Saggital: Bone marrow oedema at proximal tibia in Dashboard injury. Assessment with magnetic resonance, correlated with arthroscopy. Frequent abnormalities found on MR imaging include labral tear or injury, stress fracture, and avascular necrosis . Arch Orthop Trauma Surg 140(12):20132020, Article Our imaging services center is on the 1st floor of the hospital, directly behind our main reception area. 2014 . Out of 200 patients, 32 were women (16%) and 168 men (84%). Patel SA, Hageman J, Quatman CE, Wordeman SC, Hewett TE. 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. This case demonstrates a hyperextension knee injury consisting of. 5 out of 8 patients with a double sulcus on the lateral radiograph had ACL injury. By directing imaging to outpatient sites, not hospital settings, it creates a better patient experience while yielding substantial savings. Price excludes VAT (USA) Analytical Services; Analytical Method Development and Validation Pivot shift pattern is most common contusion pattern and the most common type/mode of injury is sports related injury. Google Scholar. LXC designed the study and was responsible for the paper. Am J Sports Med. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). [101 0 R] To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. HG contributed to the article writing and data collection. Br J Sports Med 38(5):592596, Article Pivot shift injury pattern according to Location of marrow oedema. Bone marrow contusions are frequently identified at magnetic . A biomechanical approach to MRI of acute knee injuries. According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). The depth of LFNS and the presence of KC were determined on MRI findings. Bone bruises: their patterns and significance. Radiographic features Five classic bone contusion patterns have been described 1-4: pivot-shift injury valgus stress to flexed and externally rotated knee Surgical Strategy for Anterior Tibial Plateau Fractures in Hyperextension Knee Injuries. Epub 2022 Mar 1. Traumatic bone bruising-a review article. This site needs JavaScript to work properly. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. 2022. uuid:a4a67e1a-1dd1-11b2-0a00-880000000000 Sanders classified bone marrow contusions in five different patterns as: Clip injury, Pivot shift injury, Dashboard injury, Hyperextension injury, and Lateral patellar dislocation [8]. Bone bruises: MR characteristics and histological correlation in the young pig. endobj MacMahon PJ, Palmer WE. Rodriguez W, Vinson EN, Helms AC, Toth PA. MRI appearance of posterior cruciate ligament tears. The associated injuries were confirmed by arthroscopy in 12/16 patients. and kissing contusions of the lat-eral femoral condyle and medial tibial pla . 2013;41(8):18017. Study was conducted between May 2014 to September 2015 with a sample size of 200 patients. A knee contusion is a bruised knee. Article Case Discussion. MR imaging performed in two patients with kissing contusions showed persistence of the tibial lesions. . Knee Surg Sports Traumatol Arthrosc. They found that all the lesions in one patient do not heal at exactly the same speed. Type I lesions are most common on the lateral femoral condyle and type III on the lateral tibial condyle. In this study, the time gap between injury and doing MRI was not considered. Study was conducted between May 2014 to September 2015 with sample size of 200 patients, after taking the institutional ethical clearance. Traumatic Bone Bruises in the Athlete's Knee. Materials and methods: the contents by NLM or the National Institutes of Health. 4. Bone marrow contusion at posterior lip of medial tibial condyle was seen in 59 cases. In suspected ACL injury, bone marrow contusion may not be necessarily present. PLT: Posterolateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. 2006;238:85362. Sports Health. Associated soft-tissue injuries include the medial retinaculum, the Medial Patellofemoral ligament, and the medial patellotibial ligament [9]. Fill out the form below and a representative will be in touch. 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]. Acute knee block. Part of Springer Nature. Clin Orthop Relat Res. Knee Surg Sports Traumatol Arthrosc 29(4):10181024, Cobby MJ, Schweitzer ME, Resnick D (1992) The deep lateral femoral notch: an indirect sign of a torn anterior cruciate ligament. *Other cause include fall while getting down from bus (1 case), fall while jumping (1 case), fall while getting downstairs. 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. 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. Rangger C, Klestil T, Kathrein A, Indester A, Hamid L. Influence of magnetic resonance imaging on indications for arthroscopy of the knee. Contusions of both surfaces of the joint are known as kissing contusions.Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint.Methods: 255 MRI examinations in athletes with acutely injured knees (197 men; 58 women; Related Papers Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. In compressive load, bones collide leading to impaction. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. -. Yoon KH, Yoo JH, Kim KI. PubMed J Orthop Surg Res. PubMed Central . Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. "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. 2023 Springer Nature Switzerland AG. Br J Sports Med. Semin Ultrasound CT MR. 1994 Oct;15(5):396-409. doi: 10.1016/s0887-2171(05)80006-x. Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures. Google Scholar. 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. Graf BK, Cook DA, De Smet AA, Keene JS. MR diagnosis of Bone contusion of the knee: Comparison of coronal T2 weighted Fast spin echo with fat saturation and fast spin echo STIR images with conventional STIR images. 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. Clin Radiol. FOIA Bethesda, MD 20894, Web Policies Other structures are injured less frequently and have weaker associations with bone bruise distribution. The .gov means its official. 1996;330:13342. no financial relationships to ineligible companies to disclose. Fornalski S, McGarry MH, Csintalan RP, Fithian DC, Lee TQ. Biomechanical and anatomical assessment after knee hyperextension injury. 2010 Dec;38(12):2502-8. doi: 10.1177/0363546510376232. Acta Radiol. Davies NH, Niall D, King LJ, Lavelle J, Healy JC. Elsevier Health Sciences. application/pdf PubMed 33 0 obj Dashboard injury occurs when force is applied to the anterior aspect of the proximal tibia while the knee is in a flexed position. It can also damage interposed soft tissues, most commonly the articular cartilage and meniscus. endstream 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. Hong CK, Lin YJ, Cheng TA, Chang CH, Hsu KL, Kuan FC, Su WR. A thorough understanding of knee injury patterns and their mechanisms may help in achieving more accurate assessment of injuries. 98 0 obj Epub 2021 May 11. Popular works include The appearance of kissing contusion in the acutely injured knee in the athletes, Role of Magnetic Resonance Imaging in Study of the Patellofemoral Joint Morphological Abnormalities Predisposing to Patellar Instability and more. 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%). In current study unclassifiable injuries pattern was noted in 6 cases. Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. After knee injury, bone marrow oedema is frequently subchondral in location [4]. Chi-square = 1.926, p =0.3817 i.e. Kissing contusion refers to the bone contusions in both femoral and tibial surfaces of the knee. Twenty-five patients were identified (median time from injury to MRI=24days). 2016;10(4):TC0611. Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. Over 2600 credentialed providers acrosstheUS. Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. khloe kardashian hidden hills house address. <> - 134.209.62.117. No meniscal tear. 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). Bookshelf Clin Imaging. The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. 1020 AJR:196, May 2011 Pai and Strouse ulation [2, 3]. The usefulness of the oblique coronal plane in knee MRI on the evaluation of the posterior cruciate ligament. Book an Appointment. 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. HHS Vulnerability Disclosure, Help No significant difference was noted in location of bone marrow contusion in clip injury for different type/mode of injury. 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). 2000;24:37180. Bone bruising of the knee. Vojnosanit Pregl. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Injury in PCL is seen in all the cases. Google Scholar. Mechanism-based pattern approach to classification of complex injuries of the knee depicted at mr imaging. KIS Imaging is the nations largest direct contracting imaging network with over 2,600 providers covering all major imaging needs: MRI, CT and PET. The most common symptom of a knee contusion is pain. PubMed Over the lifetime, 3 publication(s) have been published within this topic receiving 31 citation(s). Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. Google Scholar. Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. Park HJ, Lee SY, Chung EC, Rho MH, Ahn JH, Kim M, et al. E-mail: Received 2016 Jan 13; Revisions requested 2016 Jan 29; Accepted 2016 Feb 28. 1989 Jun;171(3):761-6 Bone marrow contusion usually resolves in 6-8 weeks [6]. FOIA 2022 Jan 11;17(1):17. doi: 10.1186/s13018-022-02912-0. PDFS Saggital: Bone marrow oedema at Lateral femoral and posterolateral tibial plateau in Pivot shift injury. Bone bruising; Knee hyperextension; MRI. Zeiss J, Paley K, Murray K, Saddemi SR. Bone bruise represents as acute, occult microfractures of subchondral trabecular bone with subsequent haemorrhage, oedema and hyperemia.

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