kissing contusion knee radiology

A prospective study of the association between bone contusion and intra-articular injuries associated with acute anterior cruciate ligament tear. Kim-Wang SY, Spritzer CE, Owusu-Akyaw K, Coppock JA, Goode AP, Englander ZA, Wittstein JR, DeFrate LE. [11] Anterior displacement of tibia refers to increased distance from the posterior cortex of the lateral tibial plateau to the posterior cortex of the femur. In tensile load, on the other hand, bones pull apart leading to distraction across the joint and traction on stabilizing structures. By directing imaging to outpatient sites, not hospital settings, it creates a better patient experience while yielding substantial savings. Objective: 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). Following informed consent, complete history from the patient and relative (attendant) about injury was recorded. Would you like email updates of new search results? There were 2 cases with hyperextension injury while playing football and 2 patients attained the injury after being hit by car. In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern. Notch depth equal to 0.72mm can be basically considered as the optimal cut-off point for LFNS in statistics. Hong CK, Hoshino Y, Watanabe S, Nagai K, Matsushita T, Su WR, Kuroda R. Knee Surg Sports Traumatol Arthrosc. 2014 . Boks SS, Vroegindeweij D, Koes BW, Bernsen RM, Hunink MG, Bierma-Zeinstra SM. Bone contusion patterns of the knee at MR imaging: footprint of the Radiology. Before Compression and tension are two basic loads that commonly act on the knee [4]. Sports Health. PDFS Coronal: Bone marrow oedema at Medial femoral condyle and Metadiaphysis. ;S'XhM. 8600 Rockville Pike The https:// ensures that you are connecting to the 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. The magnitude of the force is a major determinant of the imaging findings. 8600 Rockville Pike HW contributed to some imaging data and surgery. PubMed Central Waiving out of pocket expenses incentivizes your members to use the KISx network resulting in savings for both planandmember. - 103.57.222.214. The positive rate of KC in the experimental group (183/500) was markedly higher than that in the control group (3/500) (P<0.05). Inclusion criteria were patients with recent knee injuries (<6weeks) and normal plain radiograph with no signs of pathology. Bookshelf Hyperextension of the knee can result when direct force is applied to the anterior tibia while the foot is planted or from an indirect force, such as a forceful kicking. The knee may also be swollen and bruised. 1997;93(12):404. Hyperextension injuries of the knee: do patterns of bone bruising predict soft tissue injury?. Methods: Epub 2022 Nov 28. 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]. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. PubMed Central 2007;189:55662. Zeiss J, Paley K, Murray K, Saddemi SR. PubMed 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. Arch Orthop Trauma Surg. In distraction injury, excessive tension may damage the joint capsule, retinacula, ligaments, and tendons as well as their osseous attachment sites. Moderate edema at the gastrocnemius/soleus interface and overlying the superficial medial gastrocnemius proximal myotendinous junction. Associated soft-tissue injuries include the medial retinaculum, the Medial Patellofemoral ligament, and the medial patellotibial ligament [9]. Google Scholar. 2 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Unable to process the form. 1996;198:2058. MR feature of bone bruising reflects increase in water content in marrow cavity as a result of haemorrhage, therefore water sensitive sequence like fat saturated T2W, PD weighted image or STIR are used [1,11,12]. This site needs JavaScript to work properly. 4 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Acute findings of a joint effusion and posterior tibial plateau contusion are present. The purpose of this review is to . Emerg Radiol 2:129134, Article Assessment with magnetic resonance, correlated with arthroscopy. Epub 2021 May 11. Careers. J Bone Joint Surg Am. Transient lateral patellar dislocation: review of imaging findings Background: Knee kinematics during noncontact anterior cruciate ligament injury as determined from bone bruise location. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2014 Feb;44(2):281-93. doi: 10.1007/s40279-013-0116-z. Mechanism of traumatic knee injuries and MR findings. The lateral femoral notch sign (LFNS) and the kissing contusion (KC) are two indirect signs of anterior cruciate ligament (ACL) injuries. Prognosis is particularly influenced by the presence of osteoarthritis. Perin B, Nardacchione R, Bonaga S, Angelini F, Girotto A, Giovagnoni A, et al. 2002;10:96101. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. Over the lifetime, 3 publication(s) have been published within this topic receiving 31 citation(s). 98 0 obj T2 Axial: Bone marrow oedema in Inferiomedial aspect of patella and lateral femoral condyle in lateral patellar dislocation. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. see full revision history and disclosures, posterior soft tissue injuries involving the knee joint capsule, fibular attachment of soleus and distal semimembranosus tendon. 2021 May;13(3):966-978. doi: 10.1111/os.12997. 2004;32:16817. Medial and lateral meniscal tears usually involving the . Google Scholar, Wierer G, Simetinger T, Hudelmaier M, Moroder P, Hoffelner T (2020) Fate of the lateral femoral notch following early anterior cruciate ligament reconstruction. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> 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]. Other 2 cases (50%) are hyperextension with valgus component and kissing contusion at medial aspect of proximal tibia and distal femur caused due to kicking while playing football. Other structures are injured less frequently and have weaker associations with bone bruise distribution. 2016. https://doi.org/10.1016/j.arthro.2016.03.015. This case demonstrates a hyperextension knee injury consisting of. Orthop J Sports Med 2014;2:2325967113519741. Jeli D, Masulovi D. Bone bruise of the knee associated with the lesions of anterior cruciate ligament and menisci on magnetic resonance imaging. The oedema pattern & suspected type/mode of injury on basis of MRI were then correlated with detailed patients history on mode of injury. Our team of experienced agents will hand hold the member through theentireprocess. Type / Mode of injury in Clip injury pattern. Sagittal proton density images showing (A) typical kissing contusion An official website of the United States government. They found that all the lesions in one patient do not heal at exactly the same speed. Rangger C, Kathrein A, Freund MC, Klestil T, Kreczy A. In compressive load, bones collide leading to impaction. eCollection 2020 Apr. Arch Orthop Trauma Surg 140(11):17511757, Article None of the knees had been injured before. Hyperextension results in the "kissing" contusion pattern involving the anterior aspect of the proximal tibia and distal femur. Learn more about Institutional subscriptions. HHS Vulnerability Disclosure, Help Sanders TG, Medynski MA, Feller JF et-al. In this study hyperextension injury noted in 4 cases in 138 cases (2.9%). 1996 Sep;(330):133-42 Kissing contusion | 3 Publications | 31 Citations | Top Authors PDF ORIGINAL ARTICLE The appearance of kissing contusion in the acutely The posteromedial corner of the knee is a capsuloligamentous complex in the posterior aspect of the medial compartment. 2004;38:5926. Google Scholar, Kanakamedala AC, Burnham JM, Pfeiffer TR et al (2018) Lateral femoral notch depth is not associated with increased rotatory instability in ACL-injured knees: a quantitative pivot shift analysis. Correlation between various pattern of bone marrow oedema and type/mode of injury. Graf BK, Cook DA, De Smet AA, Keene JS. 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. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. *Other cause include fall while getting down from bus (1 case), fall while jumping (1 case), fall while getting downstairs. This pattern is thought to result resolution from contrecoup forces in the medial compartment at the forced valgus forces. FOIA 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. On applying fisher-exact test, p = 0.1655 i.e. Sahoo K, Garg A, Saha P, Dodia JV, Raj VR, Bhairagond SJ. Contusions of both surfaces of the joint are known as kissing contusions. Bone contusion patterns of the knee at MR imaging: footprint of the Bone marrow contusions are frequently identified at magnetic . MRI of affected knee joint was done as per imaging protocol and images stored in compact disc. Kapelov SR, Teresi LM, Bradley WG, Bucciarelli NR, Murakami DM, Mullin WJ, et al. Winters K, Tregnonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. The double sulcus sign is a radiographic marker that confers a high probability of ACL injury. Below is the link to the electronic supplementary material. This is a preview of subscription content, access via your institution. 31 0 obj Case Discussion. 2023 Feb;19(1):107-112. doi: 10.1177/15563316221092320. *no pattern of bone marrow contusion could be explained as per the classification. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Epub 2019 Mar 26. Google Scholar. Mri knee trauma - SlideShare National Library of Medicine The secondary aims were to study bone marrow oedema patterns in setting of acute knee trauma, to associate the type of knee injury (from clinical history) with bone marrow oedema pattern, to determine the most common oedema pattern and to assess the most common type/mode of injury. Why continue to overpay for your most common Imaging procedures? In our study pivot shift pattern is noted in 78 cases (56.5%). MRI of the Pediatric Knee CAS Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. Our study only involves the image information of patients. Epub 2013 Jun 6. No funding was received to assist with the preparation of this manuscript. Bethesda, MD 20894, Web Policies "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). 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. At the time the case was submitted for publication Henry Knipe had no recorded disclosures. Become a Gold Supporter and see no third-party ads. Bone contusion of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee. Among 46 cases, football was most common sports leading to injury followed by Kabaddi. 1030). Study was conducted between May 2014 to September 2015 with sample size of 200 patients, after taking the institutional ethical clearance. Am J Sports Med. The https:// ensures that you are connecting to the Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. <>stream Am J Sports Med. 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. Would you like email updates of new search results? A load that is too low to cause cortical fracture may be sufficient to disrupt trabecular bone and produce marrow contusion. FOIA Bone marrow oedema is usually most prominent in the lateral femoral condyle secondary to the direct blow, whereas a second smaller area of oedema in the medial femoral condyle secondary to avulsive stress to the MCL. 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]. Comparison of bone contusion seen by MRI in partial and complete tears of the anterior cruciate ligament. The Predicted Position of the Knee Near the Time of ACL Rupture Is Similar Between 2 Commonly Observed Patterns of Bone Bruising on MRI. Five patterns of bone marrow contusion was noted in 138 cases: Clip injury in 39 cases (28.3%) [Table/Fig-1a&b], Pivot shift injury in 78 cases (56.5%) [Table/Fig-2a&b], Dashboard injury in eight cases (5.8%) [Table/Fig-3], Hyper extension injury in four cases (2.9%) [Table/Fig-4], Lateral patellar dislocation in three cases (2.2%) [Table/Fig-5]. Looking for more information? https://doi.org/10.1007/s00256-017-2754-y, DOI: https://doi.org/10.1007/s00256-017-2754-y. Table showing Type/Mode of injury in pivot shift injury. Article Epub 2022 May 3. Objective: Bone bruises: their patterns and significance. Check for errors and try again. Among the 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). Horizontal Rafting Plate for Treatment of the Tibial Plateau Fracture. Snearly WN, Kaplan PA, Dussault RG. JB JS Open Access. Hong CK, Lin YJ, Cheng TA, Chang CH, Hsu KL, Kuan FC, Su WR. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> We have included all the patients coming with acute knee injuries irrespective of type/mode of injury. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. 3. MeSH A lateral radiograph of the right knee a shows osseous fragmentation of the tibial tuberosity and soft tissue swelling ( white arrow ). 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. Inclusion in an NLM database does not imply endorsement of, or agreement with, 2004-09-01T13:26:27Z Article Kissing contusion refers to the bone contusions in both femoral and tibial surfaces of the knee. 2011;197 (3): 568-77. Patients were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. 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). 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. Radiology 182(1):221224, Niitsu M, Kuramochi M, Anno I, Itai Y (1995) Secondary signs of anterior cruciate ligament tear at MR imaging. 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 depth of LFNS and the presence of KC were determined on MRI findings. Our Facilities. Google Scholar. T1W Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. "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. Muscle belly edema within the fibular attachment of the soleus with periosteal stripping of the posterior fibula. PubMed Central National Library of Medicine +(91)-9821210096 | paula deen meatloaf with brown gravy. Gong, H., Wang, H., Zhang, X. et al. A deeper notch often indicates a more complex knee injury. 2000;20:S13551. 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. Byrd JM, Colak C, Yalcin S; Clevel and Clinic Sports Medicine*; Winalski C; Cleveland Clinic Sports Medicine group; Briskin I, Farrow LD, Jones MH, Miniaci AA, Parker RD, Rosneck JT, Saluan PM, Strnad GJ, Spindler KP. PMC The appearance of kissing contusion in the acutely injured knee in the When femur rotates internally on a fixed tibia on the flexed knee; contraction of the quadriceps occurs, leading to lateral dislocation of the patella out of the trochlear groove [8,14]. 8600 Rockville Pike Am J Sports Med. The patients age ranged from 17-65 years and majority of patients were in 21-30years age group. CAS J Clin Diagn Res. 2005;118(1209):U1301. Other associated injury in ACL (87.5%), Medial meniscus (50 %) and lateral meniscus (75%). government site. 10 0 obj Disclaimer. Background: Bone contusions are often identified at magnetic resonance imaging (MRI) in the acutely injured knee. 2020 Apr 15;8(4):2325967120911162. doi: 10.1177/2325967120911162. Epub 2010 Sep 13. CAS The coronal lateral collateral ligament sign in the anterior cruciate ligament-injured knees was observed regardless of the knee laxity based on the quantitative measurements. Bone marrow oedema on T2 weighted magnetic resonance (MR) images is recognized as an ill-defined hyperintensity in the bone marrow where standard radiographs showed nonspecific osteopenia or normal findings [3]. CAS Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. endobj By applying a biomechanical approach in MR interpretation, it is possible to detect lesions like ligament rupture and osseous contusion, to predict subtle but it might overlook important abnormalities. Clin Sports Med 33(4):633640, Tauber M, Fox M, Koller H, Klampfer H, Resch H (2008) Arthroscopic treatment of a large lateral femoral notch in acute anterior cruciate ligament tear. Br J Sports Med 42(6):394412, Saxena A, Ray B, Rajagopal K, DSouza A, Pyrtuh S (2012) Morphometry and magnetic resonance imaging of anterior cruciate ligament and measurement of secondary signs of anterior cruciate ligament tear. Bethesda, MD 20894, Web Policies PubMed Central Sports Med. Therefore, an influence by the number of bone bruises on healing time was marked; the higher the number, the more likely that there will be one slowly resolving lesion. [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). It can also damage interposed soft tissues, most commonly the articular cartilage and meniscus. The most common symptom of a knee contusion is pain. Contusion in medial femoral condyle occurs secondary to the avulsion to medial collateral ligament from site of attachment at medial femoral condyle [8]. 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. Clin Radiol 2004;59:439-445. Posttraumatic Subchondral Bone Contusions and Fractures of the Knee Surg Sports Traumatol Arthrosc. Out of 200 patients, 32 were women (16%) and 168 men (84%). 2011;133:011012. The .gov means its official. Bone contusions were diagnosed in 71 cases (27.8%); 55 (22.5%) were identified as single contusions and 16 (6.3%) as kissing contusions.

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