kissing contusion knee radiology

2023 Feb;143(2):927-934. doi: 10.1007/s00402-022-04366-9. Prognosis is particularly influenced by the presence of osteoarthritis. On applying fisher-exact test, p = 0.1655 i.e. 2023-05-01T23:01:26-07:00 Adult patients with ACL tears have greater tibial internal rotation in MRI compared to adolescent patients. Article Age, type of bone bruise, and number of bruises also have prognostic value. Herbst E, Hoser C, Tecklenburg K, Filipovic M, Dallapozza C, Herbort M, et al. Google Scholar. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. There has been limited investigation to subdividing the bone contusion model in the medial and lateral directions of the tibial plateau and the . 1993;189:9014. sharing sensitive information, make sure youre on a federal Bratisl Lek Listy 113(9):539543, Svoboda SJ (2014) ACL injury and posttraumatic osteoarthritis. CAS 2023 Springer Nature Switzerland AG. endobj LF directed the writing of the article. Hong CK, Lin YJ, Cheng TA, Chang CH, Hsu KL, Kuan FC, Su WR. PMC Type / Mode of injury in Clip injury pattern. Contusions of both surfaces of the joint are known as kissing contusions. Br J Sports Med. bone contusion) can give clues for the mechanism and associated injuries. Patient was placed in supine position with knee externally rotated 10-20 degree 21. Over 2600 credentialed providers acrosstheUS. 2004;32:16817. To establish whether patterns of soft tissue injury following knee hyperextension are associated with post-traumatic bone bruise distribution. A thorough understanding of knee injury patterns and their mechanisms may help achieve more accurate assessment of injuries [8]. On 1.5 T, knee joint was examined in Saggital (T1, T2, PD, PDFS), Coronal (T2/ PDFS), Axial (T2, Medic) sequences. 4 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Knee kinematics during noncontact anterior cruciate ligament injury as determined from bone bruise location. Google Scholar. FOIA The clip injury is a contact injury that occurs after a pure valgus stress is applied to the knee while the knee is in a state of mild flexion (i.e. 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. The patients age ranged from 17-65 years and majority of patients were in 21-30years age group. -, Radiol Clin North Am. 3. Radiographics : a Review Publication of the Radiological Society of North America, Inc , 01 Oct 2000, 20 Spec No: S135-51. 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. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. doi: 10.2106/JBJS.OA.21.00069. It can also damage interposed soft tissues, most commonly the articular cartilage and meniscus. SuzanneWitjes, Tammo HPels Rijcken, Cor Pvan der Hart. According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). Bone contusions of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee at MR imaging. Our Facilities. PubMedGoogle Scholar. Hyperextension injuries of the knee: do patterns of bone bruising predict soft tissue injury?. https://doi.org/10.1007/s00256-017-2754-y, https://doi.org/10.1016/j.arthro.2016.03.015. 33 0 obj PMC They can be used to diagnose ACL injuries. These findings are comparable to Arndt et al., who conducted a study in MR diagnosis of contusion of knee in < 6 weeks and described bone marrow contusion in 23 cases out of 51 cases (45.1%). Kissing contusion | 3 Publications | 31 Citations | Top Authors Assessment with magnetic resonance, correlated with arthroscopy. Following informed consent, complete history from the patient and relative (attendant) about injury was recorded. Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. The https:// ensures that you are connecting to the The site is secure. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Results: 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. Patients with a knee MRI within one year of hyperextension injury were identified at our institution over a 7 year period. endobj 1 Kacey Court, Suite 100, Mechanicsburg, Pa, 17055. Bethesda, MD 20894, Web Policies KIS Imaging is the nations largest direct contracting imaging network with over 2,600 providers covering all major imaging needs: MRI, CT and PET. J Biomech Eng. MRI follow-up of posttraumatic bone bruises of the knee in general practice. Tax calculation will be finalised during checkout. Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees. 2021 May;13(3):966-978. doi: 10.1111/os.12997. PLT: Posterolateral tibial plateau, LF: Lateral femoral condyle, MT: Medial tibial condyle, MF: Medial femoral condyle. 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. 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. 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. 2016;10(4):TC0611. Mechanisms of non-contact anterior cruciate ligament injury as - PubMed Background: Please enable it to take advantage of the complete set of features! Am J Sports Med 28(1):6873, Gentili A, Seeger L, Yao L, Do H (1994) Anterior cruciate ligament tear: indirect signs at MR imaging. 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. 2011;133:011012. Bone bruising; Knee hyperextension; MRI. This was comparable to study conducted by Kirsch et al., in who reported transient lateral patellar dislocation in 2% cases with acute knee injuries and bone marrow contusion is noted in lateral femoral condyle in 81% and contusion in patella in 19% cases [15]. 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. The pattern of bone bruise in knee injuries (a.k.a. 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. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Acta Orthop Traumatol Turc. Sanders TG, Medynski MA, Feller JF et-al. Objective: 1996;198:2058. Bone Contusion Patterns of the Knee at MR Imaging: Footprint of the . Characteristic magnetic resonance imaging (MRI) findings often lead to the diagnosis. Bone marrow contusions are frequently identified at magnetic . This study was approved by the ethical committee of Beijing Tsinghua Changgung Hospital (No. Sports Med. 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 contents by NLM or the National Institutes of Health. Notch syndrome refers to the enlarged and deepened lateral femoral condyle. 2016. https://doi.org/10.1016/j.arthro.2016.03.015. Inpatient imaging services are available 24/7. Injury in PCL is seen in all the cases. T1W Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. Learn more about Institutional subscriptions. volume143,pages 927934 (2023)Cite this article. Oedema is seen at the anterior aspect of the tibia and, occasionally, at the posterior surface of the patella [8]. A knee contusion is a bruised knee. HHS Vulnerability Disclosure, Help Biomechanical and anatomical assessment after knee hyperextension injury. Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. 2022. Bone contusion patterns of the knee at MR imaging: footprint of the Clin Radiol 2004;59:439-445. Case study, Radiopaedia.org (Accessed on 02 May 2023) https://doi.org/10.53347/rID-83381. Elsevier Health Sciences. Arch Orthop Trauma Surg 140(7):923931, Renstrom P, Ljungqvist A, Arendt E et al (2008) Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement. 5 0 obj The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR=7.8, p=0.03). Materials and methods: Traumatic mechanisms are sometimes too complex or poorly understood which cannot be comprehend [4]. Oedema or interisital fluid within marrow extracellular space similar to free fluid shows long T1 and T2 decay characteristics and appear hypointense on T1 and hyperintense on T2W. Google Scholar. Looking for more information? In tensile load, on the other hand, bones pull apart leading to distraction across the joint and traction on stabilizing structures. Transient lateral patellar dislocation: diagnosis with MR imaging. Correlation between contusion pattern in clip injury and type/mode of injury. Medial and lateral meniscal tears usually involving the . *Other cause include fall while getting down from bus (1 case), fall while jumping (1 case), fall while getting downstairs. endobj Kaplan PA, Gehl RH, Dussault RG, Anderson MW, Diduch DR. 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. Clin Imaging. 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);. Br J Sports Med. Many patients coming with complain of pain following injury without radiographic evidence of fracture, MRI yields presence of extensive injury marrow which is characterised by marrow oedema and haemorrhage termed as bone bruise. Minor focus of edema in the anterior aspect of the lateral femoral condyle. This is a preview of subscription content, access via your institution. Am J Sports Med. Call Us Today! Emerg Radiol 2:129134, Article Study of Imaging Pattern in Bone Marrow Oedema in MRI in Recent Knee 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. <>stream These contusions are generally found by magnetic resonance imaging and most cases are associated with ligamentous or menisceal injuries. 1 0 obj 2019 Nov;27(11):3633-3637. doi: 10.1007/s00167-019-05490-7. Bone bruise of the knee: histology and cryosections in 5 cases. In our study pivot shift pattern is noted in 78 cases (56.5%). You can help Wikipedia by expanding it. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Contusions of both surfaces of the joint are known as kissing contusions. 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]. Epub 2022 Nov 28. 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. 2015;23(8):22508. 2007;189:55662. Objective: Rodriguez W, Vinson EN, Helms AC, Toth PA. MRI appearance of posterior cruciate ligament tears. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. 1999;211:74753. Osteochondral Lesions of the Knee: Differentiating the Most Common 2014 . Computed Tomography & Magnetic Resonance Imaging Of The Whole Body. Bretlau T, Tuxe J, Larsen L, Jrgensen U, Thomsen HS, Lausten GS. Other structures are injured less frequently and have weaker associations with bone bruise distribution. 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]. Article Skeletal Radiology 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). Transient lateral patellar dislocation: review of imaging findings In these 16 cases, contusion in medial compartment was noted in 2 cases (12.5%) [13]. Associated MCL injury is noted in 31 cases (79.5%). Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures. Bone Bruise Distribution Patterns After Acute Anterior Cruciate Ligament Ruptures: Implications for the Injury Mechanism. The LFNS and KC have strong clinical significance in the diagnosis of ACL injuries. In this study, patients with history of knee injury <6 weeks were considered as recent knee injuries. Rangger C, Kathrein A, Freund MC, Klestil T, Kreczy A. https://doi.org/10.1007/s00402-022-04366-9, DOI: https://doi.org/10.1007/s00402-022-04366-9. Orthop J Sports Med. Davies NH, Niall D, King LJ, Lavelle J, Healy JC. Most common type/mode of injury in clip injury pattern in fall from two wheeler in 26 cases (66.7%). This case demonstrates a hyperextension knee injury consisting of. Am J Sports Med. We're here to help! Before 2015;49:145260. government site. Asai K, Nakase J, Oshima T, Shimozaki K, Yoshimizu R, Tsuchiya H (2020) Partial resection of the infrapatellar fat pad during anterior cruciate ligament reconstruction has no effect on clinical outcomes including anterior knee pain. 2013;41(8):18017. Other structures are injured less frequently and have weaker associations with bone bruise distribution. T2 Axial: Bone marrow oedema in Inferiomedial aspect of patella and lateral femoral condyle in lateral patellar dislocation. Liu ZY, Zhang JL, Liu C, Cao Q, Shen QJ, Zhao JC. By analysing bone marrow contusion pattern, type/mode can be determined in most of the cases. Bone contusion of knee: Increase lesion detection with fast spin echo MR Imaging with spectroscopic Fat saturation. Five classic bone contusion patterns have been described 1-4: The knee is a complex synovial joint that can be affected by a range of pathologies: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. The bone bruise or bone contusion are commonly used to define an occult bone alteration oedematous haemorrhagic due to trabecular microfractures as a result of a direct blow to the bone, application of compressive forces on contiguous bones with a consequent impact mechanism, and the action of a torsional force, and to stresses by traction on the subchondral bone by insertion of the ligament, tendon or capsular as occurs in traumatic avulsion [1]. Bone marrow oedema is responsible for patient symptoms and may lead to early degenerative changes [7]. MRIs, plain radiographs and clinical details of these patients were reviewed. Bisson LJ, Kluczynski MA, Hagstrom LS, Marzo JM. By directing imaging . HWnWhl2 p$%SgdR`Qvs4a^q~z]&O_F?`7%|8W.Zyxc\4x{gJSp>)nO|-6bhLCntyFTVe7WwtR?fs;fLh;>|*E{mIvqGUlT! (2008) ISBN:0323076211. 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. Please enable it to take advantage of the complete set of features! 2022 Oct 17;10(10):23259671221120636. doi: 10.1177/23259671221120636. 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. Song GY, Zhang H, Wang QQ, Zhang J, Li Y, Feng H. Bone contusions after acute noncontact anterior cruciate ligament injury are associated with knee joint laxity, concomitant meniscal lesions, and anterolateral ligament abnormality. 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. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. eCollection 2020 Apr. The authors declare that they have no conflict of interest. The https:// ensures that you are connecting to the In addition to trauma, marrow oedema can be seen in a broad spectrum of entities, including infection, transient osteoporosis of the hip bone marrow, and neoplasm demonstrates relatively hyperintense T2 and hypointense T1 signal, but the clinical history and location of injury typically allows the correct diagnosis to be made [2]. official website and that any information you provide is encrypted Google Scholar. 2021 Nov 11;6(4):e21.00069. 2023 Springer Nature Switzerland AG. The .gov means its official. J Bone Joint Surg Am 92(2):353360, Yu JS, Bosch E, Pathria MN et al (1995) The deep lateral femoral sulcus:correlation in 124 patients with anterior cruciate ligament tear. [101 0 R] Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. Radiology. Disclaimer. After knee injury, bone marrow oedema is frequently subchondral in location [4]. J Bone Joint Surg Am. 13 0 obj Skeletal Radiol 32(11):639646, Flint J, Wade A, Giuliani J, Rue J (2014) Defining the terms acute and chronic in orthopaedic sports injuries: a systematic review. 2014 Feb;44(2):281-93. doi: 10.1007/s40279-013-0116-z. Correlation between various pattern of bone marrow oedema and type/mode of injury. sharing sensitive information, make sure youre on a federal It is a rare (6.3% in this series) but significant injury, often associated with ligamentous or menisceal tears. . 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]. Pure passive hyperextension of the human cadaver knee generates simultaneous bicruciate ligament rupture. Graf BK, Cook DA, De Smet AA, Keene JS. %PDF-1.4 % [12] PDFS Saggital: Bone marrow oedema at proximal tibia in Dashboard injury. LXC designed the study and was responsible for the paper. Patient demographics, the clinical presentation, and the role of trauma are critical for . Conclusions: Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Contusions of both surfaces of the knee joint are known as kissing contusions. HHS Vulnerability Disclosure, Help ADVERTISEMENT: Supporters see fewer/no ads. Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Kissing contusion refers to the bone contusions in both femoral and tibial surfaces of the knee. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. MRI is used widespread to interpret more complex injuries. Boks SS, Vroegindeweij D, Koes BW, Bernsen RM, Hunink MG, Bierma-Zeinstra SM. 2019. Bethesda, MD 20894, Web Policies A knee contusion can usually be treated . Over the lifetime, 3 publication(s) have been published within this topic receiving 31 citation(s). Radiology 182(1):221224, Niitsu M, Kuramochi M, Anno I, Itai Y (1995) Secondary signs of anterior cruciate ligament tear at MR imaging. Felt a "popping" sensation after landing on a straightened knee. Soft tissue injury associated with dash board injury includes PCL and posterior joint capsule. Patients were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. Texas Health Care Imaging has been registered with the National Provider Identifier database since May 25, 2021 and its NPI number is 1053986786 (certified on 05/25/2021). 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. Sagittal proton density images showing (A) typical kissing contusion Careers, Unable to load your collection due to an error. Posteromedial Tibial Bone Bruise After Anterior Cruciate Ligament Injury: An MRI Study of Bone Bruise Patterns in 208 Patients. Accessibility Knee Surg Sports Traumatol Arthrosc. . Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint. These contusions are generally found by magnetic resonance imaging and most cases are associated with ligamentous or menisceal injuries.[1]. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. Methods: 2012;2 (5): 398-402. This pattern is thought to result resolution from contrecoup forces in the medial compartment at the forced valgus forces. and transmitted securely. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Hyperextension knee injury. CAS Background: The location and severity of tibiofemoral bone contusions in magnetic resonance imaging scans in patients with acute non-contact anterior cruciate ligament injuries can reflect the primary mechanisms of anterior cruciate ligament injuries. Case Discussion. 2000;20 Spec No (suppl_1): S135-51. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> Study was conducted between May 2014 to September 2015 with sample size of 200 patients, after taking the institutional ethical clearance. "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. In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern [Table/Fig-6]. Texas Health Care Imaging | Radiology Clinic in Brownsville, TX 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. Epub 2019 Mar 26. In 6 cases bone marrow contusion could not be explained by various patterns. Compression and tension are two basic loads that commonly act on the knee [4]. Ready to get started? The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%).