A cross-section study was done on all patients reffered to Krishna Hospital, Karad for MRI knee with history of recent (< 6 weeks) knee injury. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). None of the knees had been injured before. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in endobj 1996;198:2058. MRIs, plain radiographs and clinical details of these patients were reviewed. %PDF-1.4 % judge timothy kenny political affiliation. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). In this study, inclusion criteria included history of knee injury within 6 weeks or suspected ACL injury [12]. endobj At the time the article was created Henry Knipe had no recorded disclosures. Case Discussion. The appearance of kissing contusion in the acutely injured knee in the endobj Emerg Radiol 17(6):435444, Murphy BJ, Smith RL, Uribe JW, Janecki CJ, Hechtman KS, Mangasarian RA (1992) Bone signal abnormalities in the posterolateral tibia and lateral femoral condyle in complete tears of the anterior cruciate ligament: a specific sign? Language links are at the top of the page across from the title. Am J Sports Med. 1993;21:2203. -, Radiology. 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. Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. Am J Sports Med. 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. Hyperextension results in the "kissing" contusion pattern involving the anterior aspect of the proximal tibia and distal femur. "Kissing contusion" refers to a bone contusion on both side of the knee joint. PubMed Central 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]. 1 Professor and HOD, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. Study of Imaging Pattern in Bone Marrow Oedema in MRI in Recent Knee 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. Bone bruise in the acutely injured knee. Bone bruises: their patterns and significance. Injury in PCL is seen in all the cases. 2019 Nov;27(11):3633-3637. doi: 10.1007/s00167-019-05490-7. 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%). Winters K, Tregnonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. 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. Knee Surg Sports Traumatol Arthrosc. Bone bruising of the knee. PDF ORIGINAL ARTICLE The appearance of kissing contusion in the acutely Sports Med. Inclusion criteria were patients with recent knee injuries (<6weeks) and normal plain radiograph with no signs of pathology. Kessler R, Campbell S, Wong D, Mansfield LB. Br J Sports Med. While the knee is in a state of flexion, twisting motion of the knee can lead to transient dislocation of knee. Pivot shift injury pattern according to Location of marrow oedema. No cost for the Employer or Employee with up to 80% savings. Epub 2021 Apr 4. no significant difference in location for different type/ mode of injury. PubMed The clip injury results in a prominent area of edema involving the lateral femoral condyle and a smaller area of edema involving the medial femoral condyle. The lateral femoral notch sign following ACL injury: frequency, morphology and relation to meniscal injury and sports activity. Magnetic Resonance Imaging of Bone Marrow: A Review Part II. 1 Kacey Court, Suite 100, Mechanicsburg, Pa, 17055. Accessibility AJR Am J Roentgenol. The associated injuries were confirmed by arthroscopy in 12/16 patients. Skeletal Radiology Bone marrow contusion showed five patterns (according to Sanders classification) i.e., Clip injury in 39 cases (28.3%), Pivot shift injury in 78 cases (56.5%), Dashboard injury in eight cases (5.8%), Hyperextension injury in four cases (2.9%), Lateral patellar dislocation in three cases (2.2%). Mild high signal of the distal semimembranosus insertion, however, the remaining posteromedial corner structures appear uninjured. 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). see full revision history and disclosures, posterior soft tissue injuries involving the knee joint capsule, fibular attachment of soleus and distal semimembranosus tendon. Radiol Med. Sanders classified bone marrow contusions in five different patterns as: Clip injury, Pivot shift injury, Dashboard injury, Hyperextension injury, and Lateral patellar dislocation [8]. The oedema pattern & suspected type/mode of injury on basis of MRI were then correlated with detailed patients history on mode of injury. Follow-up of occult bone lesions detected at MR imaging: systematic review. In this study 8 cases (5.7%) had dashboard injury pattern of bone marrow contusion at anterior aspect of proximal tibia. 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 clinical history, location of bone marrow oedema and the presence of other trauma related findings. 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. CAS Bone bruise, Compressisve force, Early degeneration, Microfracture, Torsional force. PDFS Saggital: Bone marrow oedema in Intercondylar region tibia with subchondral cysts. Chi-square = 1.926, p =0.3817 i.e. A 14-year-old male football player with chronic anterior knee pain who experienced acute knee pain after jumping and landing awkwardly. 2023 Jan;51(1):58-65. doi: 10.1177/03635465221131551. Google Scholar. Computed Tomography & Magnetic Resonance Imaging Of The Whole Body. 1999 Jun;211(3):747-53 The most common sites of bone bruising were the anteromedial tibial plateau (48%) and anterolateral tibial plateau (44%). 2015;23(8):22508. 2012;2 (5): 398-402. 2000;28:6637. 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]. Knee joint is one of strongest joint in body and allows transmission of body weight to leg. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. Federal government websites often end in .gov or .mil. (PDF) The appearance of kissing contusion in the acutely injured knee 2015;43(10):251521. Conventional radiograph evaluation of skeleton following trauma divides injury into presence or absence of fracture. Liu ZY, Zhang JL, Liu C, Cao Q, Shen QJ, Zhao JC. Bone contusion and associated meniscal and medial collateral ligament injury in patients with anterior cruciate ligament rupture. MRI Introduction Anterior cruciate ligament (ACL) injuries are among the most common sports injuries. Google Scholar. 2023-05-01T23:01:26-07:00 National Library of Medicine 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. 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. 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]. Kissing contusion is a(n) research topic. 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. 2021 Nov 11;6(4):e21.00069. 8600 Rockville Pike A. M. Ali. Kissing contusion refers to the bone contusions in both femoral and tibial surfaces of the knee. Acta Orthop Scand. Bone marrow contusions are frequently identified at magnetic . Clin Orthop Relat Res. In this study, patients with history of knee injury <6 weeks were considered as recent knee injuries. Among the 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). official website and that any information you provide is encrypted 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. (PDF) The appearance of kissing contusion in the acutely injured knee Looking for more information? Kissing contusion | 3 Publications | 31 Citations | Top Authors 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. 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. PubMed Epub 2022 Nov 28. Transient patellar dislocation is a common sports-related injury in young adults. Knee Surg Sports Traumatol Arthrosc. The spectrum of damage includes stretching, partial tearing, and complete rupture [4]. Follow up scan could not be done to establish the presumable diagnosis of bone marrow contusion. 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). 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.