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. Texas Health Care Imaging is a radiology clinic located in Brownsville, TX. Snearly WN, Kaplan PA, Dussault RG. Orthop Surg. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. 2016;10(4):TC0611. Lianxu Chen. Grade II ACL tears represent intraligamentous injury and an increase in ligament length. Bone marrow contusion usually resolves in 6-8 weeks [6]. LXC designed the study and was responsible for the paper. 3 Professor, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. In present study transient dislocation of patella pattern is noted in 3 cases (2.2%). 2023 Feb;19(1):107-112. doi: 10.1177/15563316221092320. J Orthop Surg Res. endobj Among 46 cases, football was most common sports leading to injury followed by Kabaddi. Fornalski S, McGarry MH, Csintalan RP, Fithian DC, Lee TQ. 6 Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India. and transmitted securely. 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. Adult patients with ACL tears have greater tibial internal rotation in MRI compared to adolescent patients. Dashboard injury occurs when force is applied to the anterior aspect of the proximal tibia while the knee is in a flexed position. Following knee hyperextension, bone bruising patterns may be associated with cruciate ligament injury. In distraction injury, excessive tension may damage the joint capsule, retinacula, ligaments, and tendons as well as their osseous attachment sites. 1995;19:7736. 1993 Mar-Apr;21(2):220-3 Clin Imaging. Mechanism of traumatic knee injuries and MR findings. Our study only involves the image information of patients. A. M. Ali. Hong CK, Lin YJ, Cheng TA, Chang CH, Hsu KL, Kuan FC, Su WR. severe contusions may cause the knee to give out or lock. 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. This article about a disease of musculoskeletal and connective tissue is a stub. The relationship and characteristics between these two indicators was explored. We have included all the patients coming with acute knee injuries irrespective of type/mode of injury. Posterior oblique ligament tear in the posteromedial knee | Radiology Medial and lateral meniscal tears usually involving the . In current study unclassifiable injuries pattern was noted in 6 cases. Study was conducted between May 2014 to September 2015 with a sample size of 200 patients. In patients with bone marrow contusion, 14 were women (10.1%) and 124 were men (89.9%). On 1.5 T, knee joint was examined in Saggital (T1, T2, PD, PDFS), Coronal (T2/ PDFS), Axial (T2, Medic) sequences. (PDF) The appearance of kissing contusion in the acutely injured knee endobj 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. endobj 5 0 obj No significant difference was noted in location of bone marrow contusion in clip injury for different type/mode of injury. {"url":"/signup-modal-props.json?lang=us"}, Knipe H, Yap J, Al Kabbani A, et al. Biomechanical and anatomical assessment after knee hyperextension injury. T2 Axial: Bone marrow oedema in Inferiomedial aspect of patella and lateral femoral condyle in lateral patellar dislocation. Bratisl Lek Listy 113(9):539543, Svoboda SJ (2014) ACL injury and posttraumatic osteoarthritis. Semin Ultrasound CT MR. 1994 Oct;15(5):396-409. doi: 10.1016/s0887-2171(05)80006-x. T1W Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. 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? Additionally, the program is designed to drive true consumer engagement with waived out of pocket expenses and no pre-certification, which allows patients fast and efficient access to providers for their imaging needs. CAS PubMed PDF Diagnostic value of the lateral femoral notch sign and kissing The classic bone contusion includes involvement of the antero-lateral aspect of the lateral femoral condyle and the inferomedial aspect of the patella. Conclusions: MRI of affected knee joint was done as per imaging protocol and images stored in compact disc. This study was approved by the ethical committee of Beijing Tsinghua Changgung Hospital (No. 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. Am J Sports Med. Objective: To determine the frequency, type, and distribution of kissing contusions occurring in association with injuries of the knee joint.