The classic bone contusion includes involvement of the antero-lateral aspect of the lateral femoral condyle and the inferomedial aspect of the patella. The presence of a double sulcus showed significant association with anteromedial kissing contusions (OR = 7.8, p = 0.03). 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. 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. SuzanneWitjes, Tammo HPels Rijcken, Cor Pvan der Hart. 2005;60:62736. In this case, patient has had a hyperextension external rotation injury of the knee as evidenced by the kissing bone marrow contusions in the anterior aspect of the lateral femoral condyle (LFC) and the lateral tibial plateau. Objective: 2000 Nov-Dec;24(6):371-80 2005;118(1209):U1301. 2015;49:145260. 2011;68:7626. Meniscal injury was unrelated to the extent or pattern of bone bruising. 2003;37:1379. Minor focus of edema in the anterior aspect of the lateral femoral condyle. 2013 Aug;41(8):1801-7. doi: 10.1177/0363546513490649. Hyperextension injuries of the knee: do patterns of bone bruising Magnetic Resonance Imaging of Bone Marrow: A Review Part II. -, Radiology. Knee kinematics during noncontact anterior cruciate ligament injury as determined from bone bruise location. MRI of the Pediatric Knee 2006;238:85362. Yoon KH, Yoo JH, Kim KI. Mild high signal of the distal semimembranosus insertion, however, the remaining posteromedial corner structures appear uninjured. Bethesda, MD 20894, Web Policies of knee injury in pediatric patients. Epub 2022 May 3. 5 out of 8 patients with a double sulcus on the lateral radiograph had ACL injury. Kim-Wang SY, Spritzer CE, Owusu-Akyaw K, Coppock JA, Goode AP, Englander ZA, Wittstein JR, DeFrate LE. Clin Radiol 2004;59:439-445. Assessment with magnetic resonance, correlated with arthroscopy. 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. 1030). MRI is used widespread to interpret more complex injuries. Calvo-Gurry M, Hurley ET, Withers D, Vioreanu M, Moran R. Knee Surg Sports Traumatol Arthrosc. 2004;32:16817. Bone marrow contusion at posterior lip of medial tibial condyle was seen in 59 cases. LF directed the writing of the article. sharing sensitive information, make sure youre on a federal Increase in interstitial water content and hyperperfusion contributes to bone marrow oedema formation. The LFNS and KC have strong clinical significance in the diagnosis of ACL injuries. 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. According to study conducted by Terzidis et al., Kissing contusion in acute knee injury is noted in 16 cases out of 225 (7.1%). In 6 cases bone marrow contusion could not be explained by various patterns.
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