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<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> 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. Boks SS, Vroegindeweij D, Koes BW, Hunink MG, Bierma-Zeinstra SM. The posteromedial corner of the knee is a capsuloligamentous complex in the posterior aspect of the medial compartment. Epub 2021 May 11. Magnetic resonance imaging of bone bruising in the acutely injured kneeshort-term outcome. Kessler R, Campbell S, Wong D, Mansfield LB. The appearance of kissing contusion in the acutely injured knee in the Radiology 184(3):855858, Dimitriou D, Reimond M, Foesel A et al (2021) The deep lateral femoral notch sign: a reliable diagnostic tool in identifying a concomitant anterior cruciate and anterolateral ligament injury. A 124(62%) had trauma in right knee and 76(38%) in left knee. The patients age ranged from 17-65 years and majority of patients were in 21-30years age group. -, Acta Orthop Scand. Pivot shift injury pattern according to Location of marrow oedema. The authors declare that they have no conflict of interest. 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. Article Orthop Surg. In this study hyperextension injury noted in 4 cases in 138 cases (2.9%). 2023 Jan;51(1):58-65. doi: 10.1177/03635465221131551. While the knee is in a state of flexion, twisting motion of the knee can lead to transient dislocation of knee. Price excludes VAT (USA) 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). Furthermore, it is anterior tibial oedema rather than the presence of kissing lesions than predicts cruciate ligament injury (OR = 10.5, p = 0.02). They found that all the lesions in one patient do not heal at exactly the same speed. Clin Imaging. 2005;118(1209):U1301. Posttraumatic Subchondral Bone Contusions and Fractures of the 4. After knee injury, bone marrow oedema is frequently subchondral in location and may be associated with either trabecular or cortically based lines [4]. The https:// ensures that you are connecting to the 13 0 obj PubMed 98 0 obj This article about a disease of musculoskeletal and connective tissue is a stub. 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);. 2023-05-01T23:01:26-07:00 The associated injuries were confirmed by arthroscopy in 12/16 patients. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/TrimBox[57.25999 58.11 666.34 848.69299]/Type/Page>> 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). Type / Mode of injury in Clip injury pattern. The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. Bookshelf Tensile load can cause ligament and tendon tears as well as avulsion fracture. Meniscal injury was unrelated to the extent or pattern of bone bruising. No cost for the Employer or Employee with up to 80% savings. endstream Among the clip injury pattern, most common type/ mode of injury was two wheeler accident which was seen in 26 out of 39 cases (66.6%) [Table/Fig-7,,88]. Effusion in the adjacent deep infrapatellar bursa. Other structures are injured less frequently and have weaker associations with bone bruise distribution. 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. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. endobj Objective: Hyperextension knee injury | Radiology Case | Radiopaedia.org MRI of the Pediatric Knee Pediatric Imaging Review. Kissing contusion refers to the bone contusions in both femoral and tibial surfaces of the knee. Kissing contusion is a significant injury often associated with ligamentous or menisceal injuries. Google Scholar, Department of Orthopaedic Surgery, Chelsea and Westminster Hospital, London, UK, Department of Radiology, Chelsea and Westminster Hospital, London, UK, Department of Orthopaedic Surgery, Homerton University Hospital, London, UK, You can also search for this author in Orthop J Sports Med. Mandalia V, Henson JH. Article Radiology 193(3):835840, Grimberg A, Shirazian H, Torshizy H, Smitaman E, Chang EY, Resnick DL (2015) Deep lateral notch sign and double notch sign in complete tears of the anterior cruciate ligament: MR imaging evaluation. Other associated injury in ACL (87.5%), Medial meniscus (50 %) and lateral meniscus (75%). Google Scholar. 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. 2000;20 Spec No (suppl_1): S135-51. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a case-control study. Park HJ, Lee SY, Chung EC, Rho MH, Ahn JH, Kim M, et al. T1W Saggital: Bone marrow oedema at Lateral femoral condyle in Clip injury pattern. In current study unclassifiable injuries pattern was noted in 6 cases. Diagnostic value of the lateral femoral notch sign and kissing contusion in patients with anterior cruciate ligament injuries: a casecontrol study. 2023 Springer Nature Switzerland AG. Careers. *Other cause include fall while getting down from bus (1 case), fall while jumping (1 case), fall while getting downstairs. Over 2600 credentialed providers acrosstheUS. J Orthop Surg Res. Davies NH, Niall D, King LJ, Lavelle J, Healy JC. 36 0 obj 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. Inclusion criteria were patients with recent knee injuries (<6weeks) and normal plain radiograph with no signs of pathology. It is a rare (6.3% in this series) but significant injury, often associated with ligamentous or menisceal tears.