Correlation Between the Distribution of Marrow Contusion Around the Knee Joint and The Pattern of The Concomitant Intra- and Extraarticular Soft Tissue Injuries
Saddik, A., Refaat, M., Fahem, M. (2023). Correlation Between the Distribution of Marrow Contusion Around the Knee Joint and The Pattern of The Concomitant Intra- and Extraarticular Soft Tissue Injuries. EKB Journal Management System, 40(Special issue (Radiology)), 217-224. doi: 10.21608/bmfj.2023.202992.1794
Ahmed Refaat Saddik; Medhat Mohammed Refaat; Mohamed Hosny Fahem. "Correlation Between the Distribution of Marrow Contusion Around the Knee Joint and The Pattern of The Concomitant Intra- and Extraarticular Soft Tissue Injuries". EKB Journal Management System, 40, Special issue (Radiology), 2023, 217-224. doi: 10.21608/bmfj.2023.202992.1794
Saddik, A., Refaat, M., Fahem, M. (2023). 'Correlation Between the Distribution of Marrow Contusion Around the Knee Joint and The Pattern of The Concomitant Intra- and Extraarticular Soft Tissue Injuries', EKB Journal Management System, 40(Special issue (Radiology)), pp. 217-224. doi: 10.21608/bmfj.2023.202992.1794
Saddik, A., Refaat, M., Fahem, M. Correlation Between the Distribution of Marrow Contusion Around the Knee Joint and The Pattern of The Concomitant Intra- and Extraarticular Soft Tissue Injuries. EKB Journal Management System, 2023; 40(Special issue (Radiology)): 217-224. doi: 10.21608/bmfj.2023.202992.1794

Correlation Between the Distribution of Marrow Contusion Around the Knee Joint and The Pattern of The Concomitant Intra- and Extraarticular Soft Tissue Injuries

Benha Medical Journal
Article 397, Volume 40, Special issue (Radiology), July and August 2023, Page 217-224  XML PDF (911.18 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2023.202992.1794
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Authors
Ahmed Refaat Saddik email 1; Medhat Mohammed Refaat2; Mohamed Hosny Fahem3
1Department of Radiodiagnosis Benha University
2Head of Radiology Department, Professor of Radiodiagnoosis, Faculty of Medicine, Benha University
3Department of Radiology, Benha faculty of medicine, benha university, benha, egypt
Abstract
Background: Acute knee injuries are a common source of morbidity in athletes and if overlooked may result in chronic functional impairment. This study aimed to identify imaging pattern in bone bruises / bone marrow edema and to correlate the pattern of bone marrow edema with the intra- (anterior and posterior cruciate ligaments as well as medial and lateral meniscal) and extra-articular (medial and lateral collateral ligaments) injuries. Methods: This was retrospective cross-sectional study was carried out on 109 patients who presented to the radiology department "Saudi-German hospital Aseer" with history of recent knee joint injury and requested for MRI Knee joint, during the period from January 2017 to January 2019. Results: The mean age of all studied patients was 30.2 ± 9.7 years with minimum age of 12 years and maximum age of 55 years. As regard sex, there were 90 males (82.6%) and 19 females (17.4%) in the studied patients. Regarding bone marrow (BM) contusion patterns in all studied patients. It was pivot shift in 58 patients (53.2%), clip injury in 11 patients (10.1%), dashboard injury in 7 patients (6.4%), hyperextension injury in 3 patients (2.8%), lateral patellar dislocation in 15 patients (13.8%) and others in 15 patients (13.8%). Conclusion: MRI is the gold standard in diagnosing bone marrow contusion. Precise location of contusion and its pattern on MRI, allows focused search for associated soft tissue injury; ligamentous and meniscal tear which may create better patient management outcomes.
Keywords
Bone Contusion Patterns; MRI; Intra-Articular; Extra-Articular; Injuries
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