Aims and objectives
Contusions of the posterior part the tibia frequently accompany anterior cruciate ligament (ACL) injuries.
The matter of compression in this cases tends,
however,
to be neglected.
“The terms bone bruise or bone contusion have been used synonymously and are thought to represent a spectrum of occult bone injuries,
including bleeding,
infarction and oedema due to microscopic compression fractures of cancellous bone” [Mandalia and Henson,
2008]
We noted that posterior tibial plateau’s fracture as a result of bone bruises can result in the reduction of the...
Methods and materials
The study was retrospective in nature.
Initially,
it covered 3196 patients with a knee injury,
who were admitted between 2011 and 2013.
Following the preliminary selection process,
the list of 697 subjects diagnosed with an ACL injury (grades I to III per AMA CMAS guidelines),
both chronic and acute,
was made.
After further analysis,
MRIs from 336 cases of acute complete ACL rupture (grade III) were retrieved.
The selection criteria for the study group,
on whose MRIs the classification is based,
included: the time between...
Results
Based on radiological measurements and analysis,
the following classification has been proposed:
grade 0 – no damage,
the bone’s shape remains intact;
grade I – edema resulting from the contusion of the bone,
no changes in the bone shape;
grade II – slight compression of the bone with the lateral meniscus still being fully supported.
grade III - is recorded in cases where bone degradation allows for only about 50% of the support of the meniscus,
whereas grade IV means the meniscus has less than...
Conclusion
A careful analysis the results of magnetic resonance imaging reveals that trauma to the posterior margin of the tibial plateau affects
65.5% of the subjects,
and the extent of the damage may affect the stability and proper functioning of lateral meniscus,
leading to various complications within the knee joint.
In turn,
knee instability caused by the fracture and resulting lack of support for the meniscus may lead to earlier degenerative joint changes.
Though the proposed assessment modality is static,
the position of the knee during...
Personal information
Normal 0 21 false false false PL X-NONE X-NONE
B.
Ciszkowska-Lyson,
MD,
PhD
Carolina Medical Center,
Department of Radiology,Warsaw,
Poland
Carolina Medical Center
Pory 78
02-757 Warsaw,
Poland
e-mail :
[email protected]
References
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The Menisci.
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https://doi.org/10.1007/978-1-4471-6593-4
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Are Bone Bruise Characteristics and Articular Cartilage Pathology Associated with Inferior Outcomes 2 and 6 Years After Anterior Cruciate Ligament Reconstruction? Cartilage,
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https://doi.org/10.1177/1947603516653209
Rowland,
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(2016).
Evaluation of meniscal extrusion with posterior...