Association between traumatic bone marrow abnormalities of the knee, the trauma mechanism and associated soft-tissue knee injuries

Autor: Gustav Andreisek, Samy Bouaicha, Burkhardt Seifert, Nicole Berger, Andrei Manoliu, Ali Naraghi, Anissja Karer, Erika J. Ulbrich
Přispěvatelé: University of Zurich, Berger, Nicole
Rok vydání: 2015
Předmět:
musculoskeletal diseases
Adult
Male
medicine.medical_specialty
Adolescent
Knee Joint
610 Medicine & health
Knee Injuries
Bone bruise
030218 nuclear medicine & medical imaging
03 medical and health sciences
Young Adult
0302 clinical medicine
Bone Marrow
Traumatic bone marrow abnormalities
medicine
2741 Radiology
Nuclear Medicine and Imaging
Humans
Knee
Radiology
Nuclear Medicine and imaging
Femur
Tibia
Aged
Retrospective Studies
030222 orthopedics
biology
10042 Clinic for Diagnostic and Interventional Radiology
business.industry
Soft tissue
10060 Epidemiology
Biostatistics and Prevention Institute (EBPI)
General Medicine
Middle Aged
musculoskeletal system
biology.organism_classification
medicine.disease
10218 Institute of Legal Medicine
Magnetic Resonance Imaging
10021 Department of Trauma Surgery
Valgus
medicine.anatomical_structure
Soft tissue injury
Patella
Female
Bone marrow
Radiology
business
human activities
Bone marrow oedema
Zdroj: European radiology. 27(1)
ISSN: 1432-1084
Popis: To determine the association between traumatic bone marrow abnormalities, the knee injury mechanism, and associated soft tissue injuries in a larger cohort than those in the published literature. Retrospective study including 220 patients with traumatic knee injuries. Knee MRIs were evaluated for trauma mechanism, soft tissue injury, and the location of bone marrow abnormalities. The locations of the abnormalities were correlated with trauma mechanisms and soft tissue injuries using the chi-square test with Bonferroni correction. One hundred and forty-four valgus injuries, 39 pivot shift injuries, 25 lateral patellar dislocations, 8 hyperextensions, and 4 dashboard injuries were included. Valgus and pivot shift injuries showed traumatic bone marrow abnormalities in the posterolateral regions of the tibia. Abnormalities after patellar dislocation were found in the anterolateral and centrolateral femur and patella. Hyperextension injuries were associated with abnormalities in almost all regions, and dashboard injuries were associated with changes in the anterior regions of the tibia and femur. Our study provides evidence of associations between traumatic bone marrow abnormality patterns and different trauma mechanisms in acute knee injury, and reveals some overlap, especially of the two most common trauma mechanisms (valgus and pivot shift), in a large patient cohort. • Specific bone marrow oedema patterns after knee trauma were confirmed. • New associations between bone marrow oedema patterns and knee trauma were shown. • Bone marrow oedema patterns help in identifying associated soft tissue injuries.
Databáze: OpenAIRE
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