Hemarthrosis of the Knee and Bone Contusion.

Ariyoshi, Mamoru; Nagata, Kensei; Sato, Kengo; Kubo, Manabu; Hiraoka, Koji; Hamada, Tetsuya; Tadakuma, Gen; Abe, Takanobu; Inoue, Akio

doi:10.2739/kurumemedj.44.135

Cited by 10 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(1992) found bone bruises in 4% in 74 asymptomatic volunteers. Ariyoshi et al. (1997) presented 5 patients with traumatic hemarthron with bone bruises as the only finding.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies show that the changes resolve in 3–6 months (Graf et al., 1993; Miller et al., 1998). Others state that bone bruise found on MRI indicates substantial damage to the cartilage homeostasis, and that permanent alterations remain in some cases (Rosen et al., 1991; Shahabpour et al., 1997; Johnson et al., 1998; Faber et al., 1999), but so far little is known about the connection between bone bruise and other acute lesions (Tervonen et al., 1991; Vellet et al., 1991; Boden et al., 1992; Engebretsen et al., 1993; Ariyoshi et al., 1997; Maurer et al., 1997; Tamburrini et al., 1997). Maurer et al.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical decision making in the acutely injured knee based on repeat clinical examination and MRI

Odgaard

Tuxøe

Joergensen

et al. 2002

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

To determine the correlation between Magnetic Resonance Imaging (MRI) and clinical examination of the knee after an acute injury, and to see to what extent MRI affected the planned treatment, we examined 90 consecutive patients in a prospective study, clinically and with an extremity Magnetic Resonance (MR) scanner. The number of meniscal lesions, bone bruises and osteochondral lesions found on MRI was significantly higher than the clinical examinations indicated. Despite this, the treatment was only changed in 6 cases. In no case did MRI prevent a planned arthroscopy. MRI may reveal many clinically silent changes in the knee, also after minor injuries. The significance of these MRI findings must await long-term follow-up.

show abstract

“…(1992) found bone bruises in 4% in 74 asymptomatic volunteers. Ariyoshi et al. (1997) presented 5 patients with traumatic hemarthron with bone bruises as the only finding.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical decision making in the acutely injured knee based on repeat clinical examination and MRI

Odgaard

Tuxøe

Joergensen

et al. 2002

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

show abstract

“…Speer et al 28 felt that the posterolateral joint pain experienced by the majority of 54 patients with either an ACL rupture alone or also a sprain of the posterolateral ligament complex was caused by associated bone bruising of the LFC. Five of 36 patients with acute knee hemarthrosis reported by Ariyoshi et al 1 had bone contusions but no other intra-articular abnormalities, and all had medial compartment bone bruises. Within 13 weeks, all 5 of these patients had normal MRI results corresponding with the resolution of their knee pain.…”

Section: Discussionmentioning

confidence: 82%

Bone Bruises in Children and Adolescents Not Associated With Ligament Ruptures

Gomez

Molina

Rettig

et al. 2018

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background:Clinical characteristics of uncomplicated bone bruises (ie, not associated with a ligament rupture, meniscal tear, or fracture of the knee) in young athletes have scarcely been reported.Purpose:To identify mechanisms of injury, characterize bone bruise patterns, and identify clinical factors relating to recovery in young patients suffering uncomplicated bone bruises about the knee.Study Design:Case series; Level of evidence, 4.Methods:A review of clinical records and magnetic resonance imaging (MRI) findings of patients seen at a single institution was completed.Results:We identified 62 children and teenagers (mean age, 13.9 years; range, 8-18 years) who had a total of 101 bone bruises on MRI. The injuries occurred during a variety of organized and recreational sporting activities, the most common being football, basketball, and soccer. The majority (61.4%) of bone bruises occurred as a result of noncontact mechanisms. Patients reported a mean pain scale score of 6.3 of 10 (range, 2-10) on presentation. Frequent clinical findings included non–joint-line tenderness (64.5%), limited range of motion (58.1%), joint-line tenderness (54.8%), and positive meniscal signs (50.0%). The majority of bone bruises (61.4%) were located medially, and the most common bone bruise type was subcortical (58.4%), followed by medullary/reticular (35.6%) and articular impaction (5.9%). The only factor related to time to recovery was mechanism of injury; patients reporting a noncontact mechanism required significantly more time to recover than those reporting a contact mechanism (mean, 99.7 ± 74.8 vs 65.7 ± 38.8 days, respectively; F = 3.753, P = .049).Conclusion:In this case series of 62 pediatric patients with non–anterior cruciate ligament (ACL) bone bruises, the majority occurred in the medial compartment, suggesting that these bone bruises result from a mechanism distinct from the pivot-shift mechanism, classically thought to cause ACL injuries.

show abstract

“…Joint-line tenderness and antalgic gait may be suggestive of chondral, osteochondral, and/or meniscal pathology, and patients with concomitant bony contusions may have sharp, localized tenderness over the affected region. 24,25 Meniscal injuries may present with mechanical blocks to motion and joint effusion. Joint-line tenderness has been identified as the most sensitive and specific test for meniscal tears but may also be associated with other pathology present in PCLinjured knees.…”

Section: Diagnosismentioning

confidence: 99%

Diagnosis and Management of Articular Cartilage and Meniscus Pathology in the Posterior Cruciate Ligament-Injured Knee

2021

View full text Add to dashboard Cite

Posterior cruciate ligament (PCL) injuries commonly occur in association with participation in sporting or recreational activities or due to a direct trauma. Cartilage and meniscal lesions are prevalent in PCL-injured knees with increasing likelihood and severity based on extent and duration of trauma to the knee. As such, comprehensive diagnostics should be performed to ascertain all related pathology, and patients should be thoroughly educated regarding treatment options, likely sequelae including posttraumatic osteoarthritis, and associated outcomes. Treatments should address the joint as an organ, ensuring stability, alignment, and functional tissue restoration are optimized by the most efficient and effective means possible. Compliance with patient- and procedure-specific postoperative management protocols is critical for optimizing successful outcomes for these complex cases. The objectives of this review article are to highlight the likelihood and importance of osteochondral and meniscal pathology in the PCL-injured knee, and to provide the best current evidence regarding comprehensive evaluation and management for PCL-injured knees with cartilage and/or meniscal comorbidities.

show abstract

Hemarthrosis of the Knee and Bone Contusion.

Cited by 10 publications

References 5 publications

Clinical decision making in the acutely injured knee based on repeat clinical examination and MRI

Clinical decision making in the acutely injured knee based on repeat clinical examination and MRI

Bone Bruises in Children and Adolescents Not Associated With Ligament Ruptures

Diagnosis and Management of Articular Cartilage and Meniscus Pathology in the Posterior Cruciate Ligament-Injured Knee

Contact Info

Product

Resources

About