Occult osseous lesions documented by magnetic resonance imaging associated with anterior cruciate ligament ruptures

Rosen, Mark A.; Jackson, Douglas W.; Berger, Paul E.

doi:10.1016/0749-8063(91)90077-b

Cited by 196 publications

(121 citation statements)

References 11 publications

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“…The presence of bone bruises was first described by Mink et al [175] after reviewing MRI of the knee associated with medial collateral ligament (MCL) injuries. Mink et al [176] later reported that bone bruises in the lateral femoral condyle and/or lateral tibial plateau were observed in 72% of ACL injured knees, and this finding has been confirmed by other researchers [177][178][179][180][181][182][183][184][185][186][187]. Histological changes in the articular cartilage overlying a geographic bone bruise demonstrated significant injury to the homeostasis of the articular cartilage over the bone [183].…”

Section: Mri Analysessupporting

confidence: 62%

The Mechanism of Non-contact Anterior Cruciate Ligament Injury in Female Athletes: Is the Injury Mechanism Different between the Genders?

Gamada¹,

Kubota²

2014

Int J Phys Med Rehabil

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ACL injury is one of the most frequent and costly injuries in sports, and is a major risk factor for early knee osteoarthritis. Although female gender is a major risk factor for ACL injury, differences in the injury mechanism between males and females have not yet been determined. The goal of this review was to determine whether there is any evidence of gender differences in the mechanisms of ACL injury. MRI studies demonstrated that the location of bone bruises after ACL injury was similar between genders and that males demonstrated more extensive damage in the joint, suggesting the involvement of higher energy but not a difference in injury mechanism. Video analyses of the process of ACL injury has shown common body positions at the time of injury, but failed to reveal differences in the joint motions between genders. Therefore, the mechanism of ACL injury is likely to be similar across genders.

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Section: Mri Analysessupporting

confidence: 62%

The Mechanism of Non-contact Anterior Cruciate Ligament Injury in Female Athletes: Is the Injury Mechanism Different between the Genders?

Gamada¹,

Kubota²

2014

Int J Phys Med Rehabil

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“…Articular cartilage lesions of the knee or bone bruises occur in approximately 70% to 92% of traumatic ACL injuries, 55,84,142,163 with 1 study reporting 100% incidence. 115 Generally, bone bruises occur on the lateral femoral condyle and lateral tibial plateau.…”

Section: Articular Cartilage Lesionsmentioning

confidence: 99%

Recent Advances in the Rehabilitation of Anterior Cruciate Ligament Injuries

Wilk¹,

Macrina²,

Cain³

et al. 2012

Journal of Orthopaedic & Sports Physical Therapy

138

124

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Synopsis Rehabilitation following anterior cruciate ligament surgery continues to change, with the current emphasis being on immediate weight bearing and range of motion, and progressive muscular strengthening, proprioception, dynamic stability, and neuromuscular control drills. The rehabilitation program should be based on scientific and clinical research and focus on specific drills and exercises designed to return the patient to the desired functional goals. The goal is to return the patient's knee to homeostasis and the patient to his or her sport or activity as safely as possible. Unique rehabilitation techniques and special considerations for the female athlete will also be discussed. The purpose of this article is to provide the reader with a thorough scientific basis for anterior cruciate ligament rehabilitation based on graft selection, patient population, and concomitant injuries. J Orthop Sports Phys Ther 2012;42(3):153–171. doi:10.2519/jospt.2012.3741

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“…Even following ACL reconstruction, however, a significant proportion of patients develop clinical symptoms of arthritis 5-10 years postinjury [5,14]. Magnetic resonance imaging ( MRI) reveals subchondral and epiphyseal marrow signal changes known as occult osseous lesions or bone bruises in many ACL rupture patients (up to 93%) [19,20,37,38,30,36,3941,43]. These findings suggest that the initial injury to the articular *Corresponding author.…”

Section: Introductionmentioning

confidence: 99%

Tissue distribution and measurement of cartilage oligomeric matrix protein in patients with magnetic resonance imaging‐detected bone bruises after acute anterior cruciate ligament tears

Fang

Johnson

Leslie

et al. 2001

Journal Orthopaedic Research

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Histologic and immunostaining analyses were performed on articular cartilage/subchondral bone biopsy specimens overlying MRI-detected bone bruises in 12 patients with anterior cruciate ligament (ACL) tears. Staining with toluidine blue for proteoglycan revealed loss of staining from the superficial portion of the articular cartilage. Inimunostaining for cartilage oligomeric matrix protein (COMP) showed an increased staining in the superficial matrix of the articular cartilage. Using polyclonal antisera against COMP, the authors performed a competitive enzyme-linked immunosorbent assay (ELISA) on the synovial fluid from the injured and uninjured knees. There was an approximately 10-fold higher synovial fluid COMP levels in injured knees. The COMP levels were greater in those patients who had synovial fluid samples harvested closer to the date of initial injury. Western blot analysis of the synovial fluid showed an increased presence of COMP degradation fragments from injured knees. These results are indicative of a significant injury to the articular cartilage, and may represent preclinical posttraumatic osteoarthritic lesions.

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Occult osseous lesions documented by magnetic resonance imaging associated with anterior cruciate ligament ruptures

Cited by 196 publications

References 11 publications

The Mechanism of Non-contact Anterior Cruciate Ligament Injury in Female Athletes: Is the Injury Mechanism Different between the Genders?

The Mechanism of Non-contact Anterior Cruciate Ligament Injury in Female Athletes: Is the Injury Mechanism Different between the Genders?

Recent Advances in the Rehabilitation of Anterior Cruciate Ligament Injuries

Tissue distribution and measurement of cartilage oligomeric matrix protein in patients with magnetic resonance imaging‐detected bone bruises after acute anterior cruciate ligament tears

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