Study of Imaging Pattern in Bone Marrow Oedema in MRI in Recent Knee Injuries and its Correlation with Type of Knee Injury
Introduction: The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. If the knee is exposed to forces beyond its physiologic range, risk of injury to bone or soft tissue structures increases. A thorough understand...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2016-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/7704/18843_CE[Ra1]_F(P)_PF1(RSAK)_PFA(AK)_PF2(PAG).pdf |
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| author | Kulamani Sahoo Ashish Garg Pramod Saha Jainesh Valjibhai Dodia Vinay Rajappa Raj Shweta Jagadish Bhairagond |
| author_facet | Kulamani Sahoo Ashish Garg Pramod Saha Jainesh Valjibhai Dodia Vinay Rajappa Raj Shweta Jagadish Bhairagond |
| author_sort | Kulamani Sahoo |
| collection | DOAJ |
| description | Introduction: The knee is a major weight bearing joint that
provides mobility and stability during physical activity as well
as balance while standing. If the knee is exposed to forces
beyond its physiologic range, risk of injury to bone or soft tissue
structures increases. A thorough understanding of knee injury
patterns and their mechanisms may help in achieving more
accurate assessment of injuries.
Aim: To identify imaging pattern in bone marrow oedema and
to correlate the pattern of bone marrow oedema retrospectively
with type of knee injury from clinical history.
Materials and Methods: A cross-sectional study was done on
all patients referred to Krishna Hospital, Karad for MRI knee with
history of recent (< 6 weeks) knee injury. Study was conducted
between May 2014 to September 2015 with a sample size of
200 patients. Plain radiograph of knee was done in all patients
and they were scanned using 1.5 Tesla Seimens Avanto (Tim +
Dot) with Tx/Rx 15 channel knee coil # Tim.
Results: Among the 200 cases, bone marrow contusion was
noted in 138 cases (69%) and absent contusion in 62 cases
(31%). Bone marrow contusion showed five patterns (according
to Sanders classification) i.e., Clip injury in 39 cases (28.3%),
Pivot shift injury in 78 cases (56.5%), Dashboard injury in eight
cases (5.8%), Hyperextension injury in four cases (2.9%), Lateral
patellar dislocation in three cases (2.2%). In six cases (4.3%) no
pattern of bone marrow contusion could be explained and was
categorized as unclassified pattern.
Conclusion: Pivot shift pattern is most common contusion
pattern and the most common type/mode of sports related
injury. By analysing bone marrow contusion pattern, type/
mode can be determined in most of the cases. By applying a
biomechanical approach in MR interpretation, it is possible to
detect lesions like ligament rupture and osseous contusion, to
predict subtle but it might overlook important abnormalities. |
| first_indexed | 2024-12-18T11:16:25Z |
| format | Article |
| id | doaj.art-6768aa9e849540468beef3e7ee04e63f |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-18T11:16:25Z |
| publishDate | 2016-04-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-6768aa9e849540468beef3e7ee04e63f2022-12-21T21:09:55ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-04-01104TC06TC1110.7860/JCDR/2016/18843.7704Study of Imaging Pattern in Bone Marrow Oedema in MRI in Recent Knee Injuries and its Correlation with Type of Knee InjuryKulamani Sahoo0Ashish Garg1Pramod Saha2Jainesh Valjibhai Dodia3Vinay Rajappa Raj4Shweta Jagadish Bhairagond5Professor and HOD, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India.Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India.Professor, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India.Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India.Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India.Resident, Department of Radiology, Krishna Institute of Medical Science, Karad, Maharashtra, India.Introduction: The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. If the knee is exposed to forces beyond its physiologic range, risk of injury to bone or soft tissue structures increases. A thorough understanding of knee injury patterns and their mechanisms may help in achieving more accurate assessment of injuries. Aim: To identify imaging pattern in bone marrow oedema and to correlate the pattern of bone marrow oedema retrospectively with type of knee injury from clinical history. Materials and Methods: A cross-sectional study was done on all patients referred to Krishna Hospital, Karad for MRI knee with history of recent (< 6 weeks) knee injury. Study was conducted between May 2014 to September 2015 with a sample size of 200 patients. Plain radiograph of knee was done in all patients and they were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. Results: Among the 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). Bone marrow contusion showed five patterns (according to Sanders classification) i.e., Clip injury in 39 cases (28.3%), Pivot shift injury in 78 cases (56.5%), Dashboard injury in eight cases (5.8%), Hyperextension injury in four cases (2.9%), Lateral patellar dislocation in three cases (2.2%). In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern. Conclusion: Pivot shift pattern is most common contusion pattern and the most common type/mode of sports related injury. By analysing bone marrow contusion pattern, type/ mode can be determined in most of the cases. By applying a biomechanical approach in MR interpretation, it is possible to detect lesions like ligament rupture and osseous contusion, to predict subtle but it might overlook important abnormalities.https://jcdr.net/articles/PDF/7704/18843_CE[Ra1]_F(P)_PF1(RSAK)_PFA(AK)_PF2(PAG).pdfbone bruisecompressisve forceearly degenerationmicrofracturetorsional force |
| spellingShingle | Kulamani Sahoo Ashish Garg Pramod Saha Jainesh Valjibhai Dodia Vinay Rajappa Raj Shweta Jagadish Bhairagond Study of Imaging Pattern in Bone Marrow Oedema in MRI in Recent Knee Injuries and its Correlation with Type of Knee Injury Journal of Clinical and Diagnostic Research bone bruise compressisve force early degeneration microfracture torsional force |
| title | Study of Imaging Pattern in Bone Marrow Oedema in MRI in Recent Knee Injuries and its Correlation with Type of Knee Injury |
| title_full | Study of Imaging Pattern in Bone Marrow Oedema in MRI in Recent Knee Injuries and its Correlation with Type of Knee Injury |
| title_fullStr | Study of Imaging Pattern in Bone Marrow Oedema in MRI in Recent Knee Injuries and its Correlation with Type of Knee Injury |
| title_full_unstemmed | Study of Imaging Pattern in Bone Marrow Oedema in MRI in Recent Knee Injuries and its Correlation with Type of Knee Injury |
| title_short | Study of Imaging Pattern in Bone Marrow Oedema in MRI in Recent Knee Injuries and its Correlation with Type of Knee Injury |
| title_sort | study of imaging pattern in bone marrow oedema in mri in recent knee injuries and its correlation with type of knee injury |
| topic | bone bruise compressisve force early degeneration microfracture torsional force |
| url | https://jcdr.net/articles/PDF/7704/18843_CE[Ra1]_F(P)_PF1(RSAK)_PFA(AK)_PF2(PAG).pdf |
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