We use cookies! Read Confidentiality, Terms & Conditions!. Close (auto)
www.pansportmedical.ro
EFSMA european federation of sports medicine associations
www.medicinasportiva.ro
Newsletter Medicina Sportiva

Romanian Society for Sports Medicine



Home       • Contact        • Sport Medicine Journal      • International Events Calendar     • Information




"Medicina Sportiva" No.14 - 2008 The 15-th Sports Medicine Balkan Congress
INJURIES IN SPORTS


BONE BRUISE AND  KISSING CONTUSION IN THE ACUTELY INJURED KNEE

Terzidis Ioannis
Orthopaedic Surgeon, President of the Sports Medicine Association of Greece


The bone bruise and bone contusion is a finding substantiated by MRI studies. This entity is recognized as focal signal abnormality in the subchondral bone marrow and the appearances are thought to represent microtrabecular fractures, haemorrhage and oedema of the marrow without disruption of the adjacent cortices or overlying articular cartilage. Unlike a fracture, the bone contusion rarely involves both cancellous and compact cortical bone. These osseous injuries may result from a direct blow to the bone, or compression forces of adjacent bones impacting one another, or traction forces that occur during an avulsion injury. In the literature the terms “bone contusion”, “bone bruise” and “bone marrow oedema” have been known for at least a decade and seem to be used synonymously.  The MRI sensitivity and specificity for bone contusion is reported to be 91-96% and 86-96% respectively.
Regarding the frequency of bone contusion Binfield and Williams reported 4% in the immature knee, Bretlau et al reported 65% in the acutely injured knee and Perrin et al reported 58% associated with more serious injuries (meniscal tears, ligaments tears). Bone contusions in both surfaces of the knee (kissing contusion) are rather rare complex injuries of the knee and their importance has not been well established. These characteristic lesions that occur both on the femoral and tibial condyle are of great  importance, not only in that they are frequently a sign of more serious associated injury, but also because they may account for clinical lengthy symptoms.





top
Web creator - Gabriel Panait M.D. Information belongs to S.Ro.M.S -  contact person Mirela Vasilescu M.D.


S.Ro.M.S 's web section is freely created and hosted on   www.medicinasportiva.ro  -  according to Terms & Conditions



www.medicinasportiva.ro
Online since
March, 23 2006
Google
www  www.medicinasportiva.ro
www.medicinasportiva.ro

Website Statistics
Copyright© MedicinaSportiva.Ro & Partners. All rights reserved.