BONE BRUISES ON MAGNETIC-RESONANCE-IMAGING EVALUATION OF ANTERIOR CRUCIATE LIGAMENT INJURIES

被引:156
作者
GRAF, BK
COOK, DA
DESMET, AA
KEENE, JS
机构
[1] University of Wisconsin, Department of Surgery, Division of Orthopedics, Madison, Wisconsin
[2] University of Wisconsin, Department of Surgery, Department of Radiology, Madison, Wisconsin
关键词
D O I
10.1177/036354659302100210
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Magnetic resonance imaging of the knees of 98 consecutive patients with clinically diagnosed anterior cruciate ligament injuries revealed 47 patients (48%) with focal signal abnormalities consistent with the diagnosis of a ''bone bruise.'' Seventy-one percent of the magnetic resonance images taken within 6 weeks of injury demonstrated a bone bruise, whereas no scans done longer than 6 weeks after injury showed a bruise (P < 0.0001). Also significant was the tendency for lesions to be located in the lateral compartment (P < 0.0001). In the sagittal plane, lesions were most likely to be in the middle third of the lateral femoral condyle and the posterior third of the lateral tibial plateau (P < 0.0001). In 31 patients evaluated arthroscopically, there was no correlation between the presence or location of a bone bruise and articular alterations or meniscal tears observed at surgery.
引用
收藏
页码:220 / 223
页数:4
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