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Knee Surgery, Sports Traumatology, Arthroscopy

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01-10-2019 | Meniscal Injury | KNEE

Tibiofemoral bone bruise volume is not associated with meniscal injury and knee laxity in patients with anterior cruciate ligament rupture

Authors: Ricardo Bastos, Renato Andrade, Sebastiano Vasta, Rogério Pereira, Rocco Papalia, Willem van der Merwe, Scott Rodeo, João Espregueira-Mendes

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2019

Abstract

Purpose

This study aimed at evaluating the association between the volume of the bone bruises and the magnitude of knee sagittal laxity and presence of meniscal injury in patients with anterior cruciate ligament (ACL) rupture. It was hypothesized that higher volumes of bone bruises will be associated with increased knee laxity and the presence of meniscal injury.

Methods

Patients with clinical diagnosis of ACL injury were referred for magnetic resonance imaging (MRI) and knee sagittal laxity measurement with a mechanical instrumented device (Porto-Knee Testing Device). The femoral and tibial bone bruises were assessed by MRI and the volume measured by manually contouring the bone bruise using a computerized software and computed by a mathematical algorithm combining all measured areas. The ACL rupture type (partial or total), meniscal tear (medial or lateral), and the localization of bone bruise were also analyzed.

Results

Seventy-six ACL-ruptured participants were included and 34 patients displayed bone bruises. Tibiofemoral sagittal laxity was higher in participants with complete ACL rupture (p < 0.05), but not influenced by the volume of bone bruises and meniscal status (n.s.). The volume of bone bruises was not significantly associated with the meniscal lesion or with the tibiofemoral sagittal laxity, independently of the meniscal injury status (n.s.).

Conclusions

The volume of femoral and/or tibial bone bruises was not associated with the type of ACL injury, tibiofemoral sagittal laxity or the status of meniscal injury. Bone bruises must be considered as a radiographic sign of injury and should not be suggestive of injury severity and not overvalued.

Level of evidence

Retrospective cohort study, Level III.

IRB number

0011/0014.

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Title: Tibiofemoral bone bruise volume is not associated with meniscal injury and knee laxity in patients with anterior cruciate ligament rupture
Authors: Ricardo Bastos
Renato Andrade
Sebastiano Vasta
Rogério Pereira
Rocco Papalia
Willem van der Merwe
Scott Rodeo
João Espregueira-Mendes
Publication date: 01-10-2019
Publisher: Springer Berlin Heidelberg
Keywords: Meniscal Injury
Magnetic Resonance Imaging
Magnetic Resonance Imaging
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2019
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-018-5343-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Tibiofemoral bone bruise volume is not associated with meniscal injury and knee laxity in patients with anterior cruciate ligament rupture

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

IRB number

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

IRB number

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