Introduction: Bone contusions, also named bone marrow like edema (BMEL) areas, are present in 80% of anterior cruciate ligament (ACL) tears. Its clinical and pathologic meaning is still uncertain. There seems to be an association between BMEL and anterior knee pain after ACL repair and cartilage damage in the knee after traumatic events. Nevertheless, there is scarce literature regarding presence and distribution of BMEL’s in other patterns of joint injury of the knee.
Objectives: Main purposes: 1) describe the pattern of localization of BMEL’s after knee sprain, regarding injured structures; 2) correlate the severity of BMEL’s with intra-articular injury types and associations.
Methods: Coorte study. Inclusion criteria: age>18 years, knee MRI 3Tesla with
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Results: 409 patients (207 male – M – and 202 females –F) were included. 91 (22%) presented BMEL in their MRI (54M/37F), averaging 30,2 +- 7,3 years old.
88% presented at least one articular injury –the most frequent were menisci 59% (IM 58%, EM 35%, IM+EM 23%) and ACL tear 54%.
BMEL distribution: ICF 42%, ECF 49%, ITP 41%, ETP 44%. BMEL frequency analysis revealed 1 area of contusion in 48% of patients, 2 in 33%, 3 in 13% and 4 in 6% of the patients.
Correlation of BMEL localization with the injured structure with statistical significance: IM-ETP in 46% (p=0,05), EM-ETP in 59%(p=0,029) and ITP in 56% (p=0,026), and Central Pivot-ETP in 69% (p=0,001).
Grouping of BMELs revealed internal areas of contusion more associated with IM injuries (p=0.023), and external areas with LCA tears (p=0,001).
Patients with IM+EM injuries (with or without central pivot lesion) had significantly increased number of BMELs (p=0,039). Injuries to more than 2 structures correlated with increased number of BMELs (p=0,01).
Men presented more contusions in the lateral compartment (78% Vs 57%, p=0,036) and 70% had associated menisci and ACL injuries (vs. 30% in women,
Most people think that concussions are the main injury caused in football, but in reality lower limb injuries are. “Ligament sprains are the most common injury reported, accounting for more than 30 percent of all injuries”(NCAA 1). This quote talks about how ligament sprains are actually the most common injury in football. This also shows that concussions are not the main injury in football. Actually concussions are one of the lowest injury percentages than any other body part. The percentage of this injury is actually around 7% which is the second lowest comparing to head, face, and neck injuries which goes to about 4%. It’s pretty fascinating to see that these injuries that are more commonly talked about, are the ones that are the lowest percent. This quote “Surgery resulted from 7.5 percent of injuries”(NCAA 1) also shows that it’s not as dangerous as people think it is. Showing that there is a little amount of people who get taken into surgery for their injuries. This is important to know because this number is statistic that people cannot argue against. People can say whatever they want about how dangerous the sport is, but this number can be shown to them and it will make them take back what they said. The second most caused injury to football players is upper limb injuries. This includes arms, chest, and shoulders. These injuries are also sought after to be one of the more well known
The knee is a complex joint. There are many different injuries that can occur during sports. The most predominant type of injuries to the knee is those done to the Meniscus and the ligaments. There are two areas of ligaments that are commonly affected; the cruciate ligaments and the Collateral ligaments. Within the Cruciate ligaments there are posterior and anterior injuries, and within the Collateral ligaments there are medial and lateral injuries. It is very important that these injuries be taken seriously in athletics due to the seriousness of their affects to the knee.
In her article, “High School ACL Injury Rates”, Dawn Comstock shows that in 2009, about sixty percent, of all sports surgeries involve the knee; within the sixty percent, about fifty percent of the knee surgeries are ACL reconstructions. Sports that could have a higher tendency for an athlete to tear the ACL are sports that require an athlete to decelerate quickly or need to cut and change direction instantly. For example, an article shows that a high-impact sport has a higher percentage of ACL tears when compared to a low-impact sport, such as football and women’s soccer; football has a forty-one percent ACL injury rate while women’s soccer only has nineteen percent. Not only does the level of impact effect the likelihood of ACL injury, but the gender of the athlete as well. When looking at women’s and men’s soccer, men have a merely thirteen percent ACL injury rate because their physical structure along with their techniques when doing certain exercises.
Acute tears of the anterior bundle of the UCL can be seen on high quality MR images. Edema, abnormal laxity, and discontinuity of the ligament are all signs of UCL disruption. Partial tears can be diagnosed with edema and focal areas of discontinuity with residual intact fibers. However, according to Awh (2010), “with complete tears, laxity is more apparent and edema and/or disorganized soft tissue extend across the width of the anterior bundle. With proper inspection, one can identify both the site and severity of UCL injury.”
Christopher et al , 2008 stated that the knee is the largest joint in the body and is a relatively unstable and intricate joint with numerous tendinous, ligamentous, and meniscal attachments, which makes it particularly vulnerable to complex injuries after trauma. ( 85 )
Currently MRI is gaining popularity as a diagnostic tool in knee injuries due to increasing sports injuries and road traffic accidents. The single most common indication of performing a knee MRI is to diagnose internal derangements in an injured knee. ( 73 )
An ACL is the Anterior Cruciate Ligament (ACL) which is a ligament in the knee and is an essential internal stabilizer of the knee joint and helps in restraining hyperextension. It is injured when it’s when the biomechanics of this ligaments limits are exceeded or over stretched, often with a hyperextended mechanic. It was thought that this occurred in sports where there was a lot of contact and when other structures were often involved. In the present day, the ACL injury seems to be more of a contactless injury such as; a dismount from a layup in basketball. Both forms of the injury occur more frequently in athletes than in the general population. They are also more established in alpine skiing, Association football, American football, Australian Rules football, basketball, rugby, professional wrestling, martial arts, and artistic gymnastics. It is also three times more likely to happen in males then it is in male athletes. The consequences of the injury are down to how much of the knee stability is affected and if injuries to other structures are badly damaged. This all varies from each and
We are investigating, whether concomitant ligamental knee injuries generally stay undetected upon admission, or develop through surgical intervention and treatment plans. For that reason, we try to correlate ligamentous integrity, range of motion and IM nail size to possible knee injuries and
This randomized study included Twenty-six patients with an acute ACL injury or ruptures of ACL grafts. To be involved in the study patients had to have a unilateral ACL injury, be free of other ligament or meniscal damage that would requiring surgical repair, and pass an examination designed to identify patients who would had the potential to return to a high-level physical activity with nonoperative treatments. Patients also have regular participation in some level I activities (eg, soccer, footbof all, basketball) or some level II activities (eg, racquet sports, skiing, construction work). Patients were randomly assigned to either a group that received the standard
The anatomical structures involved in this study include the knee, tibial spine (tibia), anterior cruciate ligament, patella, and fibula. For this study, 101 patients who met a certain criterion between January 1993 and January 2012 and experienced an anterior tibial spine fracture (ATSF) were
Lim SY and Peh WCG (2008) : Magnetic Resonance Imaging of Sports Injuries of the Knee : Annals Academy of Medicine; 37(4) :354-361.
Most people will never understand the many complexities of the world. The same can be said about the human body and the different structures that work together to produce movement. Some people who desire to be in highly competitive sporting environments, will attest to the excruciatingly painful, life-altering moment when they were engaged in play and heard the quintessential “pop” sound from their knee and they are immediately falling to the floor unable to move that knee. This is usually followed by a diagnosis of an anterior cruciate ligament tear and within a few weeks, surgical methods must be taken if the athlete wishes to return to their sport at the same high level. This paper will seek to properly define what the role of the anterior cruciate ligament (more commonly called the ACL) is, shed light on the procedures necessary for an athlete to return to play, and analyze data found through research to determine the likelihood of re-injury and, therefore, the effectiveness of ACL surgery.
DOI: 3/5/2015. Patient is a 53-year old male coordinator who sustained injury to his right shoulder and right arm, when he slipped and fell while walking into work. Per OMNI, he was initially diagnosed with fracture of the right humerus and contusion of the right elbow. This claim is established only for the right shoulder and elbow.
It is difficult to imagine thought in the modern world without the competitive intercollegiate sports that people should be aware of what injured student-athletes deal with. According to Kremer, Moran, Walker, and Craig (2012), these injuries continuously increases in elite and intense degree in sports and can be career threatening for young athletes. With the growing interest of sports among universities, the aggressiveness in sport also increases and thus resulting to possible injuries among student-athletes. Common long term injuries can occur in the lower and upper body. Baima (2009) states that the common lower body injuries athletes’ acquire are anterior cruciate ligament (ACL) tear and Achilles tendon injury, most of them happen among basketball, soccer, and football athletes. The common upper body injuries, according to Anderson, Parr, and Hall (2009), are rotator cuff injury and shoulder ligamentous injuries, specifically the Glenohumeral (GH) joint, which are prone among football, swimming, and tennis athletes. According to Baima (2009), an injury could be acquired with or without colliding with something. It is, however, important to be reminded that student-athletes inevitably cannot escape from these injuries when training or competing.
Throughout the sports world today, injuries a very common. An injury is “as any significant condition limiting function that caused an athlete to seek medical care by a trainer or physician, caused a practice or match to be discontinued, and resulted in lost time from athletic participation for 1 or more days” (Pasque). It is not uncommon to hear of a player pulling a muscle, tearing their ACL, getting a concussion, etc. Certain sports have a higher probability of getting certain injuries than others. For example, in football, wrestling and hockey, “injury to the brachial plexus, or brachial plexopathy, is one of the most common upper extremity injuries” (Kuzman). Football and wrestling are two high impact sports that have high risk for both