Relationship between bone bruise volume and the presence of meniscal tears in acute anterior cruciate ligament rupture
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To determine whether there is a relationship between the size of the bone bruise volume after an acute anterior cruciate ligament (ACL) rupture and the presence of meniscal tears in the medial and lateral compartment.
Following Institutional Review Board approval, 50 patients with an acute ACL rupture and MRI imaging within 30 days of injury were identified. Two musculoskeletal radiologists evaluated the lateral and medial menisci and graded them as one of the following: no meniscal tear, tear of one meniscus (medial or lateral) or tear of both menisci (medial and lateral). Sagittal T2 fat-suppressed images were used to calculate bone bruise volume. The relationship between bone bruise volume and the presence of a meniscus tear was calculated.
Forty-three (86 %) patients had a bone bruise, 16 (32 %) patients had no tear, 7 (14 %) patients had lateral meniscus tear, 13 (26 %) patients had medial tear and 14 (28 %) patients had medial and lateral tears. There was a statistically significant difference in femoral bone bruise volume when comparing no meniscal tear to medial and lateral tears as well as when comparing medial or lateral tears to medial and lateral tears.
There is a statistically significant relationship between femoral bone bruise volume and the presence of meniscal tears in ACL injury, especially in the setting of medial and lateral pathology.
Level of evidence
Retrospective cohort study, Level III.
KeywordsMRI ACL Meniscus Bone bruise
The authors did not receive any outside funding or grants directly related to the research described in this manuscript. Our institution receives a research grant from Smith and Nephew to support research related to ACL reconstruction. The research that forms the basis for this manuscript was done at our institution.
- 1.Beynnon BD, Johnson RJ, Abate JA, Fleming BC, Nichols CE (2005) Treatment of anterior cruciate ligament injuries, part 2. Am J Sports Med 33:1751–1767Google Scholar
- 7.Dunn WR, Spindler KP, Amendola A, Andrish JT, Kaeding CC, Marx RG, McCarty EC, Parker RD, Harrell FE Jr, An AQ, Wright RW, Brophy RH, Matava MJ, Flanigan DC, Huston LJ, Jones MH, Wolcott ML, Vidal AF, Wolf BR (2010) Which preoperative factors, including bone bruise, are associated with knee pain/symptoms at index anterior cruciate ligament reconstruction (ACLR)? A multicenter orthopaedic outcomes network (MOON) ACLR cohort study. Am J Sports Med 38:1778–1787PubMedCentralPubMedCrossRefGoogle Scholar
- 9.Fang C, Johnson D, Leslie MP, Carlson CS, Robbins M, Di Cesare PE (2001) Tissue distribution and measurement of cartilage oligomeric matrix protein in patients with magnetic resonance imaging-detected bone bruises after acute anterior cruciate ligament tears. J Orthop Res 19:634–641PubMedCrossRefGoogle Scholar
- 11.Griffin LY, Agel J, Albohm MJ, Arendt EA, Dick RW, Garrett WE, Garrick JG, Hewett TE, Huston L, Ireland ML, Johnson RJ, Kibler WB, Lephart S, Lewis JL, Lindenfeld TN, Mandelbaum BR, Marchak P, Teitz CC, Wojtys EM (2000) Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. J Am Acad Orthop Surg 8:141–150PubMedGoogle Scholar
- 18.Mink JH, Deutsch AL (1989) Magnetic resonance imaging of the knee. Clin Orthop Relat Res (244):29–47Google Scholar
- 23.Piasecki DP, Spindler KP, Warren TA, Andrish JT, Parker RD (2003) Intraarticular injuries associated with anterior cruciate ligament tear: findings at ligament reconstruction in high school and recreational athletes. An analysis of sex-based differences. Am J Sports Med 31:601–605PubMedGoogle Scholar
- 28.Spindler KP, Schils JP, Bergfeld JA, Andrish JT, Weiker GG, Anderson TE, Piraino DW, Richmond BJ, Medendorp SV (1993) Prospective study of osseous, articular, and meniscal lesions in recent anterior cruciate ligament tears by magnetic resonance imaging and arthroscopy. Am J Sports Med 21:551–557PubMedCrossRefGoogle Scholar