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European Radiology

, Volume 16, Issue 1, pp 97–107 | Cite as

Clinical consequences of bone bruise around the knee

  • Patrice W. J. Vincken
  • Bert P. M. ter Braak
  • Arian R. van Erkel
  • Emile G. Coerkamp
  • Walter M. C. Mallens
  • Johan L. Bloem
Musculoskeletal

Abstract

The aim of this study is to evaluate the relation between bone bruise and (peri-)articular derangement and to assess the impact of bone bruise on presentation and short term course of knee complaints. We recorded MR abnormalities in 664 consecutive patients with sub-acute knee complaints. Patients were divided in four groups: patients with and without intra-articular knee pathology, subdivided in patients with and without bone bruise. We assessed function and symptoms at the time of MR and 6 months thereafter. Bone bruises were diagnosed in 124 of 664 patients (18.7%). Patients with bone bruise had significantly more complete ACL, lateral meniscal, MCL and LCL tears. Both with and without intra-articular pathology patients with bone bruise had a significantly poorer function at the time of MR (Noyes score of, respectively, 313.21 versus 344.81 and 306.98 versus 341.19). Patients with bone bruise and intra-articular pathology showed significantly more decrease in activity (decrease of Tegner score from 6.28 to 2.12 versus 5.70–2.55). At 6 months there were no significant differences in clinical parameters between the four groups. We concluded that bone bruise in combination with MCL tear is an important cause of initial clinical impairment in patients with sub-acute knee complaints. Clinical improvement within 6 months is more pronounced than in patients without bone bruise.

Keywords

Knee Knee MR Knee Injuries Knee Ligaments Menisci and cartilage 

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Patrice W. J. Vincken
    • 1
  • Bert P. M. ter Braak
    • 1
  • Arian R. van Erkel
    • 1
  • Emile G. Coerkamp
    • 2
  • Walter M. C. Mallens
    • 3
  • Johan L. Bloem
    • 1
  1. 1.Department of RadiologyLeiden University Medical CenterLeidenThe Netherlands
  2. 2.Department of RadiologyMCH Westeinde HospitalThe HagueThe Netherlands
  3. 3.Department of RadiologyLeyenburg HospitalThe HagueThe Netherlands

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