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KMID : 0950120120110010044
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Jouranl of Korean Orthopaedic Sports Medicine
2012 Volume.11 No. 1 p.44 ~ p.50
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Analysis of bone bruise associated with anterior cruciate ligament injury
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Jugn Dae-Won
Kim Chang-Wan
Baik Jong-Min
Seo Seung-Suk
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Abstract
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Purpose: The purpose of this study is to analyze the relationship between acute anterior cruciate ligament (ACL) injury and bone bruise using the survey for location and incidence of bone bruise.
Materials and Methods: From Jan. 2006 to Feb. 2010, 87 knees from who had complaint a traumatic knee pain were diagnosed as acute ACL tear using MRI evaluation. Associated injury, location and incidence of bone bruise were analyzed using MRI. The location of bone bruise on the MRI was classified
as medial, central and lateral area on anteroposterior and lateral view of femur and tibia. The
bone bruise was classified with Costa Paz classification.
Results:Bone bruise of injury during daily living activity were located at medial area on coronary
view and anterior area on sagittal view of distal femur, at medial area on coronary view and anterior area on sagittal view of proximal tibia (p=0.024, p=0.021, p=0.025 and p=0.029, respectively). Bone bruise of injury during sports activity were located at lateral area on coronary view and central area on sagittal view of distal femur, at lateral area on coronary view and posterior area on sagittal view of proximal tibia (p=0.014, p=0.015, p=0.018 and p=0.017, respectively). Bone bruise patterns due to traffic accident were inconclusive (p=0.264, p=0.254, p=0.229 and p=0.267, respectively).
Conclusion: Injury mechanism of acute ACL injury from activities of daily living or sports activities compared to that of traffic accident showed a more consistent bone bruise patterns. Special attention to acute ACL tear must be paid in case of bone bruise at lateral tibial plateau and lateral femoral condyle.
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KEYWORD
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Anterior cruciate ligament (ACL), Bone bruise, Active daily living (ADL), Traffic accident, Sports injury
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