Prospective analysis of uncomplicated bone bruises in the pediatric knee

Richard L. Coursey, Elizabeth A. Jones, Gregory Chaljub, Paul D. Bertolino, Oscar Cano, Leonard E. Swischuk

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

To determine the incidence of uncomplicated knee bone contusions in pediatric patients. MRI studies were obtained using either high-field (1.5 T) or mid-field strength magnets (0.2-0.3 T), identifying 48 pediatric patients suitable for study. Contusion location, size, and any ligamentous or meniscal injuries were recorded. Exclusionary criteria did not include plain film findings, the interval between injury to imaging, or history of patellar dislocation [Fulkerson (2002) 30:447-456]. Uncomplicated bone bruises were those occurring in the absence of other internal derangements of the knee, such as meniscal and ligament tears. Consensus imaging findings by two reviewing radiologists revealed a 25% incidence of uncomplicated bruises (12/48 patients). These bone bruises involved the lateral and medial knee compartments 56 and 44% of the time, respectively. Bruises of the lateral compartment were larger (2.4 cm) than those found in the medial compartment (1.8 cm). Given the high incidence of symptomatic but uncomplicated contusions identified in this study of a pediatric population, we suggest appropriate joint rest and follow-up without other intervention as a primary course of treatment.

Original languageEnglish (US)
Pages (from-to)266-271
Number of pages6
JournalEmergency Radiology
Volume12
Issue number6
DOIs
StatePublished - Sep 2006

Fingerprint

Contusions
Knee
Pediatrics
Bone and Bones
Incidence
Patellar Dislocation
Magnets
Wounds and Injuries
Motion Pictures
Ligaments
Joints
Population

Keywords

  • Bone
  • Contusion
  • Knee
  • Ligament
  • MRI
  • Pediatric

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Coursey, R. L., Jones, E. A., Chaljub, G., Bertolino, P. D., Cano, O., & Swischuk, L. E. (2006). Prospective analysis of uncomplicated bone bruises in the pediatric knee. Emergency Radiology, 12(6), 266-271. https://doi.org/10.1007/s10140-006-0496-6

Prospective analysis of uncomplicated bone bruises in the pediatric knee. / Coursey, Richard L.; Jones, Elizabeth A.; Chaljub, Gregory; Bertolino, Paul D.; Cano, Oscar; Swischuk, Leonard E.

In: Emergency Radiology, Vol. 12, No. 6, 09.2006, p. 266-271.

Research output: Contribution to journalArticle

Coursey, RL, Jones, EA, Chaljub, G, Bertolino, PD, Cano, O & Swischuk, LE 2006, 'Prospective analysis of uncomplicated bone bruises in the pediatric knee', Emergency Radiology, vol. 12, no. 6, pp. 266-271. https://doi.org/10.1007/s10140-006-0496-6
Coursey RL, Jones EA, Chaljub G, Bertolino PD, Cano O, Swischuk LE. Prospective analysis of uncomplicated bone bruises in the pediatric knee. Emergency Radiology. 2006 Sep;12(6):266-271. https://doi.org/10.1007/s10140-006-0496-6
Coursey, Richard L. ; Jones, Elizabeth A. ; Chaljub, Gregory ; Bertolino, Paul D. ; Cano, Oscar ; Swischuk, Leonard E. / Prospective analysis of uncomplicated bone bruises in the pediatric knee. In: Emergency Radiology. 2006 ; Vol. 12, No. 6. pp. 266-271.
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