Relationship Between Bone Bruise Volume and Patient Outcomes After ACL Reconstruction
Background: Subchondral bone injuries, or bone bruises, are commonly observed on magnetic resonance imaging (MRI) after anterior cruciate ligament (ACL) injury. The current relationship between bone bruise volume and postsurgical outcomes remains poorly understood. Purpose: To examine the influence...
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| Veröffentlicht in: | Orthopaedic journal of sports medicine 2023-02, Vol.11 (2), p.23259671221146205-23259671221146205 |
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| creator | Galloway, Connor Ward, Hallie Higbie, Steven Kleihege, Jacquelyn Kumaravel, Manickam Lowe, Walter R. Bailey, Lane |
| description | Background:
Subchondral bone injuries, or bone bruises, are commonly observed on magnetic resonance imaging (MRI) after anterior cruciate ligament (ACL) injury. The current relationship between bone bruise volume and postsurgical outcomes remains poorly understood.
Purpose:
To examine the influence of bone bruise volume on self-reported and objective functional outcomes at the time of return to play and 2 years following ACL reconstruction.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
Clinical, surgical, and demographic data were obtained for a sample of convenience utilizing a single-surgeon ACL database (n = 1396). For 60 participants, femoral and tibial bone bruise volumes were estimated from preoperative MRI. Data obtained at the time of return to play included International Knee Documentation Committee (IKDC-2000) score, ACL–Return to Sport after Injury (ACL-RSI) score, and performance on an objective functional performance battery. Two-year follow-up data included graft reinjury rate, level of return to sport/activity, and self-reported knee function using the Single Assessment Numeric Evaluation (SANE). The forward stepwise linear regression was used to determine the relationship between bone bruise volume and patient function.
Results:
The distribution of bone bruise injuries was as follows: lateral femoral condyle (76.7%), lateral tibial plateau (88.3%), medial femoral condyle (21.7%), and medial tibial plateau (26.7%). Mean total bone bruise volume of all compartments was 7065.7 ± 6226.6 mm3. At the 2-year follow up, there were no significant associations between total bone bruise volume and time of return to play (P = .832), IKDC-2000 score (P = .200), ACL-RSI score (P = .370), or SANE score (P = .179).
Conclusion:
The lateral tibial plateau was the most frequent site to sustain bone bruise injury. Preoperative bone bruise volume was not associated with delayed time to return to sport or self-reported outcomes at time of return to play or at 2 years postoperatively.
Registration:
NCT03704376 (ClinicalTrials.gov identifier). |
| doi_str_mv | 10.1177/23259671221146205 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9969447</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_23259671221146205</sage_id><sourcerecordid>2781620244</sourcerecordid><originalsourceid>FETCH-LOGICAL-c466t-987808a524dc63efdc56da657691bdc02b1879482885f8f1c5808fc8c3cb430c3</originalsourceid><addsrcrecordid>eNp1kUtLxDAQgIMoKuoP8CIBL15WkzTN4yLsLr5gQRH1GrLpVCttsyat4r83ZX2LuSRMvvkyk0Fol5JDSqU8YhnLtZCUMUq5YCRfQZtDbDQEV7-dN9BOjI8kLZVTncl1tJEJJYiUbBPdXkNtu8q38aFa4Al0LwAtnvgW8CT0VQR85-u-AWzbAl8lEtoOX_ad8w1EPC47CHg8neFrcMnRhd4Nsm20Vto6ws77voVuT09upuej2eXZxXQ8GzkuRDfSSiqibM544UQGZeFyUViRS6HpvHCEzamSmiumVF6qkro84aVTLnNznhGXbaHjpXfRzxsoXCou2NosQtXY8Gq8rczPm7Z6MPf-2WgtNOcyCQ7eBcE_9RA701TRQV3bFnwfDZOKpr9lnCd0_xf66PvQpvYGigitNGeJokvKBR9jgPKzGErMMDfzZ24pZ-97F58ZH1NKwOESiPYevp793_gGjzKfcg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2780698942</pqid></control><display><type>article</type><title>Relationship Between Bone Bruise Volume and Patient Outcomes After ACL Reconstruction</title><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>SAGE Journals</source><creator>Galloway, Connor ; Ward, Hallie ; Higbie, Steven ; Kleihege, Jacquelyn ; Kumaravel, Manickam ; Lowe, Walter R. ; Bailey, Lane</creator><creatorcontrib>Galloway, Connor ; Ward, Hallie ; Higbie, Steven ; Kleihege, Jacquelyn ; Kumaravel, Manickam ; Lowe, Walter R. ; Bailey, Lane</creatorcontrib><description>Background:
Subchondral bone injuries, or bone bruises, are commonly observed on magnetic resonance imaging (MRI) after anterior cruciate ligament (ACL) injury. The current relationship between bone bruise volume and postsurgical outcomes remains poorly understood.
Purpose:
To examine the influence of bone bruise volume on self-reported and objective functional outcomes at the time of return to play and 2 years following ACL reconstruction.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
Clinical, surgical, and demographic data were obtained for a sample of convenience utilizing a single-surgeon ACL database (n = 1396). For 60 participants, femoral and tibial bone bruise volumes were estimated from preoperative MRI. Data obtained at the time of return to play included International Knee Documentation Committee (IKDC-2000) score, ACL–Return to Sport after Injury (ACL-RSI) score, and performance on an objective functional performance battery. Two-year follow-up data included graft reinjury rate, level of return to sport/activity, and self-reported knee function using the Single Assessment Numeric Evaluation (SANE). The forward stepwise linear regression was used to determine the relationship between bone bruise volume and patient function.
Results:
The distribution of bone bruise injuries was as follows: lateral femoral condyle (76.7%), lateral tibial plateau (88.3%), medial femoral condyle (21.7%), and medial tibial plateau (26.7%). Mean total bone bruise volume of all compartments was 7065.7 ± 6226.6 mm3. At the 2-year follow up, there were no significant associations between total bone bruise volume and time of return to play (P = .832), IKDC-2000 score (P = .200), ACL-RSI score (P = .370), or SANE score (P = .179).
Conclusion:
The lateral tibial plateau was the most frequent site to sustain bone bruise injury. Preoperative bone bruise volume was not associated with delayed time to return to sport or self-reported outcomes at time of return to play or at 2 years postoperatively.
Registration:
NCT03704376 (ClinicalTrials.gov identifier).</description><identifier>ISSN: 2325-9671</identifier><identifier>EISSN: 2325-9671</identifier><identifier>DOI: 10.1177/23259671221146205</identifier><identifier>PMID: 36860772</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Injuries ; Knee ; Magnetic resonance imaging ; Orthopedics ; Self report ; Sports medicine</subject><ispartof>Orthopaedic journal of sports medicine, 2023-02, Vol.11 (2), p.23259671221146205-23259671221146205</ispartof><rights>The Author(s) 2023</rights><rights>The Author(s) 2023.</rights><rights>The Author(s) 2023. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2023 2023 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-987808a524dc63efdc56da657691bdc02b1879482885f8f1c5808fc8c3cb430c3</citedby><cites>FETCH-LOGICAL-c466t-987808a524dc63efdc56da657691bdc02b1879482885f8f1c5808fc8c3cb430c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9969447/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9969447/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,21966,27853,27924,27925,44945,45333,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36860772$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Galloway, Connor</creatorcontrib><creatorcontrib>Ward, Hallie</creatorcontrib><creatorcontrib>Higbie, Steven</creatorcontrib><creatorcontrib>Kleihege, Jacquelyn</creatorcontrib><creatorcontrib>Kumaravel, Manickam</creatorcontrib><creatorcontrib>Lowe, Walter R.</creatorcontrib><creatorcontrib>Bailey, Lane</creatorcontrib><title>Relationship Between Bone Bruise Volume and Patient Outcomes After ACL Reconstruction</title><title>Orthopaedic journal of sports medicine</title><addtitle>Orthop J Sports Med</addtitle><description>Background:
Subchondral bone injuries, or bone bruises, are commonly observed on magnetic resonance imaging (MRI) after anterior cruciate ligament (ACL) injury. The current relationship between bone bruise volume and postsurgical outcomes remains poorly understood.
Purpose:
To examine the influence of bone bruise volume on self-reported and objective functional outcomes at the time of return to play and 2 years following ACL reconstruction.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
Clinical, surgical, and demographic data were obtained for a sample of convenience utilizing a single-surgeon ACL database (n = 1396). For 60 participants, femoral and tibial bone bruise volumes were estimated from preoperative MRI. Data obtained at the time of return to play included International Knee Documentation Committee (IKDC-2000) score, ACL–Return to Sport after Injury (ACL-RSI) score, and performance on an objective functional performance battery. Two-year follow-up data included graft reinjury rate, level of return to sport/activity, and self-reported knee function using the Single Assessment Numeric Evaluation (SANE). The forward stepwise linear regression was used to determine the relationship between bone bruise volume and patient function.
Results:
The distribution of bone bruise injuries was as follows: lateral femoral condyle (76.7%), lateral tibial plateau (88.3%), medial femoral condyle (21.7%), and medial tibial plateau (26.7%). Mean total bone bruise volume of all compartments was 7065.7 ± 6226.6 mm3. At the 2-year follow up, there were no significant associations between total bone bruise volume and time of return to play (P = .832), IKDC-2000 score (P = .200), ACL-RSI score (P = .370), or SANE score (P = .179).
Conclusion:
The lateral tibial plateau was the most frequent site to sustain bone bruise injury. Preoperative bone bruise volume was not associated with delayed time to return to sport or self-reported outcomes at time of return to play or at 2 years postoperatively.
Registration:
NCT03704376 (ClinicalTrials.gov identifier).</description><subject>Injuries</subject><subject>Knee</subject><subject>Magnetic resonance imaging</subject><subject>Orthopedics</subject><subject>Self report</subject><subject>Sports medicine</subject><issn>2325-9671</issn><issn>2325-9671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kUtLxDAQgIMoKuoP8CIBL15WkzTN4yLsLr5gQRH1GrLpVCttsyat4r83ZX2LuSRMvvkyk0Fol5JDSqU8YhnLtZCUMUq5YCRfQZtDbDQEV7-dN9BOjI8kLZVTncl1tJEJJYiUbBPdXkNtu8q38aFa4Al0LwAtnvgW8CT0VQR85-u-AWzbAl8lEtoOX_ad8w1EPC47CHg8neFrcMnRhd4Nsm20Vto6ws77voVuT09upuej2eXZxXQ8GzkuRDfSSiqibM544UQGZeFyUViRS6HpvHCEzamSmiumVF6qkro84aVTLnNznhGXbaHjpXfRzxsoXCou2NosQtXY8Gq8rczPm7Z6MPf-2WgtNOcyCQ7eBcE_9RA701TRQV3bFnwfDZOKpr9lnCd0_xf66PvQpvYGigitNGeJokvKBR9jgPKzGErMMDfzZ24pZ-97F58ZH1NKwOESiPYevp793_gGjzKfcg</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Galloway, Connor</creator><creator>Ward, Hallie</creator><creator>Higbie, Steven</creator><creator>Kleihege, Jacquelyn</creator><creator>Kumaravel, Manickam</creator><creator>Lowe, Walter R.</creator><creator>Bailey, Lane</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230201</creationdate><title>Relationship Between Bone Bruise Volume and Patient Outcomes After ACL Reconstruction</title><author>Galloway, Connor ; Ward, Hallie ; Higbie, Steven ; Kleihege, Jacquelyn ; Kumaravel, Manickam ; Lowe, Walter R. ; Bailey, Lane</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-987808a524dc63efdc56da657691bdc02b1879482885f8f1c5808fc8c3cb430c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Injuries</topic><topic>Knee</topic><topic>Magnetic resonance imaging</topic><topic>Orthopedics</topic><topic>Self report</topic><topic>Sports medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Galloway, Connor</creatorcontrib><creatorcontrib>Ward, Hallie</creatorcontrib><creatorcontrib>Higbie, Steven</creatorcontrib><creatorcontrib>Kleihege, Jacquelyn</creatorcontrib><creatorcontrib>Kumaravel, Manickam</creatorcontrib><creatorcontrib>Lowe, Walter R.</creatorcontrib><creatorcontrib>Bailey, Lane</creatorcontrib><collection>SAGE Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthopaedic journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Galloway, Connor</au><au>Ward, Hallie</au><au>Higbie, Steven</au><au>Kleihege, Jacquelyn</au><au>Kumaravel, Manickam</au><au>Lowe, Walter R.</au><au>Bailey, Lane</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship Between Bone Bruise Volume and Patient Outcomes After ACL Reconstruction</atitle><jtitle>Orthopaedic journal of sports medicine</jtitle><addtitle>Orthop J Sports Med</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>11</volume><issue>2</issue><spage>23259671221146205</spage><epage>23259671221146205</epage><pages>23259671221146205-23259671221146205</pages><issn>2325-9671</issn><eissn>2325-9671</eissn><abstract>Background:
Subchondral bone injuries, or bone bruises, are commonly observed on magnetic resonance imaging (MRI) after anterior cruciate ligament (ACL) injury. The current relationship between bone bruise volume and postsurgical outcomes remains poorly understood.
Purpose:
To examine the influence of bone bruise volume on self-reported and objective functional outcomes at the time of return to play and 2 years following ACL reconstruction.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
Clinical, surgical, and demographic data were obtained for a sample of convenience utilizing a single-surgeon ACL database (n = 1396). For 60 participants, femoral and tibial bone bruise volumes were estimated from preoperative MRI. Data obtained at the time of return to play included International Knee Documentation Committee (IKDC-2000) score, ACL–Return to Sport after Injury (ACL-RSI) score, and performance on an objective functional performance battery. Two-year follow-up data included graft reinjury rate, level of return to sport/activity, and self-reported knee function using the Single Assessment Numeric Evaluation (SANE). The forward stepwise linear regression was used to determine the relationship between bone bruise volume and patient function.
Results:
The distribution of bone bruise injuries was as follows: lateral femoral condyle (76.7%), lateral tibial plateau (88.3%), medial femoral condyle (21.7%), and medial tibial plateau (26.7%). Mean total bone bruise volume of all compartments was 7065.7 ± 6226.6 mm3. At the 2-year follow up, there were no significant associations between total bone bruise volume and time of return to play (P = .832), IKDC-2000 score (P = .200), ACL-RSI score (P = .370), or SANE score (P = .179).
Conclusion:
The lateral tibial plateau was the most frequent site to sustain bone bruise injury. Preoperative bone bruise volume was not associated with delayed time to return to sport or self-reported outcomes at time of return to play or at 2 years postoperatively.
Registration:
NCT03704376 (ClinicalTrials.gov identifier).</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>36860772</pmid><doi>10.1177/23259671221146205</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Orthopaedic journal of sports medicine, 2023-02, Vol.11 (2), p.23259671221146205-23259671221146205 |
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| source | DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; SAGE Journals |
| subjects | Injuries Knee Magnetic resonance imaging Orthopedics Self report Sports medicine |
| title | Relationship Between Bone Bruise Volume and Patient Outcomes After ACL Reconstruction |
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