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The American Journal of Sports Medicine 26:15-19 (1998)
© 1998 American Orthopaedic Society for Sports Medicine

The Natural History of Bone Bruises

A Prospective Study of Magnetic Resonance Imaging-Detected Trabecular Microfractures in Patients with Isolated Medial Collateral Ligament Injuries

Mark D. Miller, LTC, MC, USAF*,{dagger}, John R. Osborne, LTC, MC, USAF*, Wade T. Gordon, 2LT, MC, USAF*, Daniel T. Hinkin, LTC, MC, USAF* and Mark R. Brinker, MD{ddagger}

* United States Air Force Academy Hospital, Colorado
{ddagger} Fondren Orthopaedic Group, Texas Orthopedic Hospital, Houston, Texas

{dagger} Address correspondence and reprint requests to Mark D. Miller, MD, 112 Charles Road, San Antonio, TX 78209

We conducted a prospective study to evaluate bone bruises, or trabecular microfractures, associated with isolated medial collateral ligament injuries. Magnetic resonance imaging was performed on 65 patients with isolated medial collateral ligament injuries determined by physical examination and imaging studies. Of these 65 patients, 29 (45%) had associated trabecular microfractures. Follow-up images were completed at various intervals on 24 of these 29 patients (83%). Complete resolution of these lesions was observed in all cases. This process appears to occur as a result of gradual diffusion over a period of 2 to 4 months. Bone bruises associated with medial collateral ligament injuries are approximately one-half as common as bone bruises associated with anterior cruciate ligament injuries. However, medial collateral ligament-associated trabecular microfractures may be a better natural history model because these injuries are treated nonoperatively.




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