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MRI Follow-Up of Posttraumatic Bone Bruises of the Knee in General Practice

Simone S. Boks1,2, Dammis Vroegindeweij3, Bart W. Koes1, Roos M. D. Bernsen1,4, M. G. Myriam Hunink5,6 and Sita M. A. Bierma-Zeinstra1

1 Department of General Practice, Erasmus MC, Rotterdam, The Netherlands.
2 Department of Radiology, Diaconessenhuis Meppel, PO Box 502, 7940 AM Meppel, The Netherlands.
3 Department of Radiology, Medical Centre Rijnmond-Zuid, Rotterdam, The Netherlands.
4 Department of Community Medicine, United Arab Emirates University, Al Ain, United Arab Emirates.
5 Department of Radiology, Erasmus MC, Rotterdam, The Netherlands.
6 Department of Epidemiology and Biostatistics, Erasmus MC, Rotterdam, The Netherlands.


Figure 1
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Fig. 1 Presence of bone bruise in 80 posttrauma patients until 1 year of follow-up. Gray boxes refer to patients with complete follow-up (i.e., bone bruise absent at follow-up, or 1-year follow-up completed). Numbers on dotted lines represent participants who were transferred from one category to another.

 

Figure 2
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Fig. 2 Fraction of bone bruise patients not healed over time.

 

Figure 3
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Fig. 3A —57-year-old woman with gradual resolution of subcortical fracture. Coronal T2-weighted fat-suppressed images (TR/TE, 12/3,700; fat saturation; section thickness, 3 mm; field of view, 180 x 135 mm; matrix, 385 x 224) show gradual resolution of bone bruise (subcortical fracture) over time from baseline (A), to 3-week follow-up (B), and at 9-week follow-up (C).

 

Figure 4
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Fig. 3B —57-year-old woman with gradual resolution of subcortical fracture. Coronal T2-weighted fat-suppressed images (TR/TE, 12/3,700; fat saturation; section thickness, 3 mm; field of view, 180 x 135 mm; matrix, 385 x 224) show gradual resolution of bone bruise (subcortical fracture) over time from baseline (A), to 3-week follow-up (B), and at 9-week follow-up (C).

 

Figure 5
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Fig. 3C —57-year-old woman with gradual resolution of subcortical fracture. Coronal T2-weighted fat-suppressed images (TR/TE, 12/3,700; fat saturation; section thickness, 3 mm; field of view, 180 x 135 mm; matrix, 385 x 224) show gradual resolution of bone bruise (subcortical fracture) over time from baseline (A), to 3-week follow-up (B), and at 9-week follow-up (C).

 

Figure 6
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Fig. 4A —31-year-old man with fast resolution of bone bruise, reticular lesion type. Coronal T2-weighted fat-suppressed images (TR/TE, 12/3,700; fat saturation; section thickness, 3 mm; field of view, 180 x 135 mm; matrix, 385 x 224) show fast resolution of bone bruise from baseline (A), to 3-week follow-up (B), and at 9-week follow-up (C).

 

Figure 7
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Fig. 4B —31-year-old man with fast resolution of bone bruise, reticular lesion type. Coronal T2-weighted fat-suppressed images (TR/TE, 12/3,700; fat saturation; section thickness, 3 mm; field of view, 180 x 135 mm; matrix, 385 x 224) show fast resolution of bone bruise from baseline (A), to 3-week follow-up (B), and at 9-week follow-up (C).

 

Figure 8
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Fig. 4C —31-year-old man with fast resolution of bone bruise, reticular lesion type. Coronal T2-weighted fat-suppressed images (TR/TE, 12/3,700; fat saturation; section thickness, 3 mm; field of view, 180 x 135 mm; matrix, 385 x 224) show fast resolution of bone bruise from baseline (A), to 3-week follow-up (B), and at 9-week follow-up (C).

 

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