The diagnosis bone bruise was at first established by means of MRI in 1987. Up to now the discussion as to whether bone bruise has to be interpretated simply as a radiological finding or a harbinger of post-traumatic arthritis is controversial. In this article, we demonstrate two different cases in individual medical assessments of bone bruise with different patterns of injuries. While regarding the literature concerning bone bruise, we discuss the consequences of these injuries in IMA.