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Seminars in Musculoskeletal Radiology最新文献

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Congenital and Traumatic Conditions of the Pediatric Hand: Overview for the Radiologist. 小儿手部的先天性和外伤性疾病：放射科医生概述。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-08-01 Epub Date: 2024-07-29 DOI: 10.1055/s-0044-1779716
J Herman Kan, Olivia A Barron, Bryce R Bell
{"title":"Congenital and Traumatic Conditions of the Pediatric Hand: Overview for the Radiologist.","authors":"J Herman Kan, Olivia A Barron, Bryce R Bell","doi":"10.1055/s-0044-1779716","DOIUrl":"https://doi.org/10.1055/s-0044-1779716","url":null,"abstract":"<p><p>Alignment, longitudinal growth, and function of the musculoskeletal unit of the pediatric hand is complex due to the combination of open growth plates, ossification variations, and their relationship with finger tendinous and ligamentous attachments. This review presents the basics of normal development, acquired and congenital variations, and traumatic conditions of the pediatric hand from the perspective of the pediatric musculoskeletal radiologist and hand surgeon. This multimodality imaging article focuses on non-oncologic and non-rheumatologic conditions of the pediatric hand, inclusive of fingers, thumb, and metacarpal bones.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging of Disease and Normal Variant Patterns in Pediatric Hips. 小儿髋关节疾病和正常变异模式的成像。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-08-01 Epub Date: 2024-07-29 DOI: 10.1055/s-0044-1786153
Jade A Anderson, Nicholas Laucis, John Symanski, Donna Blankenbaker
{"title":"Imaging of Disease and Normal Variant Patterns in Pediatric Hips.","authors":"Jade A Anderson, Nicholas Laucis, John Symanski, Donna Blankenbaker","doi":"10.1055/s-0044-1786153","DOIUrl":"https://doi.org/10.1055/s-0044-1786153","url":null,"abstract":"<p><p>The pediatric hip undergoes significant changes from infancy through adolescence. Proper maturation is crucial for the development of a stable and functional hip joint. Imaging interpretation of the pediatric hip requires distinguishing normal variants and maturation patterns from pathology. We review femoral ossification centers, variants, and conditions that affect the proximal femur, such as Legg-Calvé-Perthes disease; the acetabulum, such as developmental hip dysplasia; the acetabular labrum, such as femoroacetabular impingement; and synovial pathology in children through adolescence. Understanding the spectrum of hip conditions and using advanced imaging techniques are essential for the accurate diagnosis and effective management of pediatric hip disorders.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Shoulder Girdle. 小儿肩腰带
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-08-01 Epub Date: 2024-07-29 DOI: 10.1055/s-0044-1779717
Mobeen Farooq, Jeffrey A Belair, Vishal Desai
{"title":"Pediatric Shoulder Girdle.","authors":"Mobeen Farooq, Jeffrey A Belair, Vishal Desai","doi":"10.1055/s-0044-1779717","DOIUrl":"https://doi.org/10.1055/s-0044-1779717","url":null,"abstract":"<p><p>The pediatric shoulder girdle is a complex anatomical structure uniting the upper extremity and trunk. The osseous structures, their articulations, and the surrounding soft tissue support structures (muscles, tendons, and ligaments) allow for a wide range of motion at the shoulder. Growth and maturation of the components at the shoulder girdle vary, particularly the osseous structures. This characteristic renders interpretation of imaging of the pediatric shoulder girdle more challenging because normal or variant anatomy can be confused for pathology. We review the physiologic growth and maturation of the shoulder girdle with special emphasis on the development of the bones and their articulations. The role of various imaging modalities and the common osseous and soft tissue variants in the pediatric shoulder are also discussed.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Pediatric Ankle: Normal Variations and Maturation-Dependent Pathology. 小儿踝关节：正常变化和成熟期病理变化。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-08-01 Epub Date: 2024-07-29 DOI: 10.1055/s-0044-1779247
Philip G Colucci, Carolyn M Sofka
{"title":"The Pediatric Ankle: Normal Variations and Maturation-Dependent Pathology.","authors":"Philip G Colucci, Carolyn M Sofka","doi":"10.1055/s-0044-1779247","DOIUrl":"https://doi.org/10.1055/s-0044-1779247","url":null,"abstract":"<p><p>The pediatric ankle can present a broad range of normal variation and pathology unique to certain stages of development. Understanding the expected age ranges of ossification and fusion about the ankle is essential to provide accurate diagnoses regarding skeletal integrity. This conclusion has been well characterized radiographically and is supported by cadaveric research.The range of appearances on magnetic resonance imaging has also been well described. Knowledge about the structure of the periosteum and perichondrium aids in image interpretation as well as explaining typical injury patterns. The expected appearance of the physis and regional bone marrow signal is also of utmost importance.Ultrasonography is a valuable tool in pediatric musculoskeletal imaging but is limited when there is concern for intra-articular pathology. Computed tomography tends to be reserved for preoperative evaluation. We describe normal variation and maturation-dependent pathology of the pediatric ankle with an emphasis on imaging considerations.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Skeletal Manifestations of Gaucher's Disease: A Case Report and Literature Review. 戈谢病的骨骼表现：病例报告与文献综述
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-08-01 Epub Date: 2024-07-29 DOI: 10.1055/s-0044-1782205
Rahma Nour Eldin Saad Mohamed, Walid A Elnahal, Cleofina Furtado, Rania Zeitoun, Nagui Abdel-Wahab
{"title":"Skeletal Manifestations of Gaucher's Disease: A Case Report and Literature Review.","authors":"Rahma Nour Eldin Saad Mohamed, Walid A Elnahal, Cleofina Furtado, Rania Zeitoun, Nagui Abdel-Wahab","doi":"10.1055/s-0044-1782205","DOIUrl":"https://doi.org/10.1055/s-0044-1782205","url":null,"abstract":"<p><p>Gaucher's disease (GD) is a lysosomal storage disorder characterized by the storage of glucosylceramide in macrophages (\"Gaucher cells\"), mainly in the reticuloendothelial system. GD type 1 (GD1) is the most common phenotype that usually manifests with hepatosplenomegaly, cytopenias, and bone involvement. Skeletal manifestations are the most debilitating characteristic and result in significant morbidities. We describe a case of GD1, first presented by a nontraumatic bone fracture. The case presentation highlights the importance of considering GD among the differential diagnosis of nontraumatic fractures, avascular necrosis, and infarcts of the bones. Early diagnosis and treatment improve the course of disease and avoid irreversible sequelae.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Musculoskeletal Variants. 小儿肌肉骨骼变异。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-08-01 Epub Date: 2024-07-29 DOI: 10.1055/s-0044-1786697
Jie C Nguyen, Adam C Zoga
{"title":"Pediatric Musculoskeletal Variants.","authors":"Jie C Nguyen, Adam C Zoga","doi":"10.1055/s-0044-1786697","DOIUrl":"https://doi.org/10.1055/s-0044-1786697","url":null,"abstract":"","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Foot: Development, Variants, and Related Pathology. 小儿足部：发育、变异和相关病理。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-08-01 Epub Date: 2024-07-29 DOI: 10.1055/s-0044-1779246
Daniel F Morgan, Stacey M Elangovan, Arthur B Meyers
{"title":"Pediatric Foot: Development, Variants, and Related Pathology.","authors":"Daniel F Morgan, Stacey M Elangovan, Arthur B Meyers","doi":"10.1055/s-0044-1779246","DOIUrl":"https://doi.org/10.1055/s-0044-1779246","url":null,"abstract":"<p><p>Pediatric foot development throughout childhood and adolescence can present a diagnostic dilemma for radiologists because imaging appearances may be confused with pathology. Understanding pediatric foot development and anatomical variants, such as accessory ossification centers, is essential to interpret musculoskeletal imaging in children correctly, particularly because many of these variants are incidental but others can be symptomatic. We first briefly review foot embryology. After describing common accessory ossification centers of the foot, we explain the different patterns of foot maturation with attention to irregular ossification and bone marrow development. Common pediatric foot variants and pathology are described, such as tarsal coalitions and fifth metatarsal base fractures. We also discuss pediatric foot alignment and various childhood foot alignment deformities.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Pelvis. 小儿骨盆
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-08-01 Epub Date: 2024-07-29 DOI: 10.1055/s-0044-1779588
Nancy A Chauvin
{"title":"Pediatric Pelvis.","authors":"Nancy A Chauvin","doi":"10.1055/s-0044-1779588","DOIUrl":"https://doi.org/10.1055/s-0044-1779588","url":null,"abstract":"<p><p>The development of the pelvis follows a predictable pattern of ossification that involves the maturation of bone, synchondroses, and apophyses. These growth centers appear and close at distinct times during skeletal maturity and give rise to structural changes in the pelvis that can be distinctively appreciated on various imaging modalities. Accurate interpretation of radiologic images requires knowledge of skeletal development because the varying appearance of the maturing pediatric pelvis may be mistaken for pathology. In addition, many normal features within the pelvis can be erroneously perceived as injury. This article incorporates a multimodality review of normal pelvic maturation, a discussion of developmental variants, and a description of common injuries unique to the pediatric pelvis.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overuse Injury of the Epiphyseal Primary Physis. 骨骺初级干骺端过度损伤
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-08-01 Epub Date: 2024-07-29 DOI: 10.1055/s-0044-1785207
Dennis Caine, Vandan Patel, Jie C Nguyen
{"title":"Overuse Injury of the Epiphyseal Primary Physis.","authors":"Dennis Caine, Vandan Patel, Jie C Nguyen","doi":"10.1055/s-0044-1785207","DOIUrl":"https://doi.org/10.1055/s-0044-1785207","url":null,"abstract":"<p><p>Year-round participation in youth sport that involves high levels of repetitive movement fosters an environment in which overuse injuries are likely to occur. Epiphyseal primary physeal stress injuries (PSIs), unique to skeletally immature athletes, are a particular concern, given their potential for growth disturbance. Initially observed in Little League baseball players, these injuries are now known to affect the long bones around the shoulder, elbow, wrist, hand, knee, ankle, and foot of skeletally immature athletes involved in a variety of sport activities.This article offers an epidemiological and radiologic perspective on the extent and distribution of epiphyseal PSIs in youth sport. We also review a novel framework for understanding the pathophysiologic mechanisms causing these injuries. This information is essential for the early identification of epiphyseal PSIs and devising preventive measures that can reduce a delayed diagnosis and long-term morbidity. Preventing and reducing injury to the epiphyseal growth plates is essential because impairment and dysfunction can result in lifelong morbidity and a risk of premature osteoarthritis.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Immature Pediatric Appendicular Skeleton. 未成熟的小儿阑尾骨骼。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-08-01 Epub Date: 2024-07-29 DOI: 10.1055/s-0044-1786151
Jie C Nguyen, Dennis Caine
{"title":"The Immature Pediatric Appendicular Skeleton.","authors":"Jie C Nguyen, Dennis Caine","doi":"10.1055/s-0044-1786151","DOIUrl":"https://doi.org/10.1055/s-0044-1786151","url":null,"abstract":"<p><p>Growth and maturation occur in a predictable pattern throughout the body and within each individual bone. In the appendicular skeleton, endochondral ossification predominates in long bones and growth plates. The ends of these long bones are sites of relative weakness in the immature skeleton and prone to injury from acute insult and overuse. We present the normal histoanatomy and physiology of the growth plate complex, highlighting the unique contribution of each component and shared similarities between primary and secondary complexes. Components of the growth plate complex include the physis proper, subjacent vascularity within the growth cartilage, and the ossification front. The second section describes imaging considerations and features of normal and abnormal growth. Finally, we review the Salter-Harris classification for acute fractures and offer examples of characteristic overuse injury patterns involving the epiphyseal (proximal humerus and distal radius), apophyseal (medial epicondyle and tibial tubercle), and secondary growth plate complexes (medial femoral condyle and capitellar osteochondritis dissecans). This article provides a foundation and basic framework to better understand and anticipate potential complications and growth disturbances and to ensure optimal follow-up and early intervention when treatment can be less invasive.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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