Anatomy and injuries of the pediatric wrist: beyond the basics.

Abstract:

:Ligamentous injuries of the pediatric wrist, once thought to be relatively uncommon, are increasingly recognized in the context of acute high-energy mechanism trauma and chronic axial loading, including those encountered in both recreational and high-performance competitive sports. Recent advances in MR-based techniques for imaging the pediatric wrist allow for sensitive identification of these often radiographically occult injuries. Detailed knowledge of the intrinsic and supportive extrinsic ligamentous complexes, as well as normal developmental anatomy and congenital variation, are essential to accurately diagnose injuries to these structures. Early identification of ligamentous injury of the pediatric wrist is essential within the conservative treatment culture of modern pediatric orthopedics because treatment of these lesions often necessitates surgery, and outcomes often depend on early and sometimes aggressive intervention. In this article, we review MR arthrogram technique and pediatric wrist anatomy, and correlate appearances on MR and selected ligamentous pathologies of the pediatric wrist.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Maloney E,Zbojniewicz AM,Nguyen J,Luo Y,Thapa MM

doi

10.1007/s00247-018-4111-2

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

764-782

issue

6

eissn

0301-0449

issn

1432-1998

pii

10.1007/s00247-018-4111-2

journal_volume

48

pub_type

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