Septic arthritis of the elbow in children: the role of sonography.

Abstract:

:Twelve children with suspected septic arthritis of the elbow were prospectively studied with plain-film radiography and ultrasound. Imaging data were correlated with clinical history and final diagnosis. Joint effusion was seen by sonography in six patients, four of whom underwent ultrasound-guided joint aspiration, confirming the diagnosis of septic arthritis in two patients and excluding it in two. Of nine patients whose plain films showed only soft tissue swelling, seven had one or more significant findings with sonography: joint effusion (without fat pad elevation on lateral plain films) in three patients, periosteal reaction in two, and epitrochlear mass in three. Sonography confirmed soft tissue swelling alone in two patients, thus excluding the diagnosis of septic arthritis and obviating unnecessary attempts at joint aspiration. Sonography of the elbow is an informative, easily performed examination, which is capable of showing both intra- and extra-articular abnormalities not apparent by plain radiography. Both the demonstration of pathologic changes and the failure to show joint fluid may affect clinical management.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Lim-Dunham JE,Ben-Ami TE,Yousefzadeh DK

doi

10.1007/BF02015794

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

556-9

issue

7

eissn

0301-0449

issn

1432-1998

journal_volume

25

pub_type

杂志文章
  • MRI of perinatal brain injury.

    abstract::MRI is invaluable in assessing the neonatal brain following suspected perinatal injury. Good quality imaging requires adaptations to both the hardware and the sequences used for adults or older children. The perinatal and postnatal details often predict the pattern of lesions sustained and should be available to aid i...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-010-1620-z

    authors: Rutherford M,Biarge MM,Allsop J,Counsell S,Cowan F

    更新日期:2010-06-01 00:00:00

  • Intrauterine dwarfism, peculiar facies and thin bones with multiple fractures--a new syndrome.

    abstract::Three newborns with thin ribs and thin long bones with multiple fractures are reported. Whereas one patient presents a syndromic association of bone dysplasia and intrauterine dwarfism two other patients cannot be appropriately evaluated due to lack of basic clinical and pathologic data. ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02388044

    authors: Kozlowski K,Kan A

    更新日期:1988-01-01 00:00:00

  • Reliability of cranial CT versus intracerebral pressure measurement for the evaluation of generalised cerebral oedema in children.

    abstract:OBJECTIVE:To examine the extent to which intracranial pressure (ICP) in children after severe brain trauma can be determined by cranial CT. MATERIALS AND METHODS:Two experienced paediatric radiologists, without any knowledge of the clinical symptoms, evaluated 124 CT scans from 65 children (average age 5.4 years) who ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470000255

    authors: Hirsch W,Beck R,Behrmann C,Schobess A,Spielmann RP

    更新日期:2000-07-01 00:00:00

  • Computed tomographic (CT) scans in cerebral palsy (CP).

    abstract::The CT findings in 120 cerebral palsied children are analysed. The 72.5% positive findings are correlated with the clinical types, as well as the aetiological basis for the cerebral palsy. The spastic type, 83.3% of the total number of children, had the highest positive findings. The yield was increased in children wi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02010628

    authors: Kolawole TM,Patel PJ,Mahdi AH

    更新日期:1989-01-01 00:00:00

  • Malignant intraperitoneal neoplasms of childhood.

    abstract:OBJECTIVE:The purpose of this paper is to review and categorize the CT appearances of primary and secondary intraperitoneal neoplasms in children. MATERIALS AND METHODS:We retrospectively reviewed the CT images of 14 cases of intraperitoneal neoplasms. They were reviewed for bowel wall thickening, mesenteric nodules, ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s002470050363

    authors: Chung CJ,Bui V,Fordham LA,Hill J,Bulas D

    更新日期:1998-05-01 00:00:00

  • Intestinal blood-flow velocity in uncomplicated preterm infants during the early neonatal period.

    abstract:BACKGROUND:Intestinal blood-flow changes after birth. Objective. To elucidate the factors influencing intestinal blood-flow velocity in preterm infants during the early neonatal period. MATERIALS AND METHODS:We measured blood-flow velocity in the superior mesenteric artery by pulsed Doppler US in 44 uncomplicated infa...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470050621

    authors: Maruyama K,Koizumi T,Tomomasa T,Morikawa A

    更新日期:1999-06-01 00:00:00

  • Aneurysms of the posterior cerebral artery in children.

    abstract::Two cases of aneurysms of the posterior cerebral artery, diagnosed by CT and confirmed angiographically, are reported. In the first case, the aneurysm was discovered fortuitously. The second began with intracerebral haemorrhage. A review of the literature is reported. ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/BF00974088

    authors: Romero FJ,Tàpies C,Ibarra B,Rovira M

    更新日期:1988-01-01 00:00:00

  • Unexpected MRI findings in clinically suspected Legg-Calvé-Perthes disease.

    abstract:BACKGROUND:In the setting of clinically suspected Legg-Calvé-Perthes (LCP) disease and negative/equivocal radiographs, contrast-enhanced MRI can be performed to confirm the diagnosis. OBJECTIVE:To determine the frequency of unexpected causes of hip pain as identified by MRI in children with clinically suspected LCP di...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-010-1841-1

    authors: Lobert PF,Dillman JR,Strouse PJ,Hernandez RJ

    更新日期:2011-03-01 00:00:00

  • Delayed appearance of an intra-thoracic kidney.

    abstract::This report describes a case of ectopic intra-thoracic kidney, in which there was delayed appearance of this condition after a documented prior normal chest film. ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02343442

    authors: Usta HY,Rizk F

    更新日期:1984-01-01 00:00:00

  • Ultrasound-guided musculoskeletal procedures in children.

    abstract::Ultrasound is an excellent tool to evaluate many pediatric musculoskeletal conditions. It may be used for both diagnosis and for guidance for therapeutic procedures. With US, the radiologist can readily evaluate the contralateral side for comparison. No sedation is typically required and ionizing radiation is avoided....

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-012-2599-4

    authors: Thapa M,Vo JN,Shiels WE 2nd

    更新日期:2013-03-01 00:00:00

  • Tradeoffs between image quality and dose.

    abstract::Image quality takes on different perspectives and meanings when associated with the concept of as low as reasonably achievable (ALARA), which is chiefly focused on radiation dose delivered as a result of a medical imaging procedure. ALARA is important because of the increased radiosensitivity of children to ionizing r...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-004-1268-7

    authors: Seibert JA

    更新日期:2004-10-01 00:00:00

  • Fistulous communication of pseudocyst to the common bile duct: a complication of pancreatitis.

    abstract::A pseudocyst developed in a child following acute pancreatitis and spontaneously drained into the common bile duct, a rare occurrence previously described only in adults. The imaging findings are similar to those of a choledochal cyst; serial sonograms enabled diagnosis by documenting evolution of the lesion and shoul...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF01625964

    authors: DeVanna T,Dunne MG,Haney PJ

    更新日期:1983-01-01 00:00:00

  • Interloop fluid in intussusception: what is its significance?

    abstract:BACKGROUND:Sonography has been used to predict pneumatic reduction outcome in children with intussusception. OBJECTIVE:To assess the prognostic significance of fluid between the intussusceptum and intussuscepiens with respect to reduction outcome, lead point or necrosis. MATERIALS AND METHODS:Sonograms of children wi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-010-1931-0

    authors: Gartner RD,Levin TL,Borenstein SH,Han BK,Blumfield E,Murphy R,Freeman K

    更新日期:2011-06-01 00:00:00

  • Primary (isolated) bilateral pulmonary hypoplasia: a comparative study of radiologic findings and autopsy results.

    abstract::Comparative radiologic/pathologic study of 45 newborns with primary and secondary pulmonary hypoplasia is presented and 43 cases were proven at autopsy. From 9 cases with primary pulmonary hypoplasia, 7 could be identified by 3 independent observers on chest radiographs. The roentgen criteria of primary pulmonary hypo...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02456280

    authors: Langer R,Kaufmann HJ

    更新日期:1986-01-01 00:00:00

  • Epiphyseo-metaphyseal cupping following infantile scurvy.

    abstract::A five year old girl presented with short femora, cupped distal metaphyses and flexion deformity of the knees suggesting previous epiphyseo-metaphyseal damage. The aetiology was suggested by finding a history of previous infantile scurvy with separated distal femoral epiphyses. The rarity of this complication and poss...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF00973956

    authors: Sprogue PL

    更新日期:1976-02-13 00:00:00

  • MR Imaging in a case of severe anorexia nervosa: the 'flip-flop' effect.

    abstract::We report an MR imaging phenomenon that can lead to misinterpretation. The unique appearance of the soft tissues and bone marrow in a 19-year-old severely malnourished woman with anorexia nervosa raised concerns about technical failure or systemic pathology. Due to extreme fat depletion, the T1-weighted images appeare...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-014-3145-3

    authors: DiVasta AD,Mulkern RV,Gordon CM,Ecklund K

    更新日期:2015-04-01 00:00:00

  • Fetal MR imaging of Kniest dysplasia.

    abstract::We present a case of Kniest dysplasia, a rare form of the type II collagenopathies, with prenatal MRI. Sonography revealed only short limbs in the fetus. Fetal MRI findings included enlarged hyaline cartilaginous structures with abnormally high T2 signal intensity, delayed ossification of the pubic and ischial bones, ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-009-1444-x

    authors: Yazici Z,Kline-Fath BM,Laor T,Tinkle BT

    更新日期:2010-03-01 00:00:00

  • Pinhole imaging of 131I-metaiodobenzylguanidine (131I-MIBG) in an animal model of neuroblastoma.

    abstract:PURPOSE:To evaluate (131)I-MIBG scintigraphic localization of xenotransplanted and spontaneously arising neuroblastomas in murine models of high-risk neuroblastoma. METHODS:Neuroblastoma xenografts were created by inoculation of human neuroblastoma cell suspensions into the subcutaneous flanks of athymic nude mice. In...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-003-1006-6

    authors: Accorsi R,Morowitz MJ,Charron M,Maris JM

    更新日期:2003-10-01 00:00:00

  • Very early postnatal changes in splanchnic circulation in term infants.

    abstract:BACKGROUND:Reversed blood flow has been reported in the superior mesenteric artery (SMA) in 92% of healthy term newborns at 2 h of age. By 24 h after birth the end-diastolic velocity became positive in all of the infants. OBJECTIVE:To characterize hemodynamic changes in the coeliac artery and superior mesenteric arter...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-013-2825-8

    authors: Paulusova E,Matasova K,Zibolenova J,Lucanova L,Kocvarova L,Zibolen M

    更新日期:2014-03-01 00:00:00

  • A proposed radiological classification of childhood intra-thoracic tuberculosis.

    abstract::One of the obstacles in discussing childhood tuberculosis (TB) is the lack of standard descriptive terminology to classify the diverse spectrum of disease. Accurate disease classification is important, because the correct identification of the specific disease entity has definite prognostic significance. Accurate clas...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-004-1238-0

    authors: Marais BJ,Gie RP,Schaaf HS,Starke JR,Hesseling AC,Donald PR,Beyers N

    更新日期:2004-11-01 00:00:00

  • Effect of vertical positioning on organ dose, image noise and contrast in pediatric chest CT--phantom study.

    abstract:BACKGROUND:CT optimization has a special importance in children. Smaller body size accentuates the importance of patient positioning affecting both radiation dose and image quality. OBJECTIVE:To determine the effect of vertical positioning on organ dose, image noise and contrast in pediatric chest CT examination. MAT...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-012-2611-z

    authors: Kaasalainen T,Palmu K,Lampinen A,Kortesniemi M

    更新日期:2013-06-01 00:00:00

  • The role of Doppler evaluation of the uterine artery in girls around puberty.

    abstract:BACKGROUND:Presently, the only sonographic parameters used to follow puberty in girls are size and morphology of the uterus and ovaries. Doppler of the uterine artery appears a useful complementary parameter to follow puberty. OBJECTIVE:To determine the potential contribution of Doppler evaluation of the uterine arter...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470100463

    authors: Ziereisen F,Heinrichs C,Dufour D,Saerens M,Avni EF

    更新日期:2001-10-01 00:00:00

  • Horseshoe lung: differential diagnosis.

    abstract::A detailed radiologic and anatomic study of one horseshoe lung syndrome has already been published from this centre. A further case of horseshoe lung, which was also diagnosed prospectively by radiology, is described. Alongside, this is a set of a group of three conditions: we describe a right accessory lung with a pe...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/BF02129059

    authors: Hawass ND,Badawi MG,al-Muzrakchi AM,al-Sammarai AI,Jawad AJ,Abdullah MA,Bahakim H

    更新日期:1990-01-01 00:00:00

  • Combined asymptomatic congenital anterior and posterior deficiency of the atlas.

    abstract::Atlas anomalies in terms of clefts and aplasia are rare. They can sometimes simulate fractures and need further evaluation. Imaging in terms of CT and MR can help resolve diagnostic confusion and also outline associated neurological involvement. A rare anomaly of anterior and posterior atlas arch, previously unclassif...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470100542

    authors: Hosalkar HS,Gerardi JA,Shaw BA

    更新日期:2001-11-01 00:00:00

  • Doppler ultrasound and angiography of the vasculature of the liver in children after orthotopic liver transplantation: a prospective study.

    abstract::Despite the availability of Doppler ultrasound, angiography still forms part of the protocol for evaluating children after orthotopic liver transplantation (OLT) at our department. To investigate whether Doppler ultrasound is a reliable method for evaluating the patency of the hepatic artery, portal vein, inferior ven...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02015783

    authors: Kok T,Peeters PM,Hew JM,Martijn A,Koetse HA,Bijleveld CM,Slooff MJ

    更新日期:1995-01-01 00:00:00

  • Additional value and new insights by four-dimensional flow magnetic resonance imaging in congenital heart disease: application in neonates and young children.

    abstract::Cardiovascular MRI has become an essential imaging modality in children with congenital heart disease (CHD) in the last 15-20 years. With use of appropriate sequences, it provides important information on cardiovascular anatomy, blood flow and function for initial diagnosis and post-surgical or -interventional monitor...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-020-04885-w

    authors: Geiger J,Callaghan FM,Burkhardt BEU,Valsangiacomo Buechel ER,Kellenberger CJ

    更新日期:2020-12-11 00:00:00

  • Perforation during attempted intussusception reduction in children--a comparison of perforation with barium and air.

    abstract::This paper compares the effects on patients of perforation with barium and with air during attempted intussusception reduction by reviewing the clinical, radiological, surgical and pathological findings and sequelae in seven children who received barium and seven who received air. In both groups perforation occurred i...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02010311

    authors: Daneman A,Alton DJ,Ein S,Wesson D,Superina R,Thorner P

    更新日期:1995-01-01 00:00:00

  • Multicentric Castleman's disease in a child with subpectoral involvement.

    abstract::Castleman's disease is a benign lymphoproliferative disorder characterised by enlarged hyperplastic lymph nodes. It is rare in children and usually presents as localised disease. Subpectoral involvement has not been previously described in multicentric Castleman's disease in children. We present the CT, US and Doppler...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-003-0947-0

    authors: Koşucu P,Ahmetoğlu A,Imamoğlu M,Cay A,Cobanoğlu U,Gümele HR

    更新日期:2003-08-01 00:00:00

  • Primary pulmonary alveolar proteinosis: computed tomography features at diagnosis.

    abstract:BACKGROUND:Pulmonary alveolar proteinosis (PAP) is characterized by an abnormal accumulation of periodic acid-schiff-positive lipoproteinaceous material in the alveoli. Early diagnosis allows setting up of therapeutic lung lavages, which reduces the need for oxygen supplementation and weight gain. OBJECTIVE:To provide...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-014-2888-1

    authors: Berteloot L,Taam RA,Emond-Gonsard S,Mamou-Mani T,Lambot K,Grévent D,Elie C,Le Bourgeois M,Delacourt C,Brunelle F,de Blic J

    更新日期:2014-07-01 00:00:00

  • CT in children with abdominal cancer: should we routinely include the pelvis?

    abstract:BACKGROUND:It has been suggested that the pelvis should not be habitually included on abdominal CT examinations, but the potential benefit of such a practice in childhood abdominal malignancies is unknown. OBJECTIVE:To estimate the yield and potential diagnostic benefit of abnormal findings on CT of the pelvis in chil...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-005-0053-6

    authors: Gnanasambandam S,Olsen ØE

    更新日期:2006-03-01 00:00:00