David J. Wilson's Paediatric Musculoskeletal Disease: With an Emphasis on PDF

By David J. Wilson

ISBN-10: 3540263853

ISBN-13: 9783540263852

ISBN-10: 3540668284

ISBN-13: 9783540668282

Explains the position of ultrasound within the prognosis of musculoskeletal problems in kids. Outlines the pitfalls in addition to the benefits of ultrasound. Describes different imaging equipment while acceptable. Written by way of authors with overseas reputations.

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Extra resources for Paediatric Musculoskeletal Disease: With an Emphasis on Ultrasound (Medical Radiology Diagnostic Imaging)

Sample text

O’Connor and C. Groves 26 retraction eventually becoming anechoic (Fig. 6b). There is usually a lack of inflammatory change in the surrounding subcutaneous soft tissues. 4 Muscles and Tendons Muscle and tendon injuries are uncommon in the immature skeleton since the weakest link in the muscle-tendon-bone chain is the growth plate. However, young athletes may incur sprains and tears, particularly at myotendinous junctions, although complete tendon rupture is rare. Strains most often affect muscles that cross two joints since these are susceptible to greater degrees of stretch [6].

Emergency physicians have found it to be helpful in guiding the reduction of difficult paediatric forearm fractures [11]. One emergency department has described the use of US to demonstrate uncomplicated greenstick and torus fractures [12]. There has been a case report of the detection of a radiographically occult fracture of the radial neck with US [13]. A large study of 224 suspected fractures in children found that US was most reliable for detection of simple femoral and humeral diaphyseal fractures and fractures of the forearm.

A T2-weighted sagittal MRI scan of the knee showing fluid tracking deep to an osteochondral fragment (asterisk); P patella, F femur, T tibia. b Fat-suppressed T2 sequence showing differentiation between the cartilaginous and bone components of the fragment (asterisk) with a fluid track beneath the partially displaced fracture (arrows); P patella, F femur, T tibia (Fig. 5). Most non-displaced lesions in patients with open physis will heal with conservative management, but displaced fragments or skeletal maturity often require surgical intervention [10].

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Paediatric Musculoskeletal Disease: With an Emphasis on Ultrasound (Medical Radiology Diagnostic Imaging) by David J. Wilson


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