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Updated: Sep 26, 2026

Quantitative Magnetic Resonance Imaging of Skeletal Muscle Disease
Published on: December 18, 2016
Magnetic resonance imaging of pediatric musculoskeletal trauma
1Department of Radiology, Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA. kirsten.ecklund@tch.harvard.edu
Insights
Magnetic resonance imaging (MRI) is crucial for diagnosing pediatric musculoskeletal injuries and growth disturbances. This imaging technique offers detailed views of growing bones, aiding in early detection and management of conditions like physeal fractures and soft-tissue injuries.
Area of Science:
- Pediatric Orthopedics
- Radiology
- Musculoskeletal Imaging
Background:
- Musculoskeletal injuries in children can cause long-term disability.
- Magnetic resonance imaging (MRI) excels at visualizing pediatric skeletal structures, including cartilage, bone marrow, and soft tissues.
- Understanding normal skeletal growth and enchondral ossification is essential for interpreting pediatric MRI findings.
Purpose of the Study:
- To review the utility of MRI in evaluating common pediatric musculoskeletal injuries.
- To highlight MRI's role in identifying associated growth disturbances.
- To provide a background on pediatric skeletal development and MRI signal characteristics.
Main Methods:
- Review of current literature on MRI applications in pediatric musculoskeletal injuries.
- Discussion of MRI features for specific injury types.
- Explanation of normal pediatric skeletal anatomy and growth patterns relevant to MRI.
Main Results:
- MRI is highly effective for diagnosing physeal fractures, post-traumatic growth arrest, epiphyseal and osteochondral injuries, stress fractures, avulsion injuries, and soft-tissue injuries in children.
- MRI provides critical information on growth disturbance secondary to injury.
- Normal growth and ossification patterns are detailed to aid interpretation.
Conclusions:
- MRI is an invaluable tool for the comprehensive evaluation of pediatric musculoskeletal injuries and their impact on skeletal growth.
- Early and accurate diagnosis with MRI can guide treatment and potentially prevent lifelong disability.
- This review emphasizes MRI's role in managing complex pediatric bone and soft-tissue injuries.
Abstract:
Musculoskeletal injury in children is common and can lead to lifelong disability. The unique ability of magnetic resonance imaging (MRI) to visualize the cartilaginous ends of growing bones, bone marrow, and supporting soft-tissue structures makes it ideally suited for evaluation of injury in these patients and the complicating growth disturbance. This article reviews the role of MRI in several common pediatric musculoskeletal injuries and their related growth disturbances. A review of normal musculoskeletal growth and enchondral ossification and the magnetic resonance signal characteristics of the growing skeleton is provided as necessary background. The discussion includes MRI features of physeal fractures and posttraumatic growth arrest, epiphyseal and osteochondral injuries, stress fractures, avulsion injuries, and musculoskeletal soft-tissue injuries.
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