Congenital abnormalities of the musculoskeletal system: perinatal evaluation and long-term outcome

Lynn Ansley Fordham1

  • 1Department of Radiology, University of North Carolina School of Medicine, CB #7510, Chapel Hill, NC 27514-7510, USA.

Insights

Prenatal ultrasound (US) detects many musculoskeletal malformations, impacting individuals throughout life. Advanced imaging like CT and MRI aids diagnosis and monitoring of these congenital conditions.

Area of Science:

  • Medical imaging
  • Prenatal diagnosis
  • Musculoskeletal abnormalities

Background:

  • Musculoskeletal malformations are congenital anomalies detectable prenatally.
  • These conditions, whether isolated or syndromic, significantly affect an individual's life.
  • Subtle anomalies may become more apparent in the second and third trimesters of pregnancy.

Purpose of the Study:

  • To review the role of various imaging modalities in diagnosing and managing prenatal musculoskeletal malformations.
  • To highlight the utility of ultrasound, CT, and MRI in different stages of patient care.
  • To discuss the emerging role of 3D imaging in prenatal and postnatal assessments.

Main Methods:

  • Review of current literature on prenatal and postnatal imaging of musculoskeletal malformations.
  • Discussion of the application of ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI).
  • Emphasis on the use of three-dimensional (3D) imaging techniques.

Main Results:

  • Prenatal US is effective in detecting a wide range of musculoskeletal malformations.
  • Radiography confirms diagnoses postnatally.
  • US, CT, and MRI are crucial for initial imaging, treatment follow-up, and complication monitoring.

Conclusions:

  • Prenatal imaging, particularly US, plays a vital role in identifying congenital musculoskeletal anomalies.
  • A combination of imaging techniques, including CT and MRI, is essential for comprehensive management.
  • Three-dimensional imaging is increasingly important in both prenatal and postnatal evaluations of these conditions.