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[Age-related changes in large joints and long tubular bones of the upper extremity in children (echographic data)]
Insights
This study highlights the effectiveness of longitudinal echographic approaches for examining pediatric upper extremity joints. Echography can reveal ossification and synostosis stages, often correlating with roentgenological findings in children.
Area of Science:
- Pediatric Orthopedics
- Medical Imaging
- Musculoskeletal Ultrasound
Background:
- Assessing the pediatric locomotor apparatus requires precise imaging techniques.
- Ultrasound (echography) offers a non-invasive method for evaluating musculoskeletal development.
Purpose of the Study:
- To determine the most informative echographic approaches for examining pediatric upper extremity joints.
- To assess the utility of echography in identifying ossification and synostosis stages in children's long bones.
Main Methods:
- Utilized echography (ultrasound) in grey scale mode for examinations.
- Examined 210 children aged 17 days to 15 years.
- Focused on arm, forearm, brachial, elbow, and radiocarpal joints, employing longitudinal and anterior longitudinal approaches.
Main Results:
- Longitudinal echographic approaches are most informative for pediatric arm, forearm, and elbow joints.
- For children over 10 years, the anterior longitudinal approach is crucial for brachial bone head examination.
- Echographic detection of additional ossification nuclei and synostosis stages in long tubular bones often aligns with roentgenological data.
Conclusions:
- Echography is a valuable tool for evaluating pediatric upper extremity development.
- Specific echographic approaches enhance diagnostic accuracy in different age groups and anatomical regions.
- Echographic findings regarding ossification and synostosis correlate with traditional radiographic methods.
Abstract:
Two hundred and ten children at the age of 17 days up to 15 years have been examined. Echocameras, working in the grey scale regime have been used. At examination of the arm, forearm, brachial, elbow and radiocarpal joints in the children the most informative are longitudinal echographic approaches. At examination of the brachial bone head in the children older than 10 years only the anterior longitudinal approach is informative. To perform the echographic investigation of various elements of the locomotor apparatus of the upper extremities in children older than 9-10 years is difficult. The echographic reveal of additional nuclei of ossification and synostosis stages of the long tubular bones of the upper extremities in children often coincide in time with roentgenological data.