Imaging pediatric sports injuries: lower extremity
1Department of Radiology, University of Wisconsin Hospital and Clinics, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792-3252, USA. kdavis@uwhealth.org
Radiologic Clinics of North America
|November 25, 2010
Summary
Pediatric athletes face common acute and overuse lower extremity injuries. Characteristic imaging findings help radiologists diagnose and treat these conditions effectively.
Area of Science:
- Pediatric Sports Medicine
- Radiology
- Orthopedics
Background:
- Pediatric athletic injuries are increasingly prevalent.
- Injuries manifest as acute trauma or chronic overuse syndromes.
- Lower extremity injuries are common in young athletes.
Purpose of the Study:
- To review common acute and chronic lower extremity injuries in pediatric athletes.
- To highlight characteristic imaging findings for these injuries.
- To emphasize the role of radiologists in diagnosis and treatment.
Main Methods:
- Review of common pediatric lower extremity injuries.
- Description of acute injuries: pelvic avulsions, muscle-tendon injuries, patellar dislocation, ankle sprains, ACL and meniscal tears.
- Description of chronic overuse injuries: stress fractures, ankle impingement, osteochondritis dissecans, and traction apophysitis (Osgood-Schlatter, Sinding-Larsen-Johannson).
Main Results:
- Acute injuries include avulsions, sprains, and ligament/meniscal tears.
- Chronic injuries involve stress fractures, impingement, osteochondritis, and traction apophysitis.
- Magnetic resonance (MR) imaging accuracy for ACL and meniscal tears approaches adult levels.
Conclusions:
- Imaging findings for pediatric athletic injuries are characteristic.
- Radiologists play a crucial role in diagnosing and guiding treatment.
- Accurate diagnosis aids in effective management of pediatric sports injuries.
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