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Updated: May 15, 2026

Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome

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Published on: May 26, 2023

Pediatric upper extremity stress injuries.

Ryan C Rauck¹, Lauren E LaMont, Shevaun M Doyle

¹The Ohio State University College of Medicine, Columbus, Ohio, USA.

Current Opinion in Pediatrics

|January 1, 2013

Summary

This summary is machine-generated.

Pediatric overuse injuries of the upper extremity require prompt evaluation. Early diagnosis and management of these pediatric stress injuries prevent long-term growth abnormalities and malalignment.

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Area of Science:

Pediatric Orthopedics
Sports Medicine
Musculoskeletal Imaging

Background:

Children's developing skeletons, particularly open physes (growth plates), are vulnerable to stress injuries.
The physeal cartilage in epiphyses and apophyses represents the weakest point in a pediatric skeleton.
Differential diagnoses for pediatric stress injuries encompass bone, physis, epiphyseal, and apophyseal damage.

Purpose of the Study:

To equip primary care physicians with effective strategies for evaluating and managing pediatric upper extremity overuse injuries.
To emphasize the importance of anatomic location, patient history, physical examination, and imaging in diagnosis.

Main Methods:

Review of current literature and clinical guidelines for pediatric upper extremity stress injuries.
Focus on diagnostic criteria including patient history, physical examination findings, and appropriate imaging modalities.
Emphasis on differentiating stress injuries from other pediatric musculoskeletal conditions.

Main Results:

Most pediatric stress injuries respond well to conservative management, primarily rest.
Untreated or misdiagnosed stress injuries can result in significant sequelae, including growth disturbances and skeletal malalignment.
Children's unique skeletal anatomy, with open physes, predisposes them to specific types of overuse injuries.

Conclusions:

Heightened physician awareness of pediatric upper extremity stress injuries is critical for timely diagnosis.
A comprehensive approach involving detailed history, targeted physical examination, and judicious use of imaging is essential.
Early and accurate diagnosis is key to preventing long-term complications such as growth abnormalities and malalignment.