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Imaging Traumatic Wrist and Hand Injuries in Children.
Julián Forero-Millán1, Samuel Sisay Hailu1, Dennis Caine2
1Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
This review covers pediatric wrist and hand development, focusing on skeletal growth, ossification, and common fractures like Salter-Harris injuries. It also details repetitive stress injuries in young athletes.
Area of Science:
- Pediatric Orthopedics
- Pediatric Radiology
- Skeletal Development
Background:
- The pediatric wrist and hand are complex anatomical regions with dynamic changes during growth.
- Understanding normal skeletal development, including ossification and growth plate maturation, is crucial for diagnosing injuries.
Purpose of the Study:
- To review normal skeletal development of the pediatric wrist and hand.
- To discuss common acute physeal and nonphyseal fractures.
- To cover repetitive stress injuries in young athletes.
Main Methods:
- Review of normal skeletal development patterns.
- Explanation of physeal anatomy.
- Discussion of fracture types (Salter-Harris, buckle, incomplete, complete).
- Review of repetitive stress injuries in gymnasts and climbers.
Main Results:
- Detailed description of normal ossification and growth plate maturation.
- Classification and characteristics of various pediatric wrist and hand fractures.
- Identification of key radiologic findings for repetitive stress injuries.
Conclusions:
- Accurate diagnosis of pediatric wrist and hand injuries requires understanding normal development and common injury patterns.
- Repetitive stress injuries have specific radiologic findings with significant clinical implications for young athletes.
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