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Radiology

Pediatric MSK

Built from Fundamentals of Diagnostic Radiology

The first 25 slides of Pediatric MSK
The first 25 slides, exactly as they appear. The full deck has 185 content slides.

What’s inside

15 sections · 185 slides

  1. 01

    Overview

    • Topics in pediatric MSK

    1 slide

  2. 02

    Growth and development of the immature skeleton

    Bone composition, the growth plate, and the MR appearance of marrow

    • Long bone structure in a child
    • Why children's bones bend instead of shatter
    • MR appearance of bone marrow
    • The physis on MRI
    • Normal physis on knee MRI

    5 slides

  3. 03

    Accidental trauma: fracture patterns and physeal injuries

    Five fracture patterns, growth-plate trauma, and apophyseal injuries

    • Five pediatric fracture patterns
    • Buckle (torus) fracture
    • Buckle fracture of the distal radius
    • Physeal (growth plate) injuries
    • Salter–Harris fracture classification
    • Chronic physeal trauma
    • Little League shoulder
    • Gymnast wrist
    • Physeal bars (bone bridges)
    • How a physeal bar develops
    • Physeal bar patterns and imaging
    • Bone bar after physeal injury
    • Apophyseal injuries
    • Traction apophysitis sites and mechanism
    • Pelvic apophysitis and avulsion sites
    • Medial epicondylar apophysitis

    16 slides

  4. 04

    Fractures unique to children: upper extremity

    Clavicle, humerus, elbow, forearm, wrist, and hand injuries

    • Clavicle fractures
    • Humerus fractures
    • Elbow fractures and the CRITOE mnemonic
    • CRITOE: elbow ossification center ages
    • Supracondylar fracture
    • Supracondylar fracture with fat pad sign
    • Lateral condylar fracture
    • Lateral condylar fracture
    • Medial epicondylar fracture
    • Entrapped medial epicondylar apophysis
    • Forearm, wrist, and hand injuries

    11 slides

  5. 05

    Fractures unique to children: lower extremity

    Hip, knee, tibia, ankle, and foot injuries

    • Slipped capital femoral epiphysis (SCFE)
    • SCFE radiographic signs
    • Slipped capital femoral epiphysis
    • SCFE treatment and complications
    • Patellar sleeve fracture
    • Patellar sleeve fracture
    • Tibial spine avulsion fracture
    • Tibial spine avulsion fracture
    • Tibial tubercle fracture
    • Ogden classification of tibial tubercle fractures
    • Trampoline fracture
    • Trampoline fracture of the proximal tibia
    • Toddler's fracture
    • Toddler's fracture of the distal tibia
    • Distal tibial transitional fractures
    • Triplane and Tillaux fractures
    • Triplane fracture of the distal tibia
    • Tillaux fracture of the distal tibia
    • Stress and insufficiency fractures
    • Foot fractures
    • Cuboid fracture

    21 slides

  6. 06

    Osteochondral injuries and osteochondroses

    Cartilage-bone injuries and the childhood osteochondroses

    • Osteochondral lesions (OCLs)
    • Osteochondral lesion locations in children
    • Judging OCL stability on MRI
    • Juvenile osteochondral lesion of the knee
    • Osteochondroses
    • Legg–Calvé–Perthes disease
    • Legg–Calvé–Perthes disease
    • Panner disease
    • Panner disease of the capitellum
    • Köhler disease
    • Freiberg's infraction
    • Freiberg's infraction

    12 slides

  7. 07

    Nonaccidental trauma

    Recognizing child abuse on skeletal imaging

    • ≈1M
    • Risk factors for abuse
    • Imaging in suspected abuse
    • Classic metaphyseal lesion (CML)
    • Classic metaphyseal (bucket handle) fractures
    • Rib fractures in abuse
    • Nonaccidental trauma: skull and rib fractures
    • Skull and other fractures in abuse

    8 slides

  8. 08

    Infection

    Acute osteomyelitis, septic arthritis, and toxic synovitis

    • Acute osteomyelitis: how it starts
    • Hematogenous osteomyelitis pathway
    • Osteomyelitis imaging
    • Osteomyelitis with transphyseal extension
    • Osteomyelitis complications
    • Septic arthritis versus toxic synovitis

    6 slides

  9. 09

    Bone lesions

    Benign lesions, then malignant primary bone tumors

    • Osteochondroma
    • Multiple hereditary exostoses
    • Trevor disease
    • Trevor disease
    • Chondroblastoma
    • Chondroblastoma of the proximal humerus
    • Langerhans cell histiocytosis (LCH)
    • LCH imaging
    • Langerhans cell histiocytosis: skull lesion
    • Langerhans cell histiocytosis: vertebra plana
    • Osteosarcoma: the basics
    • Osteosarcoma imaging
    • Osteosarcoma with sunburst periosteal reaction
    • Osteosarcoma subtypes and treatment
    • Ewing sarcoma
    • Ewing sarcoma of the rib
    • Ewing sarcoma staging and treatment
    • Leukemia
    • Leukemia: leukemic lines and flip-flop sign

    19 slides

  10. 10

    Soft tissue lesions

    Infantile hemangiomas and fibromatosis colli

    • Infantile hemangioma
    • Infantile hemangioma phases
    • Hemangioma imaging and associations
    • Infantile hemangioma on ultrasound
    • Fibromatosis colli
    • Fibromatosis colli on ultrasound

    6 slides

  11. 11

    Constitutional disorders of bone

    Skeletal dysplasias, Caffey disease, and neurofibromatosis

    • Skeletal dysplasias: approach
    • Skeletal dysplasia radiographic features
    • Achondroplasia
    • Achondroplasia
    • Thanatophoric dwarfism
    • Mucopolysaccharidoses
    • Mucopolysaccharidoses (Hurler syndrome)
    • Osteogenesis imperfecta
    • Osteogenesis imperfecta subtypes
    • OI imaging and the abuse mimic
    • Osteogenesis imperfecta
    • Osteopetrosis
    • Osteopetrosis: sandwich vertebrae
    • Cleidocranial dysplasia
    • Caffey disease
    • Caffey disease (infantile cortical hyperostosis)
    • Neurofibromatosis type 1
    • Neurofibromatosis with dystrophic scoliosis
    • Neurofibromatosis and tibial pseudoarthrosis

    19 slides

  12. 12

    Metabolic bone disease

    Rickets, scurvy, and lead poisoning

    • Rickets
    • Rickets of the wrist
    • Scurvy
    • Scurvy: Frankel line and Trümmerfeld zone
    • Lead poisoning

    5 slides

  13. 13

    Congenital and developmental bone and joint disorders

    Lower and upper limb disorders, plus amniotic band syndrome

    • Proximal focal femoral deficiency
    • Proximal focal femoral deficiency
    • Blount disease
    • Blount disease
    • Tarsal coalition
    • Talocalcaneal coalition (C sign)
    • Clubfoot (talipes equinovarus)
    • Congenital talipes equinovarus (clubfoot)
    • Developmental dysplasia of the hip (DDH)
    • DDH ultrasound
    • Developmental dysplasia of the hip
    • DDH radiographs
    • Radiographic evaluation of hip dysplasia
    • DDH treatment
    • Shoulder dysplasia
    • Amniotic band syndrome
    • Amniotic band syndrome

    17 slides

  14. 14

    Inflammatory conditions

    Juvenile idiopathic arthritis, hemophilic arthropathy, and CRMO

    • Juvenile idiopathic arthritis (JIA)
    • JIA joint damage pathway
    • JIA imaging
    • Juvenile idiopathic arthritis on MRI
    • Hemophilic arthropathy
    • Chronic recurrent multifocal osteomyelitis (CRMO)
    • Chronic recurrent multifocal osteomyelitis

    7 slides

  15. 15

    Hemoglobinopathies

    Sickle cell disease and β-thalassemia

    • Sickle cell disease: bone changes
    • Sickle cell disease: codfish vertebrae
    • Sickle cell dactylitis and osteonecrosis
    • Sickle cell osteomyelitis
    • β-Thalassemia
    • β-Thalassemia: rib expansion
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    • Brant and Helms' Fundamentals of Diagnostic Radiology

    32 slides