Kernspintomographie bei kindlichen Gelenkverletzungen - Ein diagnostischer Gewinn?

Translated title of the contribution: MRI in pediatric joint trauma - Does it have a greater diagnostic value?

L. Wessel, M. C. Freund, S. G. Holland-Cunz, S. Hosie, K. L. Waag

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

In a prospective study we investigated the role of magnetic resonance imaging (MRI) as a diagnostic tool in pediatric joint trauma. From January 1992 to December 1993 67 children (mean age of 10.3 years) with a history of acute joint trauma (19 elbow-, 19 knee- and 29 ankle-joint) underwent MRI. We used T1 weighted and P/T2 weighted spinecho-sequences in 3 planes, in some cases with additional flash-2D-gradient-echo. MRI was compared with 2 or 3 plane x-ray studies. The additional information and possible therapeutic consequences were evaluated. In elbow injuries (n = 19) we found 6 occult lesions. In one case fragment dislocation was more severe than seen on radiography. In 7 out of 19 cases the diagnosis was revised. In knee injuries (n = 19) we found 10 occult lesions. In 7 cases trauma to the knee joint or ligament injury could be excluded. Diagnosis was revised in 17 out of 19 cases. In 14 cases of injuries to the ankle joint (n = 29) we found occult lesions. Classification of 7 out of 12 transition fractures was only possible by MRI. Revision of diagnosis took place in 21 out of 29 cases. In 43% (29/67) relevant diagnostic information was found. MRI is a diagnostic tool of great value in pediatric joint trauma.

Translated title of the contributionMRI in pediatric joint trauma - Does it have a greater diagnostic value?
Original languageGerman
Pages (from-to)49-57
Number of pages9
JournalZentralblatt fur Kinderchirurgie
Volume6
Issue number1
StatePublished - 1997
Externally publishedYes

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