Paediatric Musculoskeletal Disease: With an Emphasis on by David Wilson FRCP, FRCR, Ruth Cheung FRCR (auth.), David

By David Wilson FRCP, FRCR, Ruth Cheung FRCR (auth.), David Wilson FRCP, FRCR (eds.)

Ultrasound is a method fairly fitted to the research of problems in kids. it really is painless, secure and non-threatening. There are major strengths and weaknesses of its use within the analysis of musculoskeletal issues. this article describes the tools, findings and capability pitfalls of imaging the place US is often used because the basic diagnostic process and the place it's best as an accessory to different imaging. the choice imaging strategies together with CT, MRI, scintigraphy and simple radiography are defined intimately the place acceptable. The reader of this e-book may still receive a operating wisdom of the aptitude benefits people while realizing whilst and the place different kinds of imaging are most popular. The authors have foreign reputations as researchers, clinicians and academics of their field.

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21 T2-weighted sagittal MR scan of the ankle. There is symptomatic posterior impingement of the ankle with oedema present in the posterior talus (asterisk). Fluid is also present in the posterior recess and retrocalcaneal bursa (arrows); T talus, C calcaneus Fig. 22a,b. Symptomatic os tibiale externum in a footballer. a The synchondrosis (arrow) is well demonstrated between the navicular (N) and the ossicle (O) with the tibialis posterior tendon (TP) lying superficially. b After guided injection the synchondrosis has become filled with echogenic steroid (arrows) 36 P.

B More advanced change with periosteal oedema (arrows), cortical thickening and marked oedema of the medullary cavity (asterisk) in keeping with a developing stress fracture 32 P. J. O’Connor and C. 1 Osteochondritis Dissecans Fig. 4 The Osteochondroses There are a number of osteochondroses reported in children and adolescents, many with eponymous names, and confusing descriptions of disease and aetiology in the literature. Kohler’s disease results in osteonecrosis of the tarsal navicular while the surrounding cartilage is preserved.

1 Osteochondritis Dissecans Fig. 4 The Osteochondroses There are a number of osteochondroses reported in children and adolescents, many with eponymous names, and confusing descriptions of disease and aetiology in the literature. Kohler’s disease results in osteonecrosis of the tarsal navicular while the surrounding cartilage is preserved. Freiberg’s disease is osteonecrosis of the metatarsal head following osteochondral fracture. Sever’s disease is described as an apophysitis of the posterior calcaneal apophysis [28].

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