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Pediatric Radiology
Published in: Pediatric Radiology 6/2018

01-06-2018 | Review

Anatomy and injuries of the pediatric wrist: beyond the basics

Authors: Ezekiel Maloney, Andrew M. Zbojniewicz, Jie Nguyen, Yu Luo, Mahesh M. Thapa

Published in: Pediatric Radiology | Issue 6/2018

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Abstract

Ligamentous injuries of the pediatric wrist, once thought to be relatively uncommon, are increasingly recognized in the context of acute high-energy mechanism trauma and chronic axial loading, including those encountered in both recreational and high-performance competitive sports. Recent advances in MR-based techniques for imaging the pediatric wrist allow for sensitive identification of these often radiographically occult injuries. Detailed knowledge of the intrinsic and supportive extrinsic ligamentous complexes, as well as normal developmental anatomy and congenital variation, are essential to accurately diagnose injuries to these structures. Early identification of ligamentous injury of the pediatric wrist is essential within the conservative treatment culture of modern pediatric orthopedics because treatment of these lesions often necessitates surgery, and outcomes often depend on early and sometimes aggressive intervention. In this article, we review MR arthrogram technique and pediatric wrist anatomy, and correlate appearances on MR and selected ligamentous pathologies of the pediatric wrist.
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Metadata
Title
Anatomy and injuries of the pediatric wrist: beyond the basics
Authors
Ezekiel Maloney
Andrew M. Zbojniewicz
Jie Nguyen
Yu Luo
Mahesh M. Thapa
Publication date
01-06-2018
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 6/2018
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-018-4111-2

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