Main Logo
Logo

Society for Pediatric Radiology – Poster Archive

  149
  0
  0
 
 


Final ID: Poster #: EDU-071

Navigating the Upper Extremity: A Roadmap for the Normal Radiographic Appearance of the Developing Shoulder and Elbow

Purpose or Case Report: Fractures are a common occurrence in pediatric patients with around one third of children sustaining at least one by the age of 17 years. As the pediatric osseous structures develop, secondary ossification centers will become radiographically evident and there may be several of these ossification centers in single bone. As a child approaches skeletal maturity, the physis will gradually close and the primary and secondary ossification centers fuse. These processes often occur in known and predictable patterns. However, there are numerous cartilaginous physes and secondary ossification center variants that can potentially create a diagnostic dilemma for the radiologist. Knowledge of location and expected time of secondary ossification center appearance and physeal fusion in the pediatric patient is vital to distinguish them from fractures in a trauma setting. Accurate diagnosis of fractures is necessary for facilitation of appropriate management and prevention of subsequent deformity in the growing skeleton. Upper extremity fractures are encountered significantly more frequently than lower extremity fractures in pediatrics. However, there are a number of normal structures that may serve as fracture mimics in the upper extremity, particularly at the shoulder and elbow. In this educational exhibit, we aim to describe the expected changes in visible ossification centers and physes in the osseous structures of the shoulder and elbow, highlight some common and
uncommon variations in the expected sequence, and highlight potential pitfalls related to this variation that may be mistaken for fracture or may result in an unrecognized fracture.
Methods & Materials:
Results:
Conclusions:
  • Kosaraju, Sriya  ( University of Missouri - Kansas City , Chesterfield , Missouri , United States )
  • Errampalli, Eric  ( University of Missouri - Kansas City , Chesterfield , Missouri , United States )
  • Illimoottil, Mathew  ( University of Missouri - Kansas City , Chesterfield , Missouri , United States )
  • Priya, Lakshmi  ( University of Missouri - Kansas City , Chesterfield , Missouri , United States )
  • Orscheln, Emily  ( Children's Mercy Hospital , Kansas City , Missouri , United States )
Session Info:

Posters - Educational

Musculoskeletal

SPR Posters - Educational

More abstracts from these authors:
Not All That Aches is Appendicitis: Imaging Evaluation of Clinical Mimics of Appendicitis

Kosaraju Sriya, Errampalli Eric, Illimoottil Mathew, Priya Lakshmi, Orscheln Emily

A Pictorial Review of Metachromatic Leukodystrophy

Priya Lakshmi, Illimoottil Mathew, Errampalli Eric, Kosaraju Sriya, Orscheln Emily

Preview
Poster____EDU-071.pdf
You have to be authorized to contact abstract author. Please, Login or Signup.

Please note that this is a separate login, not connected with your credentials used for the SPR main website.

Not Available

Comments

We encourage you to join the discussion by posting your comments and questions below.

Presenters will be notified of your post so that they can respond as appropriate.

This discussion platform is provided to foster engagement, and stimulate conversation and knowledge sharing.

Please click here to review the full terms and conditions for engaging in the discussion, including refraining from product promotion and non-constructive feedback.

 

You have to be authorized to post a comment. Please, Login or Signup.

Please note that this is a separate login, not connected with your credentials used for the SPR main website.


   Rate this abstract  (Maximum characters: 500)