Shah Amisha,  Rees Mitchell,  Kar Erica,  Bolton Kimberly,  Panigrahy Ashok,  Lee Vince

Final Pr. ID: Poster #: SCI-029

To evaluate the effect of different levels of adaptive statistical iterative reconstruction (ASIR) in pediatric lower extremity CT scan to compare the radiation dose, objective imaging parameters and subjective diagnostic image quality ratings. Read More

Authors:  Shah Amisha , Rees Mitchell , Kar Erica , Bolton Kimberly , Panigrahy Ashok , Lee Vince

Keywords:  ASIR, Radiation dose, CT scan, pediatric, extremity

Becker Richard,  Rubio Eva,  Bulas Dorothy,  Blask Anna,  Loomis Judyta,  Oetgen Matthew

Final Pr. ID: Poster #: EDU-014

Congenital anomalies causing lower extremity shortening can result from dysgenesis or agenesis of the bones of the thigh, leg or foot; they are generally a very uncommon occurrence, with an incidence on the order of one case per 1,000,000 to one case per 100,000 births. These conditions result in varying degrees of morbidity, ranging from gait dysfunction to complete lack of the ability to ambulate. The accurate characterization of such an anomaly may be challenging prenatally, but can have significant impact on prognosis and treatment planning.
We present a collection of cases depicting the spectrum of prenatally diagnosed anomalies of limb development, including proximal focal femoral deficiency, multiple cases of varying degrees of fibular and tibial hemimelia, amniotic band syndrome, benign uterine packing, neurofibromatosis, clubfoot anomaly and rocker bottom foot, all of which were evaluated on prenatal ultrasound and/or fetal MRI.
Accurate prenatal diagnosis is extremely important for prognosis, treatment planning and risk-stratification for associated congenital anomalies. The purpose of this poster will be to highlight the imaging features by both fetal MRI and prenatal US, discuss potential diagnostic pitfalls and review the clinical implications of this interesting spectrum of congenital disorders. We will describe a methodical approach to assessment of these patients. Our recommendations include: prenatal US to include a complete set of bilateral long bone and foot length measurements; lateral and footprint views of the fetal foot; views of both tibiae and fibulae bilaterally; views of the spine and upper extremities, a thorough search for other abnormalities; fetal MRI for complex cases or when US findings are limited; and a complete family and maternal history, including notation of family stature.
Examples of the classic appearance of these conditions will be presented. Several missed diagnoses and the lessons learned will also be discussed. Counseling points addressed by the orthopedic surgeon will be included. Outcome management will be reviewed. Read More

Authors:  Becker Richard , Rubio Eva , Bulas Dorothy , Blask Anna , Loomis Judyta , Oetgen Matthew

Keywords:  extremity, anomaly, fetal

Manral Kalpana,  Durand Rachelle,  Pandya Nirav,  Kornblith Aaron,  Cort Kayla,  Courtier Jesse

Final Pr. ID: Poster #: EDU-064

According to the current statistics, approximately 1 million children aged 6-14 participated in 11-payer football, more popular as youth football, in the 2021-2022 school year (3). A trend to earlier participation in specialized sports activities in pediatric patients has been observed. Contact sports such as basketball, football, and soccer comprise a considerable proportion of all played sports and are associated with the highest number of injuries, both acute and chronic in nature(9).
Lower extremities are the most common site of injury in pediatric football players, followed by upper extremity. Fractures and sprains/strains are the most common injury patterns (1, 9, 10). With the increasing number of young football athletes, there is a greater need to explore football-associated injuries, which can have a considerable physical, emotional, and psychosocial impact on a young individual.
This educational exhibit aims to explore the most common American football-related pediatric extremity injuries and their imaging characteristics using various modalities and briefly discuss the treatment options for the pediatric population. Read More

Authors:  Manral Kalpana , Durand Rachelle , Pandya Nirav , Kornblith Aaron , Cort Kayla , Courtier Jesse

Keywords:  American football, Pediatric, Extremity injuries

Patel Falguni

Final Pr. ID: Poster #: CR-002 (R)

To demonstrate the finding of a Femoral artery Pseudoaneurysm on a Left Lower extremity venous and arterial doppler ultrasound and under Interventional Radiology sonographically guided compression of the neck of the Pseudoaneurysm and guided injection of thrombin into the Pseudoaneurysm resulted in successful thrombosis of a Pseudoaneurysm. Follow up ultrasounds to document resolving of a Left Femoral artery Pseudoaneurysm in an infant. Read More

Authors:  Patel Falguni

Keywords:  Doppler Lower extremity Ultrasound, Pseudoaneurysm, Interventional procedure.