Leschied Jessica,  Scher Courtney,  Wood Daniel,  Davis Will,  Stock Lee

Final Pr. ID: Poster #: EDU-042

Sports related elbow injuries are very common in the pediatric population. Overhead throwing athletes are at particular risk for elbow injury, notably affecting the medial elbow at site of excess valgus stress applied during the overhead throw. With the increasing competitiveness and high level of training in young athletes, these injuries are commonly encountered in the pediatric sports medicine and orthopedic surgery clinics. A comprehensive knowledge of medial elbow anatomy by the radiologist is crucial to assist in both the diagnosis and management of these patients. This review will cover acute and chronic stress injuries of the medial epicondyle, ulnar collateral ligament, common flexor tendon and ulnar nerve. A full spectrum of injuries will be addressed, utilizing US and MRI to assist with diagnosis and to guide management.

By completion of this exhibit, the learner will:
Review the anatomy of the medial elbow joint.
Be familiar with the injury patterns affecting the medial elbow in overhead throwing athletes.
Understand the utility of radiographs, MRI and dynamic and static US in making a diagnosis.
Visualize the technique for performing dynamic medial elbow ultrasound in the setting of ulnar collateral ligament injury and understand its implications for treatment. Read More

Authors:  Leschied Jessica , Scher Courtney , Wood Daniel , Davis Will , Stock Lee

Keywords:  Ultrasound, Elbow, Sports

Oneill Sean,  Carl Rebecca,  Labella Cynthia,  Samet Jonathan

Final Pr. ID: Poster #: SCI-062

Depending on the age of the patient, knee MRI may be a daunting exam. Physicians may have a higher threshold to order MRI in the pediatric setting compared to the adult setting. Few if any studies are available which attempt to predict the prevalence of MRI findings based on the patient’s presenting history in the sports medicine setting. Our objective was to determine the prevalence of knee pathology using MRI in two groups of pediatric patients: those with an acute event, and those with knee pain without history of acute event. Read More

Authors:  Oneill Sean , Carl Rebecca , Labella Cynthia , Samet Jonathan

Keywords:  knee MRI, knee pain, patellofemoral instability, sports medicine

Patel Khushbu,  Jadhav Siddharth,  Stetkevich Nicholas,  Bawa Pritish

Final Pr. ID: Poster #: CR-029

Recombinant human growth hormone (rhGH) accelerates linear growth but may predispose to physeal stress and injury through accelerated chondrocyte hypertrophy and transient physeal widening. A multitude of musculoskeletal complications include slipped capital femoral epiphysis (SCFE), tibial tubercle avulsion, Osgood–Schlatter disease, Little League shoulder, osteochondritis dissecans, scoliosis, and Sever’s disease. However, sequential multi-physeal injuries in a single patient receiving rhGH are exceedingly rare and not well documented.

We present a 14-year-old male, a baseball player, receiving GH therapy for Idiopathic Short Stature who develops multiple, temporally distinct physeal injuries during two years of active therapy (April 2023 to July 2025).
April 2023: Patient starts GH therapy
July 2023: Left shoulder injury: Radiograph shows widening of the proximal humeral physis consistent with Little League shoulder (Salter–Harris I).
August 2023: Left proximal thigh pain: Radiograph of pelvis demonstrates left inferior pubic ramus fracture and right anterior inferior iliac spine (AIIS) avulsion fracture.
Nov 2023: Left elbow pain with pitching: Radiographs of the elbow consistent with healing lateral epicondyle fracture, with confirmation of capitellar osteochondral lesion on MRI.
April 2024: Right knee injury with x-ray findings consistent with Osgood-Schlatter’s disease.
July 2025: 1.5 months of left hip pain: Pelvic radiograph demonstrates healing of right ischial tuberosity avulsion fracture and right lesser trochanter avulsion fracture.
Notably, the patient has a history of medial epicondyle avulsion fracture (2020) and left AIIS avulsion fracture (March 2023), suggesting pre-existing physeal susceptibility or higher physical exhaustion prior to GH initiation.

This case underscores the importance of potential additive effects of rapid growth (with GH therapy) and repetitive stress. Radiologists should maintain high suspicion for additional or contralateral physeal injuries in GH-treated adolescents, especially those engaged in high-impact sports, and communicate these risks to referring clinicians for coordinated management. Read More

Authors:  Patel Khushbu , Jadhav Siddharth , Stetkevich Nicholas , Bawa Pritish

Keywords:  Adolescent, Avulsion, Sports Injury