Department of Musculoskeletal Radiology, Fleury Medicina e Saúde, São Paulo, SP, Brazil; Department of Diagnostic Imaging, United Health Group Brazil, São Paulo, SP, Brazil.
Department of Musculoskeletal Radiology, Fleury Medicina e Saúde, São Paulo, SP, Brazil.
Clin Podiatr Med Surg. 2024 Oct;41(4):837-851. doi: 10.1016/j.cpm.2024.04.012.
The increase in competitive sports practice among children and lack of ionizing radiation have resulted in a higher demand for MRI examinations. MRI of the children skeleton has some particularities that can lead orthopedists, pediatricians, and radiologists to diagnostic errors. The foot and ankle have several bones with abundant radiolucent and high signal intensity cartilage in several ossification centers, apophysis and physis, that can make this interpretation even harder. The present revision aims to show, how to differentiate between normal developmental findings and anatomic variants from pathologic conditions, whether mechanical, inflammatory, infectious, or neoplastic.
儿童竞技体育活动的增加和非电离辐射的缺乏导致对 MRI 检查的需求增加。儿童骨骼的 MRI 具有一些特殊性，这可能导致矫形外科医生、儿科医生和放射科医生出现诊断错误。足部和踝关节有几个骨骼，在几个骨化中心、副骨和骺板有丰富的透明软骨和高信号强度，这使得这一解释更加困难。本综述旨在展示如何区分正常发育发现与解剖变异和病理情况，无论是机械性、炎症性、感染性还是肿瘤性。
