سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Tzatzairis, Themistoklis, Skarentzos, Konstantinos, Grammatikos, Christos, Karamalis, Charalampos, Korakianitis, Konstantinos, Kourempeles, Romanos, Drosos, Georgios. (1403). Ultrasound Applications in Pediatric Orthopedics. , 12(7), 457-468. doi: 10.22038/abjs.2024.59904.2950
Themistoklis Tzatzairis; Konstantinos Skarentzos; Christos Grammatikos; Charalampos Karamalis; Konstantinos Korakianitis; Romanos Kourempeles; Georgios Drosos. "Ultrasound Applications in Pediatric Orthopedics". , 12, 7, 1403, 457-468. doi: 10.22038/abjs.2024.59904.2950
Tzatzairis, Themistoklis, Skarentzos, Konstantinos, Grammatikos, Christos, Karamalis, Charalampos, Korakianitis, Konstantinos, Kourempeles, Romanos, Drosos, Georgios. (1403). 'Ultrasound Applications in Pediatric Orthopedics', , 12(7), pp. 457-468. doi: 10.22038/abjs.2024.59904.2950
Tzatzairis, Themistoklis, Skarentzos, Konstantinos, Grammatikos, Christos, Karamalis, Charalampos, Korakianitis, Konstantinos, Kourempeles, Romanos, Drosos, Georgios. Ultrasound Applications in Pediatric Orthopedics. , 1403; 12(7): 457-468. doi: 10.22038/abjs.2024.59904.2950

Ultrasound Applications in Pediatric Orthopedics

The Archives of Bone and Joint Surgery
مقاله 2، دوره 12، شماره 7، مهر 2024، صفحه 457-468    اصل مقاله (936.35 K)
نوع مقاله: CURRENT CONCEPTS REVIEW
شناسه دیجیتال (DOI): 10.22038/abjs.2024.59904.2950
نویسندگان
Themistoklis Tzatzairis1؛ Konstantinos Skarentzos* 2؛ Christos Grammatikos2؛ Charalampos Karamalis2؛ Konstantinos Korakianitis2؛ Romanos Kourempeles2؛ Georgios Drosos1
1Department of Orthopaedic Surgery, Medical School, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece
2Medical School, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece
چکیده
Imaging techniques have significantly impacted physicians ’ capability for diagnosis and differential 
diagnosis for decades. The aim of this review is to update our knowledge regarding the use of US in 
orthopedic pediatric patients for diagnostic purposes or procedural/therapeutic purposes. This review 
demonstrates the application of US in trauma (long bone fractures, radial neck fractures, etc.), 
developmental anomalies such as developmental dysplasia of the hip and congenital dislocation of the 
patella, soft tissue pathologies (ganglion cyst, popliteal cyst, hemangioma, lipoma, etc.), tumors, 
apophysitis, joint effusion, and femoral acetabular impingement. US aid in musculoskeletal procedures 
has also been reported; US-guided procedures such as aspiration, injection, biopsy, foreign body 
removal, and peripheral nerve block reduce complications, thus making the procedures safer for the 
patient. Sonography is a fast, low-cost, mobile, non-invasive, and radiation-free diagnostic tool. Even 
though US requires a skilled operator and has a long learning curve, in experienced hands is the 
“orthopedic surgeon’s stethoscope”.
 Level of evidence: IV
کلیدواژه‌ها
Child؛ Pediatric orthopedics؛ Sonography؛ Ultrasound
مراجع
  1. Simard R. Ultrasound Imaging of Orthopedic Injuries. Emerg Med Clin North Am. 2020; 38(1):243-65. doi: 10.1016/j.emc.2019.09.009.
  2. Thapa M, Vo JN, Shiels WE, 2nd. Ultrasound-guided musculoskeletal procedures in children. Pediatr Radiol. 2013; 43 Suppl 1:S55-60. doi: 10.1007/s00247-012-2599-4.
  3. Keller MS. Musculoskeletal sonography in the neonate and infant. Pediatr Radiol. 2005; 35(12):1167-73; quiz 1293. doi: 10.1007/s00247-005-1550-3.
  4. Vanderhave KL, Brighton B, Casey V, Montijo H, Scannell B. Applications of musculoskeletal ultrasonography in pediatric patients. J Am Acad Orthop Surg. 2014; 22(11):691-8. doi: 10.5435/JAAOS-22-11-691.
  5. Barata I, Spencer R, Suppiah A, Raio C, Ward MF, Sama A. Emergency ultrasound in the detection of pediatric long-bone fractures. Pediatr Emerg Care. 2012;28(11):1154-7. doi: 10.1097/PEC.0b013e3182716fb7.
  6. Douma-den Hamer D, Blanker MH, Edens MA, et al. Ultrasound for Distal Forearm Fracture: A Systematic Review and Diagnostic Meta-Analysis. PLoS One. 2016; 11(5):e0155659. doi: 10.1371/journal.pone.0155659.
  7. Malik S, Khopkar SR, Korday CS, Jadhav SS, Bhaskar AR. Transphyseal Injury of Distal Humerus: A Commonly Missed Diagnosis in Neonates. J Clin Diagn Res. 2015; 9(11):SD01-2. doi: 10.7860/JCDR/2015/11619.6715.
  8. Supakul N, Hicks RA, Caltoum CB, Karmazyn B. Distal humeral epiphyseal separation in young children: an often-missed fracture-radiographic signs and ultrasound confirmatory diagnosis. AJR Am J Roentgenol. 2015; 204(2):W192-8. doi: 10.2214/AJR.14.12788.
  9. Gibly RF, Garg S, Mehlman CT. The Community Orthopaedic Surgeon Taking Trauma Call: Radial Neck Fracture Pearls and Pitfalls. J Orthop Trauma. 2019; 33 Suppl 8:S17-S21. doi: 10.1097/BOT.0000000000001544.
  10. Su Y, Jin C, Duan X, Wang J, Li K. Treatment of displaced radial neck fractures under ultrasonographic guidance in children. Int Orthop. 2020; 44(11):2337-42. doi: 10.1007/s00264-020-04630-w.
  11. Maloney E, Stanescu AL, Ngo AV, Parisi MT, Iyer RS. The Pediatric Patella: Normal Development, Anatomical Variants and Malformations, Stability, Imaging, and Injury Patterns. Semin Musculoskelet Radiol. 2018; 22(1):81-94. doi: 10.1055/s-0037-1608004.
  12. Gunes A, Bulut E, Uzumcugil A, Oguz KK. Brachial Plexus Ultrasound and MRI in Children with Brachial Plexus Birth Injury. AJNR Am J Neuroradiol. 2018; 39(9):1745-50. doi: 10.3174/ajnr.A5749.
  13. Karmazyn B, Marine MB, Wanner MR, et al. Accuracy of ultrasound in the diagnosis of classic metaphyseal lesions using radiographs as the gold standard. Pediatr Radiol. 2020; 50(8):1123-30. doi: 10.1007/s00247-020-04671-8.
  14. Marine MB, Hibbard RA, Jennings SG, Karmazyn B. Ultrasound findings in classic metaphyseal lesions: emphasis on the metaphyseal bone collar and zone of provisional calcification. Pediatr Radiol. 2019; 49(7):913-21. doi: 10.1007/s00247-019-04373-w.
  15. Vannabouathong C, Ayeni OR, Bhandari M. A Narrative Review on Avulsion Fractures of the Upper and Lower Limbs. Clin Med Insights Arthritis Musculoskelet Disord. 2018; 11:1179544118809050. doi: 10.1177/1179544118809050.
  16. Schiller J, DeFroda S, Blood T. Lower Extremity Avulsion Fractures in the Pediatric and Adolescent Athlete. J Am Acad Orthop Surg. 2017; 25(4):251-9. doi: 10.5435/JAAOS-D-15-00328.
  17. Barrera CA, Cohen SA, Sankar WN, Ho-Fung VM, Sze RW, Nguyen JC. Imaging of developmental dysplasia of the hip: ultrasound, radiography and magnetic resonance imaging. Pediatr Radiol. 2019; 49(12):1652-68. doi: 10.1007/s00247-019-04504-3.
  18. Wada A, Fujii T, Takamura K, Yanagida H, Surijamorn P. Congenital dislocation of the patella. J Child Orthop. 2008; 2(2):119-23. doi: 10.1007/s11832-008-0090-4.
  19. Koplewitz BZ, Babyn PS, Cole WG. Congenital dislocation of the patella. AJR Am J Roentgenol. 2005; 184(5):1640-6. doi: 10.2214/ajr.184.5.01841640.
  20. Mooney ML, Jacobs CA, Prusick VW, Riley SA. Pediatric Ganglion Cyst Recurrence: Location Isn't the Only Risk Factor. J Pediatr Orthop. 2020; 40(7):340-3. doi: 10.1097/BPO.0000000000001517.
  21. Alessi S, Depaoli R, Canepari M, Bartolucci F, Zacchino M, Draghi F. Baker's cyst in pediatric patients: Ultrasonographic characteristics. J Ultrasound. 2012; 15(1):76-81. doi: 10.1016/j.jus.2011.06.007.
  22. Robben SG. Ultrasonography of musculoskeletal infections in children. Eur Radiol. 2004; 14 Suppl 4:L65-77. doi: 10.1007/s00330-003-2029-y.
  23. Rooks VJ, Shiels III WE, Murakami JW. Soft tissue foreign bodies: A training manual for sonographic diagnosis and guided removal. J Clin Ultrasound. 2020; 48(6):330-6. doi: 10.1002/jcu.22856.
  24. Esposito F, Ferrara D, Di Serafino M, et al. Classification and ultrasound findings of vascular anomalies in pediatric age: the essential. J Ultrasound. 2019; 22(1):13-25. doi: 10.1007/s40477-018-0342-1.
  25. Kim HW, Yoo SY, Oh S, Jeon TY, Kim JH. Ultrasonography of Pediatric Superficial Soft Tissue Tumors and Tumor-Like Lesions. Korean J Radiol. 2020;21(3):341-55. doi: 10.3348/kjr.2019.0343.
  26. Shahid M, Holton C, O'Riordan S, Kraft JK. Sonography of musculoskeletal infection in children. Ultrasound. 2020; 28(2):103-17. doi: 10.1177/1742271X20901736.
  27. Wronski M, Slodkowski M, Cebulski W, Karkocha D, Krasnodebski IW. Necrotizing fasciitis: early sonographic diagnosis. J Clin Ultrasound. 2011; 39(4):236-9. doi: 10.1002/jcu.20766.
  28. Winter N, Dohrn MF, Wittlinger J, Loizides A, Gruber H, Grimm A. Role of high-resolution ultrasound in detection and monitoring of peripheral nerve tumor burden in neurofibromatosis in children. Childs Nerv Syst. 2020; 36(10):2427-32. doi: 10.1007/s00381-020-04718-z.
  29. DuBose CO. Multiple Hereditary Exostoses. Radiol Technol. 2016; 87(3):305-21 quiz 22-5.
  30. Jain N, Galhotra R, Saggar K, Sidhu S. Sonographic appearance of Ewing's sarcoma of femur: a case report. 14 Imaging Med. (2017) 9(1)
  31. Suzue N, Matsuura T, Iwame T, et al. State-of-the-art ultrasonographic findings in lower extremity sports injuries. J Med Invest. 2015; 62(3-4):109-13. doi: 10.2152/jmi.62.109.
  32. Hosgoren B, Koktener A, Dilmen G. Ultrasonography of the calcaneus in Sever's disease. Indian Pediatr. 2005; 42(8):801-3.
  33. Gaigneux E, Cormier G, Varin S, Merot O, Maugars Y, Le Goff B. Ultrasound abnormalities in septic arthritis are associated with functional outcomes. Joint Bone Spine. 2017; 84(5):599-604. doi: 10.1016/j.jbspin.2017.02.002.
  34. Pauroso S, Di Martino A, Tarantino CC, Capone F. Transient synovitis of the hip: Ultrasound appearance. Mini-pictorial essay. J Ultrasound. 2011; 14(2):92-4. doi: 10.1016/j.jus.2011.03.003.
  35. Dimitriou C, Boitsios G, Badot V, Le PQ, Goffin L, Simoni P. Imaging of Juvenile Idiopathic Arthritis. Radiol Clin North Am. 2017; 55(5):1071-83. doi: 10.1016/j.rcl.2017.04.011.
  36. van Schuppen J, van Doorn MM, van Rijn RR. Childhood osteomyelitis: imaging characteristics. Insights Imaging. 2012; 3(5):519-33. doi: 10.1007/s13244-012-0186-8.
  37. Martinoli C, Valle M, Malattia C, Beatrice Damasio M, Tagliafico A. Paediatric musculoskeletal US beyond the hip joint. Pediatr Radiol. 2011; 41 Suppl 1:S113-24. doi: 10.1007/s00247-011-2037-z.
  38. Buck FM, Hodler J, Zanetti M, Dora C, Pfirrmann CW. Ultrasound for the evaluation of femoroacetabular impingement of the cam type. Diagnostic performance of qualitative criteria and alpha angle measurements. Eur Radiol. 2011; 21(1):167-75. doi: 10.1007/s00330-010-1900-x.
  39. Chiodo CP, Logan C, Blauwet CA. Aspiration and Injection Techniques of the Lower Extremity. J Am Acad Orthop Surg. 2018; 26(15):e313-e20. doi: 10.5435/JAAOS-D-16-00762.
  40. Lento PH, Strakowski JA. The use of ultrasound in guiding musculoskeletal interventional procedures. Phys Med Rehabil Clin N Am. 2010; 21(3):559-83. doi: 10.1016/j.pmr.2010.04.004.
  41. Barile A, La Marra A, Arrigoni F, et al. Anaesthetics, steroids and platelet-rich plasma (PRP) in ultrasound-guided musculoskeletal procedures. Br J Radiol. 2016; 89(1065):20150355. doi: 10.1259/bjr.20150355.
  42. Koman LA, Paterson Smith B, Balkrishnan R. Spasticity associated with cerebral palsy in children: guidelines for the use of botulinum A toxin. Paediatr Drugs. 2003; 5(1):11-23. doi: 10.2165/00128072-200305010-00002.
  43. Lopez JI, Del Cura JL, Zabala R, Bilbao FJ. Usefulness and limitations of ultrasound-guided core biopsy in the diagnosis of musculoskeletal tumours. APMIS. 2005; 113(5):353-60. doi: 10.1111/j.1600-0463.2005.apm_113507.x.
  44. Saifuddin A, Mitchell R, Burnett SJ, Sandison A, Pringle JA. Ultrasound-guided needle biopsy of primary bone tumours. J Bone Joint Surg Br. 2000; 82(1):50-4. doi: 10.1302/0301-620x.82b1.10141.
  45. Nwawka OK, Kabutey NK, Locke CM, Castro-Aragon I, Kim D. Ultrasound-guided needle localization to aid foreign body
 

removal in pediatric patients. J Foot Ankle Surg. 2014; 53(1):67-70. doi: 10.1053/j.jfas.2013.09.006.

  1. Rubin K, Sullivan D, Sadhasivam S. Are peripheral and neuraxial blocks with ultrasound guidance more effective and safe in children? Paediatr Anaesth. 2009; 19(2):92-6. doi: 10.1111/j.1460-9592.2008.02918.x.
  2. Moritz JD, Berthold LD, Soenksen SF, Alzen GF. Ultrasound in diagnosis of fractures in children: unnecessary harassment or useful addition to X-ray? Ultraschall Med. 2008; 29(3):267-74. doi: 10.1055/s-2008-1027329.
  3. Forney MC, Delzell PB. Musculoskeletal ultrasonography basics. Cleve Clin J Med. 2018; 85(4):283-300. doi: 10.3949/ccjm.85a.17014.
  4. Yousefi MR, Yazdanprast M, Neshati H, Abdi R, Hasanian M, Alamdaran SA. Comparison Static and Dynamic Ultrasound Techniques of DDH: The Role of the Patient's Position. Arch Bone Jt Surg. 2024; 12(3):191-197. doi: 10.22038/ABJS.2023.69347.3264.
  5. Mortazavi SJ, Nabian MH. Point-of-Care Ultrasonography in Orthopedics: A Helpful Tool to Improve Patient Care. Arch Bone Jt Surg. 2020; 8(3):323-324. doi: 10.22038/abjs.2020.47207.2306.
 

 

 

 

 

 

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