Exploring contrast-enhanced MRI findings of the clinically non-inflamed symptomatic pediatric wrist

• DOI: 10.1007/s00247-020-04739-5
• Publication Date: 2020-07-13T13:03:52Z
• Authors: Floris Verkuil; E. Charlotte van ...; Charlotte M. Nusman; Anouk M. Barendregt; Amara Nassar-Shei...; Dieneke Schonenbe...; Koert M. Dolman; Mario Maas; Taco W. Kuijpers; J. Merlijn van de...; Robert Hemke
• Keywords: Male; Wrist Joint; 2. Zero hunger; Adolescent; Synovial Membrane; Contrast Media; Magnetic Resonance Imaging; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Image Interpretation, Computer-Assisted; Organometallic Compounds; Edema; Humans; Original Article; Female; Prospective Studies; Registries; Joint Diseases; Child; Bone Marrow Diseases; Netherlands

Abstract Background Knowledge of the synovial and tenosynovial appearance clinically non-arthritic symptomatic juvenile wrist using contrast-enhanced magnetic resonance imaging (MRI) is sparse. Objectives To analyze MRI findings non-inflamed pediatric wrist, focusing on enhancing membrane. evaluate coexistent presence (teno)synovial enhancement, joint fluid, bony depressions medullary changes suggestive bone marrow edema. Materials methods We included 20 children (15 girls; age range: 7.5–17.6 years) who underwent based initial clinical indication, eventually turned out to be unaffected by arthritic or orthopedic disorders. Various characteristics synovium, tenosynovium, tissue were evaluated existing scoring systems. Results In 3/20 (15%) children, mild moderate-severe enhancement was observed 2/20 (10%) showed enhancement/thickening. Joint fluid (11/20 children; 55%), (20/20 100%) edema (6/20; 30%) found in a substantial percentage children. The most frequently combination coexisting with ≥2 mm which 7/20 (35%) Simultaneous enhancement/thickening, one child. Conclusion Several idiopathic arthritis-relevant can wrist.