Exploring contrast-enhanced MRI findings of the clinically non-inflamed symptomatic pediatric wrist
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
DOI:
10.1007/s00247-020-04739-5
Publication Date:
2020-07-13T13:03:52Z
AUTHORS (11)
ABSTRACT
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.
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