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Congress: ECR25
Poster Number: C-21895
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-21895
Authorblock: V. T. Salzani, H. A. Affonso, C. B. F. B. F. Leite, L. N. Da Luz; Rio de Janeiro/BR
Disclosures:
Vagner Tadeu Salzani: Nothing to disclose
Helen Aksenow Affonso: Nothing to disclose
Cristyano Bismark Ferreira BISMARK FERREIRA Leite: Nothing to disclose
Lucas Nascimento Da Luz: Nothing to disclose
Keywords: Emergency, Musculoskeletal bone, Paediatric, CT, MR, Education, Trauma
Learning objectives - This study aims to discuss the most common imaging characteristics related to pediatric trauma;- Throughout a schematic and pictorial essay, we review the Salter-Harris Classification of physeal fractures;- We emphasized the main differential diagnoses and sequelae related to acute and chronic traumatic events.
Read more Background Fortunately, healthy children love to play, jump, run, and climb anywhere, and eventually, they fall. Unfortunately, this trauma may impact their whole life if not promptly diagnosed and treated. This study highlights what to look for and what not to miss in the context of children's trauma.As it is known, a child's skeleton differs biochemically and physiologically from an adult's. Therefore, their mechanisms and patterns of injury and fracture are distinct. In childhood, there are four basic types of acute...
Read more Findings and procedure details Acute physeal injuries: Fractures are relatively uncommon injuries that occur in children. Salter-Harris fractures (Figure 1)  are injuries where a fracture of the metaphysis or epiphysis extends through the physeal. Not all fractures that extend to the growth plate are Salter-Harris fractures. [fig 1]    Salter-Harris type I (Figures 2 and 3): Salter-Harris type I fractures describes a fracture wholly contained within the physeal. There is no associated bone fragment. They must not involve epiphysis or metaphysis and must not have any rotated or...
Read more Conclusion A deep understanding of the growth plate's anatomical and physiological characteristics, as well as its trauma-related pathophysiological conditions, increases the accuracy of the diagnosis. In this way, radiologists, orthopedists, and pediatricians may anticipate future growth disorders, with the ultimate goal of the children's wellness through timely, effective intervention.
Read more References    1- Nguyen, Jie C. Imaging of Pediatric Growth Plate Disturbances, RadioGraphics 2017; 37:1791–1812 https://doi.org/10.1148/rg.2017170029.   2- Brian, J. M. The Primary Physis, Semin Musculoskelet Radiol 2018;22:95–103.   3- Litlle, JT, Klionsky NB, Chaturvedi A et-al. Pediatric distal forearm and wrist injury: an imaging review. Radiographics. 2014;34 (2): 472-90.   4- Hacking, Craig, Salter-Harris Classification. Radiopaedia, 2021. https://radiopaedia.org/articles/salter-harris-classification.   5- Murphy Andrew, Salter-Harris type I fracture, Radiopaedia, 2021. https://radiopaedia.org/articles/salter-harris-type-i-fracture?lang=us    6- Saber, Mohamed, Salter-Harris type II fracture, Radiopaedia, 2021. https://radiopaedia.org/articles/salter-harris-type-ii-fracture?lang=us    7 - Hacking, Craig, Salter-Harris...
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