Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Lesson
Cartilage Injuries & Abnormalities Pre-Course Activities
2 topics, 5 min.
Lesson
Cartilage Injuries & Abnormalities
38 topics, 2 hr. 9 min.
Introduction to Pediatric Imaging
2 m.Hyaline Cartilage Anatomy
3 m.The Physis & Calcification Centers
3 m.Epiphyseal Cartilage
4 m.Fibrocartilage & Hyaline Cartilage
6 m.MR Appearance of Cartilage In Different Age Groups
5 m.FOPE
4 m.Lymphoma of the Bone
12 m.Blount Disease
4 m.Gymnast’s Wrist
5 m.Pre-ossification Centers
3 m.Elbow Effusion
2 m.OCD In the Elbow
3 m.Trochlear OCD on MRI
2 m.Trochlear OCD on Arthrogram
2 m.Ultrasound Guided Arthrogram Injection
3 m.OCD In the Capitellum, Loose Body
3 m.Avascular Necrosis in the Elbow
3 m.The Fish Tail Deformity
4 m.OCD In the Knee, LAME
4 m.Legg-Calvé-Perthes disease on X-Ray
3 m.Legg-Calvé-Perthes disease on MRI
5 m.Juvenile Idiopathic Arthritis
4 m.Abscess
4 m.Infection in the Physis
3 m.Tug Lesion
7 m.Salter-Harris Classification System
5 m.Salter-Harris Fracture on X-Ray
3 m.Salter-Harris 2 in the Shoulder
3 m.Salter-Harris 3 in the Knee
3 m.Salter-Harris 3 on CT Imaging
3 m.Indications for MRI in a Pediatric Shoulder
4 m.Performing Arthrograms in the Shoulder
3 m.Ultrasound Guidance in Shoulder Arthrogram
3 m.Salter-Harris 5 on MRI
3 m.Physeal Injury, Cartilage Deformity
5 m.Chondroblastoma in the Knee
5 m.Chondroblastoma in the Ankle
5 m.Lesson
Bone and Ligament Injury
9 topics, 41 min.
Lesson
Anatomical Variations
3 topics, 13 min.
Lesson
Inflammation and Infection
3 topics, 12 min.
Lesson
Bone and Marrow Abnormalities
13 topics, 39 min.
Anorexia Nervosa
3 m.Chondroblastoma
4 m.Chondroblastoma in the Shoulder
4 m.Complex Regional Pain Syndrome
4 m.Lipoblastoma
4 m.Leukemia
4 m.Leukemia, Assessing for Asymmetry
4 m.Myositis Ossificans
3 m.Normal Patchy Bone Marrow
4 m.Osteoblastoma
4 m.Adamantinoma verus Osteofibrous Dysplasia
2 m.Osteoid Osteoma in the Foot
3 m.Osteoid Osteoma in the Finger
3 m.Lesson
Salter-Harris Injuries
5 topics, 11 min.
0:01
Now let's move on to Salter-Harris
0:03
type 2 injury, also involving the ankle.
0:06
This time we're looking at the injury to
0:09
the tibia versus Salter-Harris type 1 injury we
0:12
saw before that involved the distal fibula.
0:15
Take a look at the plain radiograph first.
0:17
I'm going to blow this up
0:18
to make it a little bigger.
0:19
Again, adjacent physes are your friend.
0:23
This time it is the physis of the distal
0:25
tibia which is wider, more irregular
0:28
than the physis of the distal fibula.
0:31
What else do you notice?
0:32
You notice that there's a little
0:34
bit of periosteal reaction extending
0:37
up the metaphysis on the lateral side.
0:39
What does that mean?
0:40
That means that the injury involves
0:42
not only your physis, but also your
0:46
metaphysis, even if you don't see it.
0:48
Okay, so that virtually guarantees you're
0:51
looking at a Salter-Harris type II injury.
0:54
And what does that look like on plain film?
0:56
I'm sorry, on MRI?
0:57
Here's the MRI on your right.
0:59
This is a fat-suppressed,
1:00
fluid-sensitive sequence.
1:02
And look what you see here.
1:03
Indeed, look at the physis
1:04
here of the distal fibula.
1:07
Look at the irregular enlarged
1:09
physis of your distal tibia.
1:12
And here is the injury extending into the
1:15
metaphysis and causing subperiosteal fluid
1:18
formation and elevation of that periosteum.
1:22
So this is what you're looking at on
1:24
your plain radiograph, equivalent to
1:27
a Salter-Harris type II injury.
Salter-Harris II Injury
HIDEInteractive Transcript
0:01
Now let's move on to Salter-Harris
0:03
type 2 injury, also involving the ankle.
0:06
This time we're looking at the injury to
0:09
the tibia versus Salter-Harris type 1 injury we
0:12
saw before that involved the distal fibula.
0:15
Take a look at the plain radiograph first.
0:17
I'm going to blow this up
0:18
to make it a little bigger.
0:19
Again, adjacent physes are your friend.
0:23
This time it is the physis of the distal
0:25
tibia which is wider, more irregular
0:28
than the physis of the distal fibula.
0:31
What else do you notice?
0:32
You notice that there's a little
0:34
bit of periosteal reaction extending
0:37
up the metaphysis on the lateral side.
0:39
What does that mean?
0:40
That means that the injury involves
0:42
not only your physis, but also your
0:46
metaphysis, even if you don't see it.
0:48
Okay, so that virtually guarantees you're
0:51
looking at a Salter-Harris type II injury.
0:54
And what does that look like on plain film?
0:56
I'm sorry, on MRI?
0:57
Here's the MRI on your right.
0:59
This is a fat-suppressed,
1:00
fluid-sensitive sequence.
1:02
And look what you see here.
1:03
Indeed, look at the physis
1:04
here of the distal fibula.
1:07
Look at the irregular enlarged
1:09
physis of your distal tibia.
1:12
And here is the injury extending into the
1:15
metaphysis and causing subperiosteal fluid
1:18
formation and elevation of that periosteum.
1:22
So this is what you're looking at on
1:24
your plain radiograph, equivalent to
1:27
a Salter-Harris type II injury.
Report
Faculty
Mahesh Thapa, MD, MEd, FAAP
Division Chief of Musculoskeletal Imaging, and Director of Diagnostic Imaging Professor
Seattle Children's & University of Washington
Tags
X-Ray (Plain Films)
Trauma
Pediatrics
Neonatal
Musculoskeletal (MSK)
MRI
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