About this book

This is a comprehensive textbook on imaging of pediatric skeletal trauma. It provides a detailed description of the techniques used and the imaging findings, detailing their clinical relevance. Emphasis is placed on those injuries and their radiological features which are important to the orthopedic surgeon and the successful management of the child. In the first part of the book, the various techniques and procedures needed to successfully image both acute and more chronic skeletal injuries are discussed in depth. Individual chapters are devoted to radiography, CT, MRI, ultrasound, and nuclear medicine. The second part of the book documents the different types of skeletal injury, and the chapters are arranged according to anatomical site. In addition, chapters are included on growth plate injuries, non-accidental injuries, and normal variants that can imitate fractures. Each chapter is written by an expert in the field and a wealth of illustrative material is included. This book is designed to be of value to all radiologists who are involved with pediatric trauma, whether trainees or consultants, and also to orthopedic surgeons.


Written for:
Radiologists involved in pediatric trauma, orthopedic surgeons
Imaging Techniques and Procedures . . . . . . . . . . . . . . . . . . . . . . . . . 1
1 Paediatric Trauma Radiography
David Horton . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2 Radiographic Positioning
Kate Parkes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
3 CT
Anne Paterson . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
4 Ultrasound in Paediatric Trauma
James Teh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
5 Magnetic Resonance Imaging
Karl J. Johnson . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
6 Nuclear Medicine
Karen Bradshaw and Angharad Harries . . . . . . . . . . . . . . . . . . . . . . .79
Clinical Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89
7 Normal Anatomical Variants and Other Mimics of Skeletal Trauma
Helen Williams. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
8 Basic Sciences of Paediatric Fractures
Edward Bache and Karl J. Johnson. . . . . . . . . . . . . . . . . . . . . . . . . . . 119
9 Long Bone Fractures
Edward Bache. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
10 Growth Plate (Physeal) Injuries
Katharine Foster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
11 Non-accidental Injury
Stephen Chapman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
12 Pelvic Fractures
Karl J. Johnson and Edward Bache. . . . . . . . . . . . . . . . . . . . . . . . . . . 175
13 The Hip Joint
James Metcalfe and Alan Sprigg. . . . . . . . . . . . . . . . . . . . . . . . . . . . 193
Contents
X Contents
14 The Paediatric Knee
Edward Bache, Sean Symons, and Keith Haywards. . . . . . . . . . . . . . . . . 207
15 Ankle
Paul Gibbons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
16 Foot Fractures
Edward Bache, Caroline Lever, and Raj Kanwar. . . . . . . . . . . . . . . . . . 237
17 Shoulder
Phil Glithero . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
18 Elbow Injuries
Edward Bache. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257
19 The Hand and Wrist
Greg John Irwin and Roderick Douglas Dewar Duncan . . . . . . . . . . . . 283
20 The Spine
Radhesh Krishna Lalam, Victor N. Cassar-Pullicino, and
Prudencia N. M. Tyrrell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 301
21 Pathological Fractures in the Immature Skeleton
A. Mark Davies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337
Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357
List of Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363