Document Detail

Magnetic resonance imaging in children with acute hip pain.
MedLine Citation:
PMID:  2602019     Owner:  NLM     Status:  MEDLINE    
45 children presenting with acute hip pain were prospectively evaluated with conventional radiography, radioisotope bone scan, and magnetic resonance imaging (MRI). The final diagnoses were transient synovitis (n = 17), septic arthritis (n = 2), Legg-Calve-Perthes disease (LCPD, n = 13), epiphyseal dysplasia (n = 2), other conditions (n = 4), and normal findings (n = 7). In the work-up MRI provided more morphologic information than other techniques and enlarged the diagnostic possibilities. It was the only imaging technique able to give an early indication of bone marrow involvement in systemic diseases. For the early diagnosis of LCPD, MRI was as sensitive as isotope bone scan and more precise than conventional radiography. In the follow-up of LCPD patients MRI was not able to indicate the start of revascularisation of the necrotic area, which bone scans showed reliably in six patients: but MRI provided excellent evaluation of the position, form and size of the femoral head and the surrounding soft tissues.
G Ranner; F Ebner; R Fotter; W Linhart; E Justich
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric radiology     Volume:  20     ISSN:  0301-0449     ISO Abbreviation:  Pediatr Radiol     Publication Date:  1989  
Date Detail:
Created Date:  1990-02-05     Completed Date:  1990-02-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0365332     Medline TA:  Pediatr Radiol     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  67-71     Citation Subset:  IM    
Department of Radiology, Karl Franzens University and Medical School, Graz, Austria.
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MeSH Terms
Acute Disease
Arthritis, Infectious / diagnosis
Child, Preschool
Chondrodysplasia Punctata / diagnosis
Femur Head Necrosis / diagnosis
Hip Joint / pathology*,  radionuclide imaging
Legg-Perthes Disease / diagnosis
Magnetic Resonance Imaging*
Pain / etiology*
Prospective Studies
Synovitis / diagnosis
Technetium Tc 99m Medronate / diagnostic use
Reg. No./Substance:
63347-66-0/Technetium Tc 99m Medronate; 72945-61-0/technetium Tc 99m hydroxymethylene diphosphonate

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