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Jawetz ST, Shah PH, Potter HG. Imaging of physeal injury: overuse. Sports Health. 2015;7(2):142-53doi: 10.1177/1941738114559380.
Jawetz, S. T., Shah, P. H., & Potter, H. G. (2015). Imaging of physeal injury: overuse. Sports health, 7(2), 142-53. https://doi.org/10.1177/1941738114559380
Jawetz, Shari T, et al. "Imaging of physeal injury: overuse." Sports health vol. 7,2 (2015): 142-53. doi: https://doi.org/10.1177/1941738114559380
Jawetz ST, Shah PH, Potter HG. Imaging of physeal injury: overuse. Sports Health. 2015 Mar;7(2):142-53. doi: 10.1177/1941738114559380. PMID: 25984260; PMCID: PMC4332644.
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Sports Health. 2015 Mar;7(2):142-53. doi: 10.1177/1941738114559380.

Imaging of physeal injury: overuse.

Sports health

Shari T Jawetz, Parina H Shah, Hollis G Potter

Affiliations

  1. Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York.

PMID: 25984260 PMCID: PMC4332644 DOI: 10.1177/1941738114559380

Abstract

CONTEXT: As the intensity of youth participation in athletic activities continues to rise, the number of overuse injuries has also increased. A subset of overuse injuries involves the physis, which is extremely susceptible to injury. This paper aims to review the utility of the various imaging modalities in the diagnosis and management of physeal injuries in the skeletally immature population.

EVIDENCE ACQUISITION: A search for the keywords pediatric, physis, growth plate, x-ray, computed tomography, magnetic resonance imaging, and overuse injury was performed using the PubMed database. No limits were set for the years of publication. Articles were reviewed for relevance with an emphasis on the imaging of growth plate injuries.

STUDY DESIGN: Retrospective literature review.

LEVEL OF EVIDENCE: Level 4.

RESULTS: Three major imaging modalities (radiographs, computed tomography, and magnetic resonance imaging) complement each other in the evaluation of pediatric patients with overuse injuries. However, magnetic resonance imaging is the only modality that offers direct visualization of the physis, and it also offers the best soft tissue contrast for evaluating the other periarticular structures for concomitant injury.

CONCLUSION: Imaging has an important role in the diagnosis of physeal injuries, and the information it provides has a tremendous impact on the subsequent management of these patients.

Keywords: computed tomography; magnetic resonance imaging; overuse injuries; physis

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