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Maturation-dependent findings in the shoulders of pediatric baseball players on magnetic resonance imaging

  • Jie C. NguyenEmail author
  • Bin Lin
  • Hollis G. Potter
Scientific Article
  • 21 Downloads

Abstract

Purpose

To compare the prevalence and characteristics of shoulder osseous and soft tissue findings on magnetic resonance imaging (MRI) with respect to skeletal maturation in symptomatic pediatric baseball players without a history of acute trauma.

Methods

The IRB-approved, HIPAA-compliant retrospective study analyzed 87 consecutive pediatric baseball players (86 boys and 1 girl; mean age, 15.4 ± 2.1 years) with shoulder MRI performed between March 1, 2012 and September 30, 2017. In consensus, two radiologists assessed the MRI studies for findings involving the humerus, the glenoid, the labrum, the rotator cuff, and the acromioclavicular joint. Exact Cochran–Armitage trend and Mantel–Haenszel Chi-square tests were used to investigate the association between these findings and skeletal maturation.

Results

The mean ages between players who are skeletally immature (37 shoulders), maturing (26 shoulders), and matured (24 shoulders) were significantly different (p < 0.001). Bone marrow edema (p < 0.001) and sclerosis (p < 0.001) within the proximal humeral metaphysis decreased with skeletal maturation. Glenoid remodeling (p = 0.038) was more severe in the skeletally immature players and the prevalence of Bennett lesions (p = 0.048) increased with skeletal maturation. The prevalence of labral tears, rotator cuff tendinosis, and acromioclavicular joint separation did not significantly change with skeletal maturation.

Conclusions

The change in the prevalence of findings within the proximal humerus and glenoid with skeletal maturation suggest differences in the distribution of stress within the shoulders of pediatric baseball players during development.

Keywords

Baseball Children MRI Shoulder Skeletal maturation 

Notes

Acknowledgements

The authors would like to thank Daniel Green, M.D., and Peter Fabricant, M.D., from the Department of Orthopedic Surgery at the Hospital for Special Surgery, for serving as consultants for this study.

Compliance with ethical standards

Informed consent was waived by the Institutional Review Board for this HIPAA-compliant retrospective study.

Disclosures

The authors have no relevant disclosures.

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Copyright information

© ISS 2019

Authors and Affiliations

  1. 1.Department of RadiologyChildren’s Hospital of PhiladelphiaPhiladelphiaUSA
  2. 2.Department of Radiology and ImagingHospital for Special SurgeryNew YorkUSA

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