Imaging of Accidental and Non-accidental Articular Injuries in the Skeletally Immature Patient

  • Sergio Lopes Viana
  • Maria Custódia Machado Ribeiro
  • Bruno Beber Machado


The immature musculoskeletal system reacts to injury differently from the adult organism in many ways, and this is also valid for osteoarticular trauma. Lesions related to acute high-energy trauma, which are discussed in this chapter, differ from those caused by overuse/anomalous stress, such as the sports-related injuries studied in Chap.  11. For now, a special emphasis is put on joint injuries, although some extra-articular lesions typical of the pediatric age group are also described. In addition to accidental traumatic injuries, this chapter also covers non-accidental trauma, given the importance of imaging as an objective evidence of child abuse. A concise approach is used in the following topics, highlighting the imaging appearance of the most frequent lesions. Pediatric trauma is an extensive and complex issue, and an in-depth study of it is beyond the scope of this brief review.


Imaging Joints Radiology Children Adolescents Pediatrics Radiographs X-rays Ultrasonography Computed tomography Magnetic resonance imaging Trauma Musculoskeletal trauma Osteoarticular trauma Joint trauma Fracture Salter-Harris Non-accidental trauma Child abuse Skeletal survey 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sergio Lopes Viana
    • 1
  • Maria Custódia Machado Ribeiro
    • 2
  • Bruno Beber Machado
    • 3
  1. 1.Hospital da Criança de Brasília José Alencar, Hospital Ortopédico e Medicina Especializada (HOME) and Diagnóstico Clínica de Imagens MédicasBrasíliaBrazil
  2. 2.Hospital da Criança de Brasília José AlencarBrasíliaBrazil
  3. 3.Gastren Clínica Médica e Radiológica (Iúna-ES), Clínica Radiológica Med Imagem, Clínica Radiológica Radial, Santa Casa de Misericórdia and Unimed Sul CapixabaCachoeiro de ItapemirimBrazil

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