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📌 Trapped Periosteum in Pediatric Proximal Tibial Physeal Injuries
- MRI guides surgical planning when conventional reduction fails, potentially improving outcomes.
✅ MRI Findings of Trapped Periosteum:
- widening of proximal tibial physis
- Enfolded periosteum in widened tibial physis
- Low signal intensity of trapped periosteum in growth plate
✅Benefits of MRI:
- Evaluates menisci, ligaments, and articular cartilage
- Assesses non-ossified epiphyses
- Detects osteonecrosis and bony bridging
- Identifies mechanical obstructions to the reduction
- Visualizes periarticular structures (nerves, vessels, tendons, muscles)
✅ Type IV Fractures
- Type IV fractures present with fracture extension from the tibial tuberosity through the proximal tibial physis into the posterior tibial metaphyseal cortex.
References:
- Open Journal of Medical Imaging, 2013, 3, 90-96
- EFORT Open Rev. 2020 May 5;5(5):260-267
- Whan A, et al. AJR Am J Roentgenol. 2003;181(5):1397-9.
- MRI Web Clinic - August 2011 Trapped Periosteum
"Visualizing MSK Radiology: A Practical Guide to Radiology Mastery"
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#PatellarSleeveFracture, #OrthopedicImaging, #MRIFindings, #KneeInjury, #SportsTrauma, #TrappedPeriosteum, #PediatricTrauma, #MRIDiagnosis, #PhysealInjury, #PediatricOrthopedics, #MusculoskeletalRadiology
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