Radiologic clinics of North America
-
Successful and safe sedation is an important technical aspect of pediatric imaging for the radiologist. Sedation of children requiring acute diagnostic evaluation presents additional challenges including uncertain past medical history and nothing-by-mouth status, unknown allergies, and unstable clinical status. This article focuses on the techniques and problems of sedating children in an acute setting.
-
In conclusion, sonography plays a central role in imaging the obstetric and gynecologic emergencies of babies, girls, and adolescents. Transabdominal and transvaginal sonography each have their respective and combined strengths, which depend on the age, size, anatomy, and social and clinical situation of the patient to be imaged. ⋯ In the sexually mature patient, transvaginal sonography provides an exceptional view of the normal uterus and adnexae and the myriad presentations of pelvic pathology. This article has reviewed the sonographic techniques that can be used in imaging the pediatric and adolescent pelvis, and has emphasized some of the many pathologic conditions that can be elucidated by pelvic sonography.
-
The foot and ankle is one of the most imaged parts of the body. Although most plain radiographs reveal no bony injury, subtle fractures can be overlooked. Because it is important to detect these fractures at the time of injury, a review of the most commonly missed foot and ankle fractures is presented.
-
The thoracic and lumbar regions of the spine have unique anatomic and biomechanical features that result in different characteristic patterns of injury. This article reviews common injuries to the thoracic and lumbar spine and emphasizes the relationship between anatomic features and characteristic patterns of injury. An approach to imaging of the trauma patient is presented, focusing on detection and classification of spinal injuries.
-
This article describes MR imaging of acute and chronic injuries of the ankle and foot, elbow, and hand and wrist. Conditions discussed include ligament and tendon injuries, fractures and bone bruises, osteochondral defects, foreign bodies, and posttraumatic ganglions. Other topics covered include fasciitis, nerve and muscle injuries about the elbow, and triangular fibrocartilage tears.