Slipped capital femoral epiphysis : a physeal lesion diagnosed by MRI, with radiographic and CT correlation
To define and compare early lesions associated with slipped capital femoral epiphysis (SCFE) on magnetic resonance imaging (MRI), computed tomography (CT) and radiography. Thirteen patients with 15 symptomatic hips due to SCFE underwent radiography and MRI; CT was performed in 12 patients. SCFE was...
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| Veröffentlicht in: | Skeletal radiology 1998-03, Vol.27 (3), p.139-144 |
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| creator | UMANS, H LIEBLING, M. S MOY, L HARAMATI, N MACY, N. J PRITZKER, H. A |
| description | To define and compare early lesions associated with slipped capital femoral epiphysis (SCFE) on magnetic resonance imaging (MRI), computed tomography (CT) and radiography.
Thirteen patients with 15 symptomatic hips due to SCFE underwent radiography and MRI; CT was performed in 12 patients. SCFE was graded on radiographs, head/neck angles and qualitative changes were evaluated on CT, and morphologic/signal abnormalities were determined on MRI.
Physeal widening, apparent on T1-weighted MRI, was evident in every case of SCFE, including one presumed "pre-slip." T2-weighted images demonstrated synovitis and marrow edema but obscured physeal abnormalities. CT head/neck angles ranged from 4-57 degrees for symptomatic to 0-14 degrees for asymptomatic hips. Physeal and metaphyseal changes were variably identified on both radiographs and CT in all cases of SCFE, but not in the pre-slip.
MRI clearly delineates physeal changes of both pre-slip and SCFE, and demonstrates very early changes at a time when radiographs and CT may appear normal. |
| doi_str_mv | 10.1007/s002560050353 |
| format | Article |
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Thirteen patients with 15 symptomatic hips due to SCFE underwent radiography and MRI; CT was performed in 12 patients. SCFE was graded on radiographs, head/neck angles and qualitative changes were evaluated on CT, and morphologic/signal abnormalities were determined on MRI.
Physeal widening, apparent on T1-weighted MRI, was evident in every case of SCFE, including one presumed "pre-slip." T2-weighted images demonstrated synovitis and marrow edema but obscured physeal abnormalities. CT head/neck angles ranged from 4-57 degrees for symptomatic to 0-14 degrees for asymptomatic hips. Physeal and metaphyseal changes were variably identified on both radiographs and CT in all cases of SCFE, but not in the pre-slip.
MRI clearly delineates physeal changes of both pre-slip and SCFE, and demonstrates very early changes at a time when radiographs and CT may appear normal.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s002560050353</identifier><identifier>PMID: 9554004</identifier><identifier>CODEN: SKRADI</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Diseases of the osteoarticular system ; Epiphyses, Slipped - diagnosis ; Epiphyses, Slipped - diagnostic imaging ; Female ; Femur Head ; Humans ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Miscellaneous. Osteoarticular involvement in other diseases ; Retrospective Studies ; Tomography, X-Ray Computed</subject><ispartof>Skeletal radiology, 1998-03, Vol.27 (3), p.139-144</ispartof><rights>1998 INIST-CNRS</rights><rights>International Skeletal Society 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-2bf5e62f749f010ac827c113e3ecf567bd41b2c1807d3c53ac5c095454a6418c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27915,27916</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2174356$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9554004$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>UMANS, H</creatorcontrib><creatorcontrib>LIEBLING, M. S</creatorcontrib><creatorcontrib>MOY, L</creatorcontrib><creatorcontrib>HARAMATI, N</creatorcontrib><creatorcontrib>MACY, N. J</creatorcontrib><creatorcontrib>PRITZKER, H. A</creatorcontrib><title>Slipped capital femoral epiphysis : a physeal lesion diagnosed by MRI, with radiographic and CT correlation</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><description>To define and compare early lesions associated with slipped capital femoral epiphysis (SCFE) on magnetic resonance imaging (MRI), computed tomography (CT) and radiography.
Thirteen patients with 15 symptomatic hips due to SCFE underwent radiography and MRI; CT was performed in 12 patients. SCFE was graded on radiographs, head/neck angles and qualitative changes were evaluated on CT, and morphologic/signal abnormalities were determined on MRI.
Physeal widening, apparent on T1-weighted MRI, was evident in every case of SCFE, including one presumed "pre-slip." T2-weighted images demonstrated synovitis and marrow edema but obscured physeal abnormalities. CT head/neck angles ranged from 4-57 degrees for symptomatic to 0-14 degrees for asymptomatic hips. Physeal and metaphyseal changes were variably identified on both radiographs and CT in all cases of SCFE, but not in the pre-slip.
MRI clearly delineates physeal changes of both pre-slip and SCFE, and demonstrates very early changes at a time when radiographs and CT may appear normal.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Diseases of the osteoarticular system</subject><subject>Epiphyses, Slipped - diagnosis</subject><subject>Epiphyses, Slipped - diagnostic imaging</subject><subject>Female</subject><subject>Femur Head</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous. 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S ; MOY, L ; HARAMATI, N ; MACY, N. J ; PRITZKER, H. A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-2bf5e62f749f010ac827c113e3ecf567bd41b2c1807d3c53ac5c095454a6418c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Diseases of the osteoarticular system</topic><topic>Epiphyses, Slipped - diagnosis</topic><topic>Epiphyses, Slipped - diagnostic imaging</topic><topic>Female</topic><topic>Femur Head</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous. 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S</au><au>MOY, L</au><au>HARAMATI, N</au><au>MACY, N. J</au><au>PRITZKER, H. A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Slipped capital femoral epiphysis : a physeal lesion diagnosed by MRI, with radiographic and CT correlation</atitle><jtitle>Skeletal radiology</jtitle><addtitle>Skeletal Radiol</addtitle><date>1998-03-01</date><risdate>1998</risdate><volume>27</volume><issue>3</issue><spage>139</spage><epage>144</epage><pages>139-144</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><coden>SKRADI</coden><abstract>To define and compare early lesions associated with slipped capital femoral epiphysis (SCFE) on magnetic resonance imaging (MRI), computed tomography (CT) and radiography.
Thirteen patients with 15 symptomatic hips due to SCFE underwent radiography and MRI; CT was performed in 12 patients. SCFE was graded on radiographs, head/neck angles and qualitative changes were evaluated on CT, and morphologic/signal abnormalities were determined on MRI.
Physeal widening, apparent on T1-weighted MRI, was evident in every case of SCFE, including one presumed "pre-slip." T2-weighted images demonstrated synovitis and marrow edema but obscured physeal abnormalities. CT head/neck angles ranged from 4-57 degrees for symptomatic to 0-14 degrees for asymptomatic hips. Physeal and metaphyseal changes were variably identified on both radiographs and CT in all cases of SCFE, but not in the pre-slip.
MRI clearly delineates physeal changes of both pre-slip and SCFE, and demonstrates very early changes at a time when radiographs and CT may appear normal.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>9554004</pmid><doi>10.1007/s002560050353</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0364-2348 |
| ispartof | Skeletal radiology, 1998-03, Vol.27 (3), p.139-144 |
| issn | 0364-2348 1432-2161 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79811001 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Biological and medical sciences Child Diseases of the osteoarticular system Epiphyses, Slipped - diagnosis Epiphyses, Slipped - diagnostic imaging Female Femur Head Humans Magnetic Resonance Imaging Male Medical sciences Miscellaneous. Osteoarticular involvement in other diseases Retrospective Studies Tomography, X-Ray Computed |
| title | Slipped capital femoral epiphysis : a physeal lesion diagnosed by MRI, with radiographic and CT correlation |
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