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Training Collections
Library Memberships
Black Friday Save 30%On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Black Friday Save 30%Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
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Black Friday Save 40%Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
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Dr. Resnick's MSK Conference
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Lower Extremities MRI Conference
Musculoskeletal Imaging
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Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Cartilage Injuries & Abnormalities Pre-Course Activities
2 topics, 5 min.
Lesson
Cartilage Injuries & Abnormalities
38 topics, 2 hr. 9 min.
Introduction to Pediatric Imaging
2 m.Hyaline Cartilage Anatomy
3 m.The Physis & Calcification Centers
3 m.Epiphyseal Cartilage
4 m.Fibrocartilage & Hyaline Cartilage
6 m.MR Appearance of Cartilage In Different Age Groups
5 m.FOPE
4 m.Lymphoma of the Bone
12 m.Blount Disease
4 m.Gymnast’s Wrist
5 m.Pre-ossification Centers
3 m.Elbow Effusion
2 m.OCD In the Elbow
3 m.Trochlear OCD on MRI
2 m.Trochlear OCD on Arthrogram
2 m.Ultrasound Guided Arthrogram Injection
3 m.OCD In the Capitellum, Loose Body
3 m.Avascular Necrosis in the Elbow
3 m.The Fish Tail Deformity
4 m.OCD In the Knee, LAME
4 m.Legg-Calvé-Perthes disease on X-Ray
3 m.Legg-Calvé-Perthes disease on MRI
5 m.Juvenile Idiopathic Arthritis
4 m.Abscess
4 m.Infection in the Physis
3 m.Tug Lesion
7 m.Salter-Harris Classification System
5 m.Salter-Harris Fracture on X-Ray
3 m.Salter-Harris 2 in the Shoulder
3 m.Salter-Harris 3 in the Knee
3 m.Salter-Harris 3 on CT Imaging
3 m.Indications for MRI in a Pediatric Shoulder
4 m.Performing Arthrograms in the Shoulder
3 m.Ultrasound Guidance in Shoulder Arthrogram
3 m.Salter-Harris 5 on MRI
3 m.Physeal Injury, Cartilage Deformity
5 m.Chondroblastoma in the Knee
5 m.Chondroblastoma in the Ankle
5 m.Lesson
Bone and Ligament Injury
9 topics, 41 min.
Lesson
Anatomical Variations
3 topics, 13 min.
Lesson
Inflammation and Infection
3 topics, 12 min.
Lesson
Bone and Marrow Abnormalities
13 topics, 39 min.
Anorexia Nervosa
3 m.Chondroblastoma
4 m.Chondroblastoma in the Shoulder
4 m.Complex Regional Pain Syndrome
4 m.Lipoblastoma
4 m.Leukemia
4 m.Leukemia, Assessing for Asymmetry
4 m.Myositis Ossificans
3 m.Normal Patchy Bone Marrow
4 m.Osteoblastoma
4 m.Adamantinoma verus Osteofibrous Dysplasia
2 m.Osteoid Osteoma in the Foot
3 m.Osteoid Osteoma in the Finger
3 m.Lesson
Salter-Harris Injuries
5 topics, 11 min.
0:01
Okay, our prior vignette, we sort of drew cartoon
0:04
diagrams and talked about the significance
0:07
of Salter-Harris injuries, where we talked
0:08
about what the different classifications
0:11
are, the importance of the body part that's
0:13
involved, and the difference between a
0:15
horizontal and a longitudinal or vertically
0:17
oriented or classified, uh, physeal injury.
0:21
I want to start out with the most basic
0:23
one, which is actually pretty uncommon.
0:27
Uh, and that is Salter-Harris Type I injury,
0:29
meaning that it involves only the physis.
0:32
And it's very difficult to appreciate because
0:34
there may just be a slight separation.
0:36
The ankle is a good place to look because
0:40
you have other physes there for comparison.
0:42
For example, here's an injury to a patient
0:45
on the lateral side, and you see on the
0:47
coronal fat-suppressed fluid-sensitive
0:49
sequence, there's a little bit of bright
0:51
signal in the very lateral aspect
0:54
of that distal fibular physis.
0:56
Compare it to the physeal size and
0:58
appearance of the distal tibia.
1:01
The image on your right is the same
1:02
patient with contrast administered.
1:05
The reason that contrast was administered is
1:06
because we weren't sure what the pain was from.
1:09
So only after the MRI did we realize that it
1:11
was from a Salter-Harris injury and eliciting
1:14
more, more, more history from the patient.
1:16
So again, here is the normal physis
1:18
on the distal tibia, and here is the
1:20
abnormal physis showing separation.
1:23
But not involving the
1:24
metaphysis or the epiphysis.
1:26
So this is a Salter-Harris Type I injury.
1:31
It's still at risk for bony bridge
1:34
formation, but much less so than if it
1:38
was a higher-grade Salter-Harris injury.
Salter-Harris I Injury
HIDEInteractive Transcript
0:01
Okay, our prior vignette, we sort of drew cartoon
0:04
diagrams and talked about the significance
0:07
of Salter-Harris injuries, where we talked
0:08
about what the different classifications
0:11
are, the importance of the body part that's
0:13
involved, and the difference between a
0:15
horizontal and a longitudinal or vertically
0:17
oriented or classified, uh, physeal injury.
0:21
I want to start out with the most basic
0:23
one, which is actually pretty uncommon.
0:27
Uh, and that is Salter-Harris Type I injury,
0:29
meaning that it involves only the physis.
0:32
And it's very difficult to appreciate because
0:34
there may just be a slight separation.
0:36
The ankle is a good place to look because
0:40
you have other physes there for comparison.
0:42
For example, here's an injury to a patient
0:45
on the lateral side, and you see on the
0:47
coronal fat-suppressed fluid-sensitive
0:49
sequence, there's a little bit of bright
0:51
signal in the very lateral aspect
0:54
of that distal fibular physis.
0:56
Compare it to the physeal size and
0:58
appearance of the distal tibia.
1:01
The image on your right is the same
1:02
patient with contrast administered.
1:05
The reason that contrast was administered is
1:06
because we weren't sure what the pain was from.
1:09
So only after the MRI did we realize that it
1:11
was from a Salter-Harris injury and eliciting
1:14
more, more, more history from the patient.
1:16
So again, here is the normal physis
1:18
on the distal tibia, and here is the
1:20
abnormal physis showing separation.
1:23
But not involving the
1:24
metaphysis or the epiphysis.
1:26
So this is a Salter-Harris Type I injury.
1:31
It's still at risk for bony bridge
1:34
formation, but much less so than if it
1:38
was a higher-grade Salter-Harris injury.
Report
Faculty
Mahesh Thapa, MD, MEd, FAAP
Division Chief of Musculoskeletal Imaging, and Director of Diagnostic Imaging Professor
Seattle Children's & University of Washington
Tags
X-Ray (Plain Films)
Trauma
Pediatrics
Musculoskeletal (MSK)
MRI
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