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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)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
BLACK FRIDAY SAVE 30%Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
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Pediatric Imaging
For Training Programs
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, so I want to show you the
0:03
final of the Salter-Harris injuries.
0:05
We're not going to do Salter-Harris
0:06
5, uh, but that's a crush injury.
0:08
This is going to be a Salter-Harris Type IV injury.
0:11
And again, we're bringing you back to the knee.
0:14
Skeletally immature patient.
0:16
The image on your left is a fat
0:18
suppressed fluid-sensitive sequence.
0:20
The middle is a T1-weighted sequence.
0:22
And the right is my favorite
0:25
dual echo steady state.
0:26
So, if you take a look at this, you notice that
0:29
there's a lot of edema involving the epiphysis,
0:32
involving the growth plate on the, on the, uh,
0:35
lateral side, and also the metaphysis here.
0:39
On the T1-weighted sequence, in the
0:41
corresponding areas, you see areas of
0:43
decreased signal corresponding to edema.
0:46
And on the dual echo steady state sequence,
0:49
we in fact see a beautiful example of
0:52
cortical separation here at the epiphysis.
0:55
Fracture going through the epiphysis proper.
0:58
Look how wide that growth plate is
1:01
on this side versus the other side.
1:03
So we know indeed that this area is involved.
1:06
And finally, we can see a little
1:07
piece of bone over here in the
1:09
metaphysis that has flecked off.
1:11
So we know the fracture line extends this way,
1:15
goes up vertically into the joint space through
1:18
the epiphysis, and exits inferiorly through
1:21
the metaphysis into the adjacent periosteum.
1:24
So, this is a great example of a
1:26
Salter-Harris Type IV injury.
1:28
Um, again, because it's happening in the
1:30
knee, because it's Salter-Harris Type IV, the
1:33
likelihood of this forming into a FICL bar
1:36
or, um, growth disturbance is going to be
1:39
higher than had it been elsewhere or had it
1:42
been a lower grade of Salter-Harris injury.
Salter-Harris IV Injury
HIDEInteractive Transcript
0:01
Okay, so I want to show you the
0:03
final of the Salter-Harris injuries.
0:05
We're not going to do Salter-Harris
0:06
5, uh, but that's a crush injury.
0:08
This is going to be a Salter-Harris Type IV injury.
0:11
And again, we're bringing you back to the knee.
0:14
Skeletally immature patient.
0:16
The image on your left is a fat
0:18
suppressed fluid-sensitive sequence.
0:20
The middle is a T1-weighted sequence.
0:22
And the right is my favorite
0:25
dual echo steady state.
0:26
So, if you take a look at this, you notice that
0:29
there's a lot of edema involving the epiphysis,
0:32
involving the growth plate on the, on the, uh,
0:35
lateral side, and also the metaphysis here.
0:39
On the T1-weighted sequence, in the
0:41
corresponding areas, you see areas of
0:43
decreased signal corresponding to edema.
0:46
And on the dual echo steady state sequence,
0:49
we in fact see a beautiful example of
0:52
cortical separation here at the epiphysis.
0:55
Fracture going through the epiphysis proper.
0:58
Look how wide that growth plate is
1:01
on this side versus the other side.
1:03
So we know indeed that this area is involved.
1:06
And finally, we can see a little
1:07
piece of bone over here in the
1:09
metaphysis that has flecked off.
1:11
So we know the fracture line extends this way,
1:15
goes up vertically into the joint space through
1:18
the epiphysis, and exits inferiorly through
1:21
the metaphysis into the adjacent periosteum.
1:24
So, this is a great example of a
1:26
Salter-Harris Type IV injury.
1:28
Um, again, because it's happening in the
1:30
knee, because it's Salter-Harris Type IV, the
1:33
likelihood of this forming into a FICL bar
1:36
or, um, growth disturbance is going to be
1:39
higher than had it been elsewhere or had it
1:42
been a lower grade of 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
Trauma
Pediatrics
Musculoskeletal (MSK)
MRI
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