The value of ultrasound in assessing displacement of a medial clavicular physeal separation in an adolescent

Deganello, A.; Meacock, L.; Tavakkolizadeh, A.; Sinha, J.; Elias, D.
July 2012
Skeletal Radiology;Jul2012, Vol. 41 Issue 7, p857
Academic Journal
We describe a case of medial clavicular physeal separation with posterior displacement of the metaphysis in a 13-year-old girl, focusing on the role played by ultrasound in the diagnosis, planning of treatment and post-reduction follow-up. On clinical examination and conventional radiography, the injury is essentially indistinguishable from a sternoclavicular dislocation or a fracture of the medial aspect of the clavicle; however, the pathogenesis is different, consisting in medial physeal separation and 'degloving' of the inner cancellous bone of the metaphysis from the surrounding periosteal collar with posterior metaphyseal dislocation. In our case, attempted closed reduction failed, and the injury required open reduction with relocation of the clavicle into the periosteal sleeve followed by suturing of the periosteal tear.


Related Articles

  • Pancreatitis and the role of US, MRCP and ERCP. Darge, Kassa; Anupindi, Sudha // Pediatric Radiology;Apr2009 Supplement 2, Vol. 39, p153 

    Imaging plays a crucial role in the diagnosis of acute and chronic pancreatitis in children. Ultrasound (US) is the primary imaging modality. The US study can be improved by incorporating high resolution imaging, color Doppler, harmonic imaging and panorama view. Computer tomography (CT) is...

  • Performance of Web-based image distribution: client-oriented measurements. Bergh, B.; Pietsch, M.; Schlaefke, A.; Vogl, T. J. // European Radiology;Sep2003, Vol. 13 Issue 9, p2161 

    The aim of this study was to define a clinically suitable personal computer (PC) configuration for Web-based image distribution and to assess the influence of different hard- and software configurations on the performance. Through specially developed software the time-to-display (TTD) for...

  • Interactive two-dimensional fresh blood imaging: a feasibility study. Wong, Pauline; Graves, Martin; Lomas, David // European Radiology;Apr2009, Vol. 19 Issue 4, p904 

    This paper presents work on interactive 2D projection magnetic resonance angiography, based on fresh blood imaging (FBI), which integrates navigation and triggering optimisation into a continuous fluoroscopic procedure. The technique was developed on a clinical 1.5-T MRI system and performed in...

  • Bilateral xanthogranulomatous perinephritis without renal parenchymal involvement. Verswijvel, G.; Stragier, J.; Verhelle, J.; Roskams, T.; Oyen, R. H. // European Radiology;Jun2000, Vol. 10 Issue 6, p900 

    A case of isolated bilateral xanthogranulomatous perinephritis, which presented as a symmetrical irregular perirenal rim of soft tissue, is reported. Differential diagnosis and image features on ultrasound, computed tomography, and magnetic resonance are discussed.

  • Evaluation of grey-scale standard display function as a calibration tool for diagnostic liquid crystal display monitors using psychophysical analysis. Asai, Y.; Shintani, Y.; Yamaguchi, M.; Uemura, M.; Matsumoto, M.; Kanamori, H. // Medical & Biological Engineering & Computing;May2005, Vol. 43 Issue 3, p319 

    The digital imaging and communications in medicine (DICOM) standard proposed the grey-scale standard display function (GSDF) as a calibration tool for making the gradation characteristic of a radiographic output image consistent. This is designed in such a manner that the contrast visually...

  • Evaluation of the proximal aortic neck enlargement following endovascular repair of abdominal aortic aneurysm: 3-years experience. Napoli, Vinicio; Sardella, Savino G.; Bargellini, Irene; Petruzzi, Pasquale; Cioni, Roberto; Vignali, Claudio; Ferrari, Mauro; Bartolozzi, Carlo // European Radiology;Aug2003, Vol. 13 Issue 8, p1962 

    The aim of this study was to evaluate incidence, potential risk factors and effects on stent-graft migration of proximal neck dilatation after endoluminal repair of abdominal aortic aneurysm (EVAR), and the role of ultrasound (US) in detecting neck enlargement. From November 1998 to October...

  • Acute Osteomyelitis as a Complication of Varicella. Borgen, L.; Haakonsen, M. O.; Gudmundsen, T. E.; Solheim, D.; Stensvold, K. // Acta Radiologica;Sep2005, Vol. 46 Issue 6, p652 

    Varicella is a common viral infection in childhood, and acute osteomyelitis is one of the rare but serious complications. We report two cases of osteomyelitis as a complication of varicella. The possibilities and limitations of the different imaging modalities are discussed, as well as imaging...

  • Ultra-low-dose computed tomographic angiography with model-based iterative reconstruction compared with standard-dose imaging after endovascular aneurysm repair: a prospective pilot study. Naidu, Sailen; Kriegshauser, J.; Paden, Robert; He, Miao; Wu, Qing; Hara, Amy // Abdominal Imaging;Dec2014, Vol. 39 Issue 6, p1297 

    Purpose: An ultra-low-dose radiation protocol reconstructed with model-based iterative reconstruction was compared with our standard-dose protocol. Methods: This prospective study evaluated 20 men undergoing surveillance-enhanced computed tomography after endovascular aneurysm repair. All...

  • Neuroimaging in Low Back Pain. Humphreys, S. Craig; Eck, Jason C.; Hodges, Scott D. // American Family Physician;6/1/2002, Vol. 65 Issue 11, p2299 

    Evaluates specific imaging modalities as applied to the diagnosis of low back pain. Exceptions on the use of imaging systems in evaluating patients with acute low back pain; Serious conditions that may present as low back pain; Disadvantages of using plain radiography in the evaluation of low...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics