MR Imaging in Congenital and Acquired Disorders of the Pediatric Upper Extremity

Magnetic Resonance Imaging Clinics of North America

Volumn 17, Issue 3, 2009, Pages 549-570

  Emery, Kathleen H ^a  

^a CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER   (United States)

Author keywords

Congenital; Musculoskeletal; Pediatric; Sports related injury; Upper extremity

Indexed keywords

ACUTE DISEASE; ARM DISEASE; BIRTH INJURY; CHILD; DIAGNOSTIC PROCEDURE; DIAGNOSTIC VALUE; DYSCHONDROSTEOSIS; ELBOW DISEASE; ELBOW INJURY; EPICONDYLITIS; FREIBERG DISEASE; GYMNAST WRIST; HUMAN; LIGAMENT INJURY; LITTLE LEAGUER SHOULDER; MEDIAL EPICONDYLE APOPHYSEAL INJURY; MEDIAL EPICONDYLITIS; NERVE COMPRESSION; NUCLEAR MAGNETIC RESONANCE IMAGING; OSTEOCHONDRITIS DISSECANS; PEDIATRICS; REVIEW; ROTATOR CUFF INJURY; SHOULDER DISLOCATION; SHOULDER FRACTURE; SHOULDER INJURY; ULNAR COLLATERAL LIGAMENT INJURY; WRIST DISEASE;

ADOLESCENT; ARTHRITIS; ATHLETIC INJURIES; BONE DISEASES; BRACHIAL PLEXUS; CHILD; CHILD, PRESCHOOL; CONTRAST MEDIA; CUMULATIVE TRAUMA DISORDERS; HUMANS; INFANT; INFANT, NEWBORN; MAGNETIC RESONANCE IMAGING; NEOPLASMS; UPPER EXTREMITY; UPPER EXTREMITY DEFORMITIES, CONGENITAL;

EID: 66549097424     PISSN: 10649689     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.mric.2009.03.004     Document Type: Review

References (121)

1. Bright R.W., Burstein A.H., and Elmore S.M. Epiphyseal-plate cartilage: a biomechanical and histological analysis of failure modes. J Bone Joint Surg Am 56 4 (1974) 688-703
2. Foad S.L., Mehlman C.T., and Ying J. The epidemiology of neonatal brachial plexus palsy in the United States. J Bone Joint Surg Am 90 6 (2008) 1258-1264
3. Greenwald A.G., Schute P.C., and Shiveley J.L. Brachial plexus birth palsy: a 10-year report on the incidence and prognosis. J Pediatr Orthop 4 6 (1984) 689-692
4. Pearl M.L., Edgerton B.W., Kazimiroff P.A., et al. Arthroscopic release and latissimus dorsi transfer for shoulder internal rotation contractures and glenohumeral deformity secondary to brachial plexus birth palsy. J Bone Joint Surg Am 88 3 (2006) 564-574
5. Pearl M.L., Edgerton B.W., Kon D.S., et al. Comparison of arthroscopic findings with magnetic resonance imaging and arthrography in children with glenohumeral deformities secondary to brachial plexus birth palsy. J Bone Joint Surg Am 85 5 (2003) 890-898
6. Kon D.S., Darakjian A.B., Pearl M.L., et al. Glenohumeral deformity in children with internal rotation contractures secondary to brachial plexus birth palsy: intraoperative arthrographic classification. Radiology 231 3 (2004) 791-795
7. Chuang D.C., Mardini S., and Ma H.S. Surgical strategy for infant obstetrical brachial plexus palsy: experiences at Chang Gung Memorial Hospital. Plast Reconstr Surg 116 1 (2005) 132-142 [discussion: 143-34]
8. Waters P.M., Smith G.R., and Jaramillo D. Glenohumeral deformity secondary to brachial plexus birth palsy. J Bone Joint Surg Am 80 5 (1998) 668-677
9. Curtis R. Shoulder Injuries: anatomy, biomechanics and physiology. In: Stanitski C.L., DeLee J.C., and Drez D. (Eds). Pediatric and adolescent sports medicine (1994), WB Saunders Co., Philadelphia 183-190
10. Cleeman E., and Flatow E.L. Shoulder dislocations in the young patient. Orthop Clin North Am 31 2 (2000) 217-229
11. Rowe C.R. Prognosis in dislocations of the shoulder. J Bone Joint Surg Am 38 5 (1956) 957-977
12. Dahlin L.B., Erichs K., Andersson C., et al. Incidence of early posterior shoulder dislocation in brachial plexus birth palsy. J Brachial Plex Peripher Nerve Inj 2 (2007) 24
13. Deitch J., Mehlman C.T., Foad S.L., et al. Traumatic anterior shoulder dislocation in adolescents. Am J Sports Med 31 5 (2003) 758-763
14. Marans H.J., Angel K.R., Schemitsch E.H., et al. The fate of traumatic anterior dislocation of the shoulder in children. J Bone Joint Surg Am 74 8 (1992) 1242-1244
15. Simonet W.T., and Cofield R.H. Prognosis in anterior shoulder dislocation. Am J Sports Med 12 1 (1984) 19-24
16. Hovelius L., Augustini B.G., Fredin H., et al. Primary anterior dislocation of the shoulder in young patients: a ten-year prospective study. J Bone Joint Surg Am 78 11 (1996) 1677-1684
17. Baker C.L., Uribe J.W., and Whitman C. Arthroscopic evaluation of acute initial anterior shoulder dislocations. Am J Sports Med 18 1 (1990) 25-28
18. Antonio G.E., Griffith J.F., Yu A.B., et al. First-time shoulder dislocation: high prevalence of labral injury and age-related differences revealed by MR arthrography. J Magn Reson Imaging 26 4 (2007) 983-991
19. Waldt S., Burkart A., Imhoff A.B., et al. Anterior shoulder instability: accuracy of MR arthrography in the classification of anteroinferior labroligamentous injuries. Radiology 237 2 (2005) 578-583
20. Magee T., Williams D., and Mani N. Shoulder MR arthrography: which patient group benefits most?. AJR Am J Roentgenol 183 4 (2004) 969-974
21. Beltran J., Rosenberg Z.S., Chandnani V.P., et al. Glenohumeral instability: evaluation with MR arthrography. Radiographics 17 3 (1997) 657-673
22. Beltran J., Bencardino J., Mellado J., et al. MR arthrography of the shoulder: variants and pitfalls. Radiographics 17 6 (1997) 1403-1412 [discussion: 1412-05]
23. Harish S., Nagar A., Moro J., et al. Imaging findings in posterior instability of the shoulder. Skeletal Radiol 37 8 (2008) 693-707
24. Lawton R.L., Choudhury S., Mansat P., et al. Pediatric shoulder instability: presentation, findings, treatment, and outcomes. J Pediatr Orthop 22 1 (2002) 52-61
25. Jakobsen B.W., Johannsen H.V., Suder P., et al. Primary repair versus conservative treatment of first-time traumatic anterior dislocation of the shoulder: a randomized study with 10-year follow-up. Arthroscopy 23 2 (2007) 118-123
26. Dotter W.E. Little leaguer's shoulder: a fracture of the proximal epiphyseal cartilage of the humerus due to baseball pitching. Guthrie Clin Bull 23 1 (1953) 68-72
27. Gainor B.J., Piotrowski G., Puhl J., et al. The throw: biomechanics and acute injury. Am J Sports Med 8 2 (1980) 114-118
28. Carson Jr. W.G., and Gasser S.I. Little Leaguer's shoulder: a report of 23 cases. Am J Sports Med 26 4 (1998) 575-580
29. Obembe O.O., Gaskin C.M., Taffoni M.J., et al. Little Leaguer's shoulder (proximal humeral epiphysiolysis): MRI findings in four boys. Pediatr Radiol 37 9 (2007) 885-889
30. Song J.C., Lazarus M.L., and Song A.P. MRI findings in Little Leaguer's shoulder. Skeletal Radiol 35 2 (2006) 107-109
31. Jaramillo D., Laor T., and Zaleske D.J. Indirect trauma to the growth plate: results of MR imaging after epiphyseal and metaphyseal injury in rabbits. Radiology 187 1 (1993) 171-178
32. Itoi E., and Tabata S. Rotator cuff tears in the adolescent. Orthopedics 16 1 (1993) 78-81
33. Tarkin I.S., Morganti C.M., Zillmer D.A., et al. Rotator cuff tears in adolescent athletes. Am J Sports Med 33 4 (2005) 596-601
34. Wasserlauf B.L., and Paletta Jr. G.A. Shoulder disorders in the skeletally immature throwing athlete. Orthop Clin North Am 34 3 (2003) 427-437
35. Cole B., and Warner J. Anatomy, biomechanics, and pathophysiology of glenohumeral instability. In: Iannotti J., and Williams G. (Eds). Disorders of the shoulder: diagnosis and management (1999), Lippincott, Williams & Wilkins, New York 207-232
36. Jobe F.W., Kvitne R.S., and Giangarra C.E. Shoulder pain in the overhand or throwing athlete: the relationship of anterior instability and rotator cuff impingement. Orthop Rev 18 9 (1989) 963-975
37. Liu S.H., and Boynton E. Posterior superior impingement of the rotator cuff on the glenoid rim as a cause of shoulder pain in the overhead athlete. Arthroscopy 9 6 (1993) 697-699
38. Paley K.J., Jobe F.W., Pink M.M., et al. Arthroscopic findings in the overhand throwing athlete: evidence for posterior internal impingement of the rotator cuff. Arthroscopy 16 1 (2000) 35-40
39. Burk Jr. D.L., Karasick D., Kurtz A.B., et al. Rotator cuff tears: prospective comparison of MR imaging with arthrography, sonography, and surgery. AJR Am J Roentgenol 153 1 (1989) 87-92
40. Sanders T.G., Morrison W.B., and Miller M.D. Imaging techniques for the evaluation of glenohumeral instability. Am J Sports Med 28 3 (2000) 414-434
41. Codman E.A. Rupture of the supraspinatus tendon: 1911. Clin Orthop Relat Res 254 (1990) 3-26
42. Tuite M.J., Turnbull J.R., and Orwin J.F. Anterior versus posterior, and rim-rent rotator cuff tears: prevalence and MR sensitivity. Skeletal Radiol 27 5 (1998) 237-243
43. Vinson E.N., Helms C.A., and Higgins L.D. Rim-rent tear of the rotator cuff: a common and easily overlooked partial tear. AJR Am J Roentgenol 189 4 (2007) 943-946
44. Giaroli E.L., Major N.M., and Higgins L.D. MRI of internal impingement of the shoulder. AJR Am J Roentgenol 185 4 (2005) 925-929
45. Meister K., Thesing J., Montgomery W.J., et al. MR arthrography of partial thickness tears of the undersurface of the rotator cuff: an arthroscopic correlation. Skeletal Radiol 33 3 (2004) 136-141
46. Quinn S.F., Sheley R.C., Demlow T.A., et al. Rotator cuff tendon tears: evaluation with fat-suppressed MR imaging with arthroscopic correlation in 100 patients. Radiology 195 2 (1995) 497-500
47. Tirman P.F., Bost F.W., Steinbach L.S., et al. MR arthrographic depiction of tears of the rotator cuff: benefit of abduction and external rotation of the arm. Radiology 192 3 (1994) 851-856
48. Lee S.Y., and Lee J.K. Horizontal component of partial-thickness tears of rotator cuff: imaging characteristics and comparison of ABER view with oblique coronal view at MR arthrography initial results. Radiology 224 2 (2002) 470-476
49. Laor T. Congenital malformations of bone. In: Slovis T.L. (Ed). Caffey's pediatric diagnostic imaging. 11th edition (2008), Mosby Elsevier, Philadelphia 2594-2612
50. Sachar K., and Mih A.D. Congenital radial head dislocations. Hand Clin 14 1 (1998) 39-47
51. Kelly D.W. Congenital dislocation of the radial head: spectrum and natural history. J Pediatr Orthop 1 3 (1981) 295-298
52. Cleary J.E., and Omer Jr. G.E. Congenital proximal radio-ulnar synostosis: natural history and functional assessment. J Bone Joint Surg Am 67 4 (1985) 539-545
53. Rudzki J.R., and Paletta Jr. G.A. Juvenile and adolescent elbow injuries in sports. Clin Sports Med 23 4 (2004) 581-608 ix
54. Woods G.W., and Tullos H.S. Elbow instability and medial epicondyle fractures. Am J Sports Med 5 1 (1977) 23-30
55. Chen F.S., Diaz V.A., Loebenberg M., et al. Shoulder and elbow injuries in the skeletally immature athlete. J Am Acad Orthop Surg 13 3 (2005) 172-185
56. Bradley J.P. Upper extremity: elbow injuries in children and adolescents. In: Stanitski C.L., DeLee J.C., and David Drez J. (Eds). Pediatric and adolescent sports medicine (1994), WB Saunders Co., Philadelphia 242-261
57. Brogdon B.G., and Crow N.E. Little leaguer's elbow. Am J Roentgenol Radium Ther Nucl Med 83 (1960) 671-675
58. Hang D.W., Chao C.M., and Hang Y.S. A clinical and roentgenographic study of Little League elbow. Am J Sports Med 32 1 (2004) 79-84
59. Schwab G.H., Bennett J.B., Woods G.W., et al. Biomechanics of elbow instability: the role of the medial collateral ligament. Clin Orthop Relat Res 146 (1980) 42-52
60. Mulligan S.A., Schwartz M.L., Broussard M.F., et al. Heterotopic calcification and tears of the ulnar collateral ligament: radiographic and MR imaging findings. AJR Am J Roentgenol 175 4 (2000) 1099-1102
61. Mirowitz S.A., and London S.L. Ulnar collateral ligament injury in baseball pitchers: MR imaging evaluation. Radiology 185 2 (1992) 573-576
62. Sugimoto H., and Ohsawa T. Ulnar collateral ligament in the growing elbow: MR imaging of normal development and throwing injuries. Radiology 192 2 (1994) 417-422
63. Carrino J.A., Morrison W.B., Zou K.H., et al. Noncontrast MR imaging and MR arthrography of the ulnar collateral ligament of the elbow: prospective evaluation of two-dimensional pulse sequences for detection of complete tears. Skeletal Radiol 30 11 (2001) 625-632
64. Timmerman L.A., Schwartz M.L., and Andrews J.R. Preoperative evaluation of the ulnar collateral ligament by magnetic resonance imaging and computed tomography arthrography: evaluation in 25 baseball players with surgical confirmation. Am J Sports Med 22 1 (1994) 26-31 [discussion: 32]
65. Schwartz M.L., al-Zahrani S., Morwessel R.M., et al. Ulnar collateral ligament injury in the throwing athlete: evaluation with saline-enhanced MR arthrography. Radiology 197 1 (1995) 297-299
66. Glajchen N., Schwartz M.L., Andrews J.R., et al. Avulsion fracture of the sublime tubercle of the ulna: a newly recognized injury in the throwing athlete. AJR Am J Roentgenol 170 3 (1998) 627-628
67. Kijowski R., and De Smet A.A. Magnetic resonance imaging findings in patients with medial epicondylitis. Skeletal Radiol 34 4 (2005) 196-202
68. Martin C.E., and Schweitzer M.E. MR imaging of epicondylitis. Skeletal Radiol 27 3 (1998) 133-138
69. Bordalo-Rodrigues M., and Rosenberg Z.S. MR imaging of entrapment neuropathies at the elbow. Magn Reson Imaging Clin N Am 12 2 (2004) 247-263
70. Kobayashi K., Burton K.J., Rodner C., et al. Lateral compression injuries in the pediatric elbow: Panner's disease and osteochondritis dissecans of the capitellum. J Am Acad Orthop Surg 12 4 (2004) 246-254
71. Bradley J.P., and Petrie R.S. Osteochondritis dissecans of the humeral capitellum: diagnosis and treatment. Clin Sports Med 20 3 (2001) 565-590
72. Kijowski R., Tuite M., and Sanford M. Magnetic resonance imaging of the elbow. Part I: normal anatomy, imaging technique, and osseous abnormalities. Skeletal Radiol 33 12 (2004) 685-697
73. Panner H. An affection of the capitulum humeri resembling Calve-Perthes disease of the hip. Acta Radiol 8 (1927) 617-618
74. Haraldsson S. On osteochondrosis deformas juvenilis capituli humeri including investigation of intra-osseous vasculature in distal humerus. Acta Orthop Scand Suppl 38 (1959) 1-232
75. Douglas G., and Rang M. The role of trauma in the pathogenesis of the osteochondroses. Clin Orthop Relat Res 158 (1981) 28-32
76. Stoane J.M., Poplausky M.R., Haller J.O., et al. Panner's disease: X-ray, MR imaging findings and review of the literature. Comput Med Imaging Graph 19 6 (1995) 473-476
77. Schenck Jr. R.C., Athanasiou K.A., Constantinides G., et al. A biomechanical analysis of articular cartilage of the human elbow and a potential relationship to osteochondritis dissecans. Clin Orthop Relat Res 299 (1994) 305-312
78. Takahara M., Ogino T., Takagi M., et al. Natural progression of osteochondritis dissecans of the humeral capitellum: initial observations. Radiology 216 1 (2000) 207-212
79. Takahara M., Ogino T., Fukushima S., et al. Nonoperative treatment of osteochondritis dissecans of the humeral capitellum. Am J Sports Med 27 6 (1999) 728-732
80. Kijowski R., and De Smet A.A. Radiography of the elbow for evaluation of patients with osteochondritis dissecans of the capitellum. Skeletal Radiol 34 5 (2005) 266-271
81. Takahara M., Shundo M., Kondo M., et al. Early detection of osteochondritis dissecans of the capitellum in young baseball players: report of three cases. J Bone Joint Surg Am 80 6 (1998) 892-897
82. Bowen R.E., Otsuka N.Y., Yoon S.T., et al. Osteochondral lesions of the capitellum in pediatric patients: role of magnetic resonance imaging. J Pediatr Orthop 21 3 (2001) 298-301
83. Kijowski R., and De Smet A.A. MRI findings of osteochondritis dissecans of the capitellum with surgical correlation. AJR Am J Roentgenol 185 6 (2005) 1453-1459
84. Takahara M., Mura N., Sasaki J., et al. Classification, treatment, and outcome of osteochondritis dissecans of the humeral capitellum. J Bone Joint Surg Am 89 6 (2007) 1205-1214
85. Takahara M., Ogino T., Sasaki I., et al. Long term outcome of osteochondritis dissecans of the humeral capitellum. Clin Orthop Relat Res 363 (1999) 108-115
86. Loredo R., and Sanders T.G. Imaging of osteochondral injuries. Clin Sports Med 20 2 (2001) 249-278
87. Peiss J., Adam G., Casser R., et al. Gadopentetate-dimeglumine-enhanced MR imaging of osteonecrosis and osteochondritis dissecans of the elbow: initial experience. Skeletal Radiol 24 1 (1995) 17-20
88. Emery Kh V.D., Laor T., Mussman A., et al. Gadolinium enhanced MRI in juvenile osteochondritis dissecans (OCD) of the knee: is it helpful for predicting the need for surgical therapy? (May 10, 2003), Presented at the 46th Annual Meeting of the Society for Pediatric Radiology, San Francisco
89. Dubberley J.H., Faber K.J., Patterson S.D., et al. The detection of loose bodies in the elbow: the value of MRI and CT arthrography. J Bone Joint Surg Br 87 5 (2005) 684-686
90. Waldt S., Bruegel M., Ganter K., et al. Comparison of multislice CT arthrography and MR arthrography for the detection of articular cartilage lesions of the elbow. Eur Radiol 15 4 (2005) 784-791
91. Schmidt-Rohlfing B., Schwobel B., Pauschert R., et al. Madelung deformity: clinical features, therapy and results. J Pediatr Orthop B 10 4 (2001) 344-348
92. Cook P.A., Yu J.S., Wiand W., et al. Madelung deformity in skeletally immature patients: morphologic assessment using radiography, CT, and MRI. J Comput Assist Tomogr 20 4 (1996) 505-511
93. Blanco M.E., Perez-Cabrera A., Kofman-Alfaro S., et al. Clinical and cytogenetic findings in 14 patients with Madelung anomaly. Orthopedics 28 3 (2005) 315-319
94. Vickers D., and Nielsen G. Madelung deformity: surgical prophylaxis (physiolysis) during the late growth period by resection of the dyschondrosteosis lesion. J Hand Surg Br 17 4 (1992) 401-407
95. Felman A.H., and Kirkpatrick Jr. J.A. Madelung's deformity: observations in 17 patients. Radiology 93 5 (1969) 1037-1042
96. Tuder D., Frome B., and Green D.P. Radiographic spectrum of severity in Madelung's deformity. J Hand Surg Am 33 6 (2008) 900-904
97. Lovallo J., and Simmons B.P. Hand and wrist injuries. In: Stanitski C., DeLee J.C., and Drez Jr. D. (Eds). Pediatric and adolescent sports medicine (1994), WB Saunders Co., Philadelphia 262-278
98. Alt V., Gasnier J., and Sicre G. Injuries of the scapholunate ligament in children. J Pediatr Orthop B 13 5 (2004) 326-329
99. Terry C.L., and Waters P.M. Triangular fibrocartilage injuries in pediatric and adolescent patients. J Hand Surg Am 23 4 (1998) 626-634
100. Bae D.S., and Waters P.M. Pediatric distal radius fractures and triangular fibrocartilage complex injuries. Hand Clin 22 1 (2006) 43-53
101. Abid A., Accadbled F., Kany J., et al. Ulnar styloid fracture in children: a retrospective study of 46 cases. J Pediatr Orthop B 17 1 (2008) 15-19
102. Earp B.E., Waters P.M., and Wyzykowski R.J. Arthroscopic treatment of partial scapholunate ligament tears in children with chronic wrist pain. J Bone Joint Surg Am 88 11 (2006) 2448-2455
103. Palmer A.K. Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am 14 4 (1989) 594-606
104. Haims A.H., Schweitzer M.E., Morrison W.B., et al. Limitations of MR imaging in the diagnosis of peripheral tears of the triangular fibrocartilage of the wrist. AJR Am J Roentgenol 178 2 (2002) 419-422
105. Haims A.H., Schweitzer M.E., Morrison W.B., et al. Internal derangement of the wrist: indirect MR arthrography versus unenhanced MR imaging. Radiology 227 3 (2003) 701-707
106. Zanetti M., Bram J., and Hodler J. Triangular fibrocartilage and intercarpal ligaments of the wrist: does MR arthrography improve standard MRI?. J Magn Reson Imaging 7 3 (1997) 590-594
107. Greene M.H., Hadied A.M., and LaMont R.L. Scaphoid fractures in children. J Hand Surg Am 9 4 (1984) 536-541
108. Terry Jr. D.W., and Ramin J.E. The navicular fat stripe: a useful roentgen feature for evaluating wrist trauma. Am J Roentgenol Radium Ther Nucl Med 124 1 (1975) 25-28
109. Cook P.A., Yu J.S., Wiand W., et al. Suspected scaphoid fractures in skeletally immature patients: application of MRI. J Comput Assist Tomogr 21 4 (1997) 511-515
110. Waters P.M. Operative carpal and hand injuries in children. J Bone Joint Surg Am 89 9 (2007) 2064-2074
111. Huckstadt T., Klitscher D., Weltzien A., et al. Pediatric fractures of the carpal scaphoid: a retrospective clinical and radiological study. J Pediatr Orthop 27 4 (2007) 447-450
112. Cerezal L., Abascal F., Canga A., et al. Usefulness of gadolinium-enhanced MR imaging in the evaluation of the vascularity of scaphoid nonunions. AJR Am J Roentgenol 174 1 (2000) 141-149
113. Chang C.Y., Shih C., Penn I.W., et al. Wrist injuries in adolescent gymnasts of a Chinese opera school: radiographic survey. Radiology 195 3 (1995) 861-864
114. DiFiori J.P., Puffer J.C., Mandelbaum B.R., et al. Distal radial growth plate injury and positive ulnar variance in nonelite gymnasts. Am J Sports Med 25 6 (1997) 763-768
115. Mandelbaum B.R., Bartolozzi A.R., Davis C.A., et al. Wrist pain syndrome in the gymnast: pathogenetic, diagnostic, and therapeutic considerations. Am J Sports Med 17 3 (1989) 305-317
116. Roy S., Caine D., and Singer K.M. Stress changes of the distal radial epiphysis in young gymnasts: a report of twenty-one cases and a review of the literature. Am J Sports Med 13 5 (1985) 301-308
117. Liebling M.S., Berdon W.E., Ruzal-Shapiro C., et al. Gymnast's wrist (pseudorickets growth plate abnormality) in adolescent athletes: findings on plain films and MR imaging. AJR Am J Roentgenol 164 1 (1995) 157-159
118. Tolat A.R., Sanderson P.L., De Smet L., et al. The gymnast's wrist: acquired positive ulnar variance following chronic epiphyseal injury. J Hand Surg Br 17 6 (1992) 678-681
119. Shih C., Chang C.Y., Penn I.W., et al. Chronically stressed wrists in adolescent gymnasts: MR imaging appearance. Radiology 195 3 (1995) 855-859
120. Laor T., Wall E.J., and Vu L.P. Physeal widening in the knee due to stress injury in child athletes. AJR Am J Roentgenol 186 5 (2006) 1260-1264
121. Laor T., Hartman A.L., and Jaramillo D. Local physeal widening on MR imaging: an incidental finding suggesting prior metaphyseal insult. Pediatr Radiol 27 8 (1997) 654-662