ArticlePediatric radiology2012
MRI of radiographically occult ischial apophyseal avulsions.
Article in Pediatric radiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 20 citations in OpenAlex.
- Surgical treatment of an old avulsion fracture of the ischial tuberosity and ischial ramus: A case report.World journal of orthopedics · 2024Article
- [Sports injuries in children and adolescents].Radiologie (Heidelberg, Germany) · 2023Review
- Chronic High Hamstring Tendinopathy and Sacroiliac Segmental Dysfunction in a Mature Tae Kwon Do Athlete: A Case Study.Journal of chiropractic medicine · 2019Article
- Avulsion Fractures of the Ischial Tuberosity: Progress of Injury, Mechanism, Clinical Manifestations, Imaging Examination, Diagnosis and Differential Diagnosis and Treatment.Medical science monitor : international medical journal of experimental and clinical research · 2018Review
- Imaging the Pediatric Athlete: Acute and Stress Skeletal Injuries.Missouri medicineArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute avulsions of unossified ischial apophyses in children may go undetected on radiography. Therapy includes rest and rehabilitation; however, substantial displacement may require surgery.
objectiveOur purpose is to illustrate the utility of MRI in the detection of these radiographically occult injuries in skeletally immature children. MATERIALS AND
methodsThis retrospective study of more than 5 years included children with ischial avulsions who were evaluated with both radiography and MRI within 3 weeks of acute injury. Initially, radiographs were reviewed to identify those children with unossified ischial apophyses. Subsequently, their MRI examinations were assessed for physeal disruption, bone/soft tissue edema, periosteal/perichondrial elevation and disruption. Initial and follow-up radiographs (if available) were reviewed. Patient age, symptoms and offending activity were determined from clinical records.
resultsFive children met inclusion criteria. All initial radiographs were normal. MRI showed: edema (n = 5), periosteal elevation (n = 4), periosteal/perichondrial disruption (n = 4), >5.5 mm displacement (n = 0). Follow-up radiographs in two children (2 and 2.5 months from MRI) showed osseous ischial irregularity. The apophyses remained unossified.
conclusionsAcute unossified ischial apophyseal avulsions in children may be radiographically undetected. In the setting of correlative clinical symptoms, MRI can be used to identify these injuries and to help direct appropriate therapy.
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Registered trials
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