ArticlePediatric radiology2016
Erosion or normal variant? 4-year MRI follow-up of the wrists in healthy children.
Article in Pediatric radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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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
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Whole-body magnetic resonance imaging in children - how and why? A systematic review.Pediatric radiology · 2021Pooled it
- No radiographic wrist damage after treatment to target in recent-onset juvenile idiopathic arthritis.Pediatric rheumatology online journal · 2019Trial
- Exploring contrast-enhanced MRI findings of the clinically non-inflamed symptomatic pediatric wrist.Pediatric radiology · 2020Article
- Consider the wrist: a retrospective study on pediatric connective tissue disease with MRI.Rheumatology international · 2019Article
- Differentiating Bilateral Symptomatic Hand Osteoarthritis From Rheumatoid Arthritis Using Sonography When Clinical and Radiographic Features Are Nonspecific: A Case Report.Journal of chiropractic medicine · 2019Article
- Reliability of ultrasonography to detect inflammatory lesions and structural damage in juvenile idiopathic arthritis.Pediatric rheumatology online journal · 2018Article
- Current status of wrist imaging in juvenile idiopathic arthritis.Pediatric radiology · 2018Review
- Imaging in juvenile idiopathic arthritis - international initiatives and ongoing work.Pediatric radiology · 2018Review
- Ultrasound imaging of synovial inflammation in juvenile idiopathic arthritis.Pediatric radiology · 2017Review
- Juvenile idiopathic arthritis: what is the utility of ultrasound?The British journal of radiology · 2017Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA large proportion of healthy children have wrist changes on MRI, namely carpal depressions, findings that have been described as pathological in children with juvenile idiopathic arthritis.
objectiveWe performed follow-up imaging in a cohort of healthy children to evaluate carpal surface depressions over time, focusing on the presence of overlying cartilage as a potential discriminator between normal variants and true erosions. MATERIALS AND
methods74 of the initial cohort of 89 healthy children (83%) had a re-scan of their wrists using the same protocol, including coronal T1 and fat-saturated T2 sequences. A cartilage-selective sequence was added for this study. We registered number and location of bony depressions and presence of overlying cartilage.
resultsThe total number of carpal depressions increased by age group and over time; their location was unchanged in 370 of 487 (76%) carpal sites and 91 of 117 (78%) metacarpal sites. In total, 426 of the 1,087 (39.2%) bony depressions were covered by cartilage, with a decreasing percentage by age (P = 0.001).
conclusionNormal appearances during growth, such as bony depressions, should not be mistaken for pathology. There must be additional findings to support a diagnosis of disease. A cartilage sequence may add to the diagnostic image analysis.
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