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MR imaging of the paediatric foot and ankle

  • Pediatric Musculoskeletal Imaging: Beyond the Basics
  • Published:
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Abstract

Radiography is the mainstay for initial evaluation of paediatric foot and ankle pathology. MRI is the preferred exam for further characterisation of the majority of these conditions. The modality features high sensitivity and specificity for this purpose with few exceptions. Findings on MRI will often dictate patient referral and further management, and are frequently required for surgical planning. This article will provide an overview of a variety of pathologies that afflict the foot and ankle in children. These include tarsal coalition, osteochondral lesions, osteonecrosis, osteochondroses, stress fractures, osteomyelitis, inflammatory arthritis, neoplasms of bone and soft tissue, and foreign bodies. Their respective imaging manifestations on MRI are the focus of the paper. Technical parameters and marrow signal variation are also discussed.

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The supplement this article is part of is not sponsored by the industry. Dr. Iyer and Dr. Thapa have no financial interests, investigational or off-label uses to disclose.

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  1. Department of Radiology, Seattle Children’s Hospital, 4800 Sand Point Way NE, Seattle, WA, 98105, USA

    Ramesh S. Iyer & Mahesh M. Thapa

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Correspondence to Ramesh S. Iyer.

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Iyer, R.S., Thapa, M.M. MR imaging of the paediatric foot and ankle. Pediatr Radiol 43 (Suppl 1), 107–119 (2013). https://doi.org/10.1007/s00247-012-2449-4

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