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Musculoskeletal Diseases pp 185–192Cite as

Imaging the Child’s Inflammatory and Infectious Musculoskeletal Pathology

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Conclusion

Diagnosis of musculoskeletal infection in children is difficult and challenging. Imaging studies play an important role. Conventional radiography and ultrasonography are the initial imaging modalities. The most important additional value of US in diagnosing pediatric musculoskeletal infections over other imaging modalities is the capability to detect fluid and the possibility to perform ultrasonographically guided aspiration. However, the value of gray-scale and Doppler imaging should not be underestimated: US provides important information on localization, architecture, relation to surrounding tissues, vascularity, and the behavior of a lesion over time. Each of these items separately contributes to the definitive diagnosis. This diagnostic capacity adds to the other, unrivalled advantages of US such as portability, availability, speed, and patient comfort. An important limitation for visualizing deeper structures, such as pelvic, paravertebral and mediastinal lesions, is the restricted acoustic window, limited penetration depth, and lack of penetration through bone and air. In these cases, CT and MR imaging are valuable additional techniques to evaluate the suspected anatomical region.

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Author information

Authors and Affiliations

  1. Department of Radiology, University Hospital Maastricht, AZ, Maastricht, The Netherlands

    S.G.F. Robben

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  1. S.G.F. Robben
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Editors and Affiliations

  1. Department of Radiology, University Hospital Balgrist, Zurich, Switzerland

    J. Hodler

  2. Kantonsspital, Institut für Radiologie, Winterthur, Switzerland

    Ch. L. Zollikofer

  3. Universitätsspital Nuklearmedizin, Zurich, Switzerland

    G. K. von Schulthess

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© 2005 Springer-Verlag Italia

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Robben, S. (2005). Imaging the Child’s Inflammatory and Infectious Musculoskeletal Pathology. In: Hodler, J., Zollikofer, C.L., von Schulthess, G.K. (eds) Musculoskeletal Diseases. Springer, Milano. https://doi.org/10.1007/88-470-0339-3_27

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  • DOI: https://doi.org/10.1007/88-470-0339-3_27

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0318-7

  • Online ISBN: 978-88-470-0339-2

  • eBook Packages: MedicineMedicine (R0)

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