Traumatic and overuse injuries of the hand and wrist are common in athletes. Increasingly, MR imaging is being used to complement clinical and radiographic assessment in the diagnosis and management of these injuries. MR imaging is able to image accurately the bones, tendons, ligaments, nerves, and other small structures of the hand and wrist. This article provides an overview of traumatic and overuse injuries of the hand and wrist in athletes and a review of the MR imaging appearances.
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http://dx.doi.org/10.1016/j.mric.2009.06.007 | DOI Listing |
Eur J Pediatr
January 2025
Pediatric Emergency Department, St. Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, PA, USA.
Background: Computed tomography (CT) scans are widely used for evaluating children with acute atraumatic altered mental status (AMS) despite concerns about radiation exposure and limited diagnostic yield. This study aims to assess the efficacy of CT scans in this population and provide evidence-based recommendations.
Methods: A systematic review was conducted according to PRISMA guidelines.
Medicina (Kaunas)
November 2024
Emergency Medicine Department, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.
: Head trauma is one of many conditions that trauma centres deal with daily. This study aimed to analyse the utilisation of head CT scans for patients with minor head trauma in two major hospitals in Lithuania and Poland. : We conducted a retrospective, descriptive study of CT utilisation in minor head trauma patients presenting to the Level 1 trauma centre Hospital of the Lithuanian University of Health Sciences Kaunas Clinics (HLUHS KC) and Jan Biziel University Hospital in Bydgoszcz emergency departments (EDs), during the study period from 01 February to 30 April 2023.
View Article and Find Full Text PDFBMC Health Serv Res
December 2024
Department for Interdisciplinary Health Sciences, Institute of Health and Society, University of Oslo, Oslo, Norway.
Background: A high proportion of healthcare costs can be attributed to musculoskeletal disorders (MSDs). A small proportion of patients account for most of the costs, and there is increasing focus on addressing service overuse and high costs. We aimed to estimate healthcare use contributing to high costs over a five-year period at the individual level and to examine if healthcare use for high-cost patients is in accordance with guidelines and recommendations.
View Article and Find Full Text PDFJ Pediatr Surg
February 2025
Department of Surgery, New Haven, CT 06510, USA; Yale University School of Medicine, New Haven, CT 06510, USA.
Background: The Pediatric Emergency Care Applied Research Network (PECARN) guidelines provide an algorithm to select patients with mild head trauma at highest risk for clinically important traumatic brain injury (ciTBI) in whom computed tomography (CT) would facilitate management. Failure to follow PECARN criteria exposes children to unnecessary radiation and contributes to increasing hospital costs, length of stay, and parental anxiety. We sought to evaluate the subsequent allocation of resources to low and intermediate risk group patients who underwent an initial Head CT - which was not indicated by PECARN guidelines but which identified cranial or intracranial injury.
View Article and Find Full Text PDFChilds Nerv Syst
December 2024
Department of Neurosurgery, University of Texas Health at San Antonio, San Antonio, TX, USA.
Purpose: Pediatric cervical spine injury (pCSI) is rare. Physiological differences necessitate alternate management from adults. Yet, no standardized pediatric protocols exist.
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