J Wrist Surg 2023; 12(02): 095
DOI: 10.1055/s-0043-1762589
Editorial

Magnetic Resonance Imaging for Children

Toshiyasu Nakamura
1   Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Tokyo, Japan
› Author Affiliations

Magnetic resonance imaging (MRI) is now a popular diagnostic tool for the human body. With the special surface coil, MRI can delineate the details of the wrist. Radiographs can indicate fracture line or carpal collapse and computed tomography (CT) can demonstrate fracture precisely. MRI can depict the earlier stage of fracture, such as bone bruise which CT cannot demonstrate. MRI also can indicate the ligament structure and joint effusion in inflammatory diseases. I used to research MRI for staticodynamic motion analysis of the wrist and forearm in the early 90s. At that time, we only had standard spin echo T1 and T2 weighted images. Gradient echo T2* weighted images or fat suppression T1 or T2 weighted images are still useful for the wrist joint. Now, we have fast MRI modalities. MRI is a noninvasive image tool; thus, it is suitable for children. Also, the cartilage is the major lesion in children's wrist and MRI can demonstrate cartilage well.

In this issue, the “editor's pick” is “Early MRI for Pediatric Wrist Injuries—Prospective Case Series of 150 Cases” by de Courcey et al. They hypothesized that early MRI can help precise diagnosis and detection of healing of the bony lesion in children's wrist and prospectively analyzed their data. They highlighted the routine use of MRI for the identification or exclusion of occult carpal injuries in the pediatric population. Interesting wrist papers, such as all inside triangular fibrocartilage complex (TFCC) reconstruction of the TFCC, platelet-rich plasma treatment for De Quervain tenosynovitis, carpometacarpal arthroscopy, systematic review of dorsal wrist ganglion, and interesting case reports are also included.



Publication History

Article published online:
13 March 2023

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