Journal article
Pediatric thrower's elbow: maturation-dependent MRI findings in symptomatic baseball players
PEDIATRIC RADIOLOGY, v 54(1), p105
Jan 2024
PMID: 38015294
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background Elbow pain is common among youth baseball players and elbow MRI is increasingly utilized to complement the clinical assessment.Objective To characterize, according to skeletal maturity, findings on elbow MRI from symptomatic youth baseball players.Materials and methods This IRB-approved, HIPAA-compliant retrospective study included pediatric (<18 years of age) baseball players with elbow pain who underwent MRI examinations between 2010 and 2021. Two radiologists, blinded to the outcome, independently reviewed examinations to categorize skeletal maturity and to identify osseous and soft tissue findings with consensus used to resolve discrepancies. Findings were compared between skeletally immature and mature patients and logistic regression models identified predictors of surgery.Results This study included 130 children (115 boys, 15 girls): 85 skeletally immature and 45 mature (12.8 +/- 2.3 and 16.2 +/- 1.0 years, respectively, p<0.01). Kappa coefficient for interobserver agreement on MRI findings ranged from 0.64 to 0.96. Skeletally immature children, when compared to mature children, were more likely to have elbow effusion (27%, 23/85 vs 9%, 4/45; p=0.03), medial epicondyle marrow edema (53%, 45/85 vs 16%, 7/45; p<0.01), avulsion fracture (19%, 16/85 vs 2%, 1/45; p=0.02), and juvenile osteochondritis dissecans (OCD, 22%, 19/85 vs 7%, 3/45; p=0.04), whereas skeletally mature children were more likely to have sublime tubercle marrow edema (49%, 22/45 vs 11%, 9/85; p<0.01) and triceps tendinosis (40%, 18/45 vs 20%, 17/85; p=0.03). Intra-articular body (OR=4.2, 95% CI 1.5-47.8, p=0.02) and osteochondritis dissecans (OR=3.7, 95% CI 1.1-11.9, p=0.03) were independent predictors for surgery.Conclusion Differential patterns of elbow MRI findings were observed among symptomatic pediatric baseball players based on regional skeletal maturity. Intra-articular body and osteochondritis dissecans were independent predictors of surgery.
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Details
- Title
- Pediatric thrower's elbow: maturation-dependent MRI findings in symptomatic baseball players
- Publication Details
- PEDIATRIC RADIOLOGY, v 54(1), p105
- Publisher
- SPRINGER; NEW YORK
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:001122732100001
- Scopus ID
- 2-s2.0-85177854856
- Other Identifier
- 991021861276304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics
- Radiology, Nuclear Medicine & Medical Imaging