Keywords:
Performed at one institution, Observational, Retrospective, Arthritides, Diagnostic procedure, Digital radiography, CT, Bones, Anatomy, Paediatric
Authors:
C. E. O'Brien, C. Ní Leidhin, J. Duignan, A. C. O'Brien, R. Hayes; Dublin/IE
DOI:
10.26044/ecr2020/C-01498
Methods and materials
A retrospective review was carried out using the hospital digital imaging PACS system using the text search function of radiology reports. A list of all radiology reports for the past 12 years, 2007 to 2019 inclusive, which included text phrases associated with physeal arrest was generated. Each case was reviewed by of two 3rd year radiology SpRs and any cases where there was a disagreement was reviewed by a consultant paediatric radiologist. Retrospective analysis of all prior and subsequent imaging, including all request and reporting data was collected. Patient notes were analysed for likely cause, the patient demographics and the duration of time between initial insult and development of symptoms or presentation. Radiographic images were reviewed for number of growth plates involved, presence of bone bridges, location of fusion and evidence of sequale. Cases with a history of trauma in which the traumatic history was the most likely aetiology of the physeal arrest were excluded. Cases in which an alternative diagnosis for growth plate or skeletal abnormality, such as skeletal dysplasia were excluded. 31 children with physeal bone bridges were identified. Radiographs andclinical notes of 19 confirmed cases of non-traumatic premature physeal fusion were analysed.