Pediatric Musculoskeletal Imaging — Flashcards

Flashcard 1: The X-ray of choice to determine the skeletal age of a 3 to 9 month-old boy is X-ray of the _____

Answer: shoulder

Flashcard 2: Earliest radiological finding of rickets is _____

Answer: loss of provisional zone of calcification

Flashcard 3: X-rays of the skull reveal enlarged sella and intersutural (wormian) bones in children with Congenital _____

Answer: hypothyroidism

Flashcard 4: Localized bilateral _____ destruction of the medial proximal tibia is called as Wimberger's sign and is seen in early congenital syphilis.

Answer: metaphyseal

Flashcard 5: What is a pathognomonic skeletal feature of child abuse on X-ray?

Answer: Sub-epiphyseal micro-fracture (Classic Metaphyseal Lesion)

Extra: The Classic Metaphyseal Lesion (CML), also known as a corner or bucket-handle fracture, is highly specific for non-accidental injury (child abuse). It represents a series of micro-fractures across the primary spongiosa of the metaphysis. While MRI can detect bone marrow edema, these lesions are primarily identified on a skeletal survey (X-ray).

Flashcard 6: Calcific stippling of the patellae, hips, and other epiphysis, also called _____ is seen in the majority of the patients of Zellweger's syndrome

Answer: chondrodysplasia punctata

Flashcard 7: Contrast enema shows an empty microcolon in case of _____

Answer: Meconium ileus

Flashcard 8: Target sign on USG Abdomen is suggestive of _____.

Answer: intussusception

Flashcard 9: The given barium enema is suggestive of _____ disease

Answer: Hirschsprung

Flashcard 10: The given USG shows _____ sign and _____ sign in congenital hypertrophic pyloric stenosis

Answer: cervix