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Approach to Pediatric Brain

Head/Brain Imaging Modalities Radiographs Skull radiographs have limited value in the pediatric patient. They may occasionally be obtained in the setting of trauma, but it should be recognized that they can be falsely reassuring. Pediatric patients can have significant intracranial injuries (including extraaxial hemorrhages & brain parenchymal contusions) without having skull fractures. Additionally, some fractures (particularly of the skull base) will not be readily seen by…

Developmental Dysplasia of Hip

KEY FACTS Terminology Definition: Spectrum of progressive hip abnormalities developing during infancy, including dysplastic acetabulum & femoral head malpositioning Imaging Ultrasound is modality of choice for infants 0-4 months old Radiographs necessary after 4-5 months Proximal femoral epiphysis & acetabulum ossify, blocking ultrasound beam & limiting evaluation CT/MR used in limited circumstances Immediately after operative reduction Evaluation of long-term complications Clinical Issues Palpable click/clunk upon stress…