Skip to main content

Advertisement

SpringerLink
Log in

Musculoskeletal imaging in neonates: use of ultrasound

  • Neonatal imaging
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

High-resolution US is a practical, cost-effective modality to evaluate the musculoskeletal system in neonates. US can be performed portably in the neonatal intensive care unit so that the critically ill infant can be evaluated with minimal distress. Sonography is noninvasive and does not require sedation; typical questions that might require the use of MRI or CT in older children can be rapidly resolved with US. Dynamic imaging can be used in real time to stress joints and see how articular structures relate. Given the advantages of US within the neonatal population, it has been widely used to evaluate for neonatal fractures, congenital joint abnormalities, limb deficiencies as well as muscular and soft-tissue abnormalities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13

Similar content being viewed by others

References

  1. Keller MS (2005) Musculoskeletal sonography in the neonate and infant. Pediatr Radiol 35:1167–1173

    Article  Google Scholar 

  2. Bellah R (2001) Ultrasound in pediatric musculoskeletal disease: techniques and applications. Radiol Clin N Am 39:597–618

    Article  CAS  Google Scholar 

  3. Callahan MJ (2013) Musculoskeletal ultrasonography of the lower extremities in infants and children. Pediatr Radiol 43:S8–S22

  4. Karnik AS, Karnik A, Joshi A (2016) Ultrasound examination of pediatric musculoskeletal diseases and neonatal spine. Indian J Pediatr 83:565–577

    Article  Google Scholar 

  5. Barbuto L, Di Serafino M, Della Vecchia N et al (2019) Pediatric musculoskeletal ultrasound: a pictorial essay. J Ultrasound 22:491–502

    Article  Google Scholar 

  6. Jaimes C, Chauvin NA, Delgado J, Jaramillo D (2014) MR imaging of normal epiphyseal development and common epiphyseal disorders. Radiographics 34:449–471

    Article  Google Scholar 

  7. Saul T, Ng L, Lewiss RE (2013) Point-of-care ultrasound in the diagnosis of upper extremity fracture-dislocation. A pictorial essay. Med Ultrason 15:230–236

    Article  Google Scholar 

  8. Karmazyn B, Marine MB, Wanner MR et al (2020) Accuracy of ultrasound in the diagnosis of classic metaphyseal lesions using radiographs as the gold standard. Pediatr Radiol 50:1123–1130

    Article  Google Scholar 

  9. Marine MB, Hibbard RA, Jennings SG, Karmazyn B (2019) Ultrasound findings in classic metaphyseal lesions: emphasis on the metaphyseal bone collar and zone of provisional calcification. Pediatr Radiol 49:913–921

    Article  Google Scholar 

  10. Markowitz RI, Hubbard AM, Harty MP et al (1993) Sonography of the knee in normal and abused infants. Pediatr Radiol 23:264–267

    Article  CAS  Google Scholar 

  11. Jain R, Bielski RJ (2001) Fracture of lower femoral epiphysis in an infant at birth: a rare obstetrical injury. J Perinatol 21:550–552

    Article  CAS  Google Scholar 

  12. Malik S, Khopkar SR, Korday CS et al (2015) Transphyseal injury of distal humerus: a commonly missed diagnosis in neonates. J Clin Diagn Res 9:SD01–SD02

    PubMed  PubMed Central  Google Scholar 

  13. Karuppal R, Marthya A, Raman RV, Somasundaran S (2014) Case report: congenital dislocation of the radial head — a two-in-one approach. F1000Res 3:22

  14. Mardam-Bey T, Ger E (1979) Congenital radial head dislocation. J Hand Surg Am 4:316–320

    Article  CAS  Google Scholar 

  15. Menashe SJ, Tse R, Nixon JN et al (2015) Brachial plexus birth palsy: multimodality imaging of spine and shoulder abnormalities in children. AJR Am J Roentgenol 204:W199–W206

    Article  Google Scholar 

  16. Abid A (2016) Brachial plexus birth palsy: management during the first year of life. Orthop Traumatol Surg Res 102:S125–S132

    Article  CAS  Google Scholar 

  17. Somashekar DK, Di Pietro MA, Joseph JR et al (2016) Utility of ultrasound in noninvasive preoperative workup of neonatal brachial plexus palsy. Pediatr Radiol 46:695–703

    Article  Google Scholar 

  18. Sanchez TR, Chang J, Bauer A et al (2013) Dynamic sonographic evaluation of posterior shoulder dislocation secondary to brachial plexus birth palsy injury. J Ultrasound Med 32:1531–1534

    Article  Google Scholar 

  19. Pöyhiä TH, Lamminen AE, Peltonen JI et al (2010) Brachial plexus birth injury: US screening for glenohumeral joint instability. Radiology 254:253–260

    Article  Google Scholar 

  20. Harcke HT, Grissom LE (1990) Performing dynamic sonography of the infant hip. AJR Am J Roentgenol 155:837–844

    Article  CAS  Google Scholar 

  21. Harcke HT (1995) The role of ultrasound in diagnosis and management of developmental dysplasia of the hip. Pediatr Radiol 25:225–227

    Article  CAS  Google Scholar 

  22. Harcke HT (1994) Screening newborns for developmental dysplasia of the hip: the role of sonography. AJR Am J Roentgenol 162:395–397

    Article  CAS  Google Scholar 

  23. Bedoya MA, Chauvin NA, Jaramillo D et al (2015) Common patterns of congenital lower extremity shortening: diagnosis, classification, and follow-up. Radiographics 35:1191–1207

    Article  Google Scholar 

  24. Camacho-Gonzalez A, Spearman PW, Stoll BJ (2013) Neonatal infectious diseases: evaluation of neonatal sepsis. Pediatr Clin N Am 60:367–389

    Article  Google Scholar 

  25. Zhan C, Zhou B, Du J, Chen L (2019) Clinical analysis of 17 cases of neonatal osteomyelitis: a retrospective study. Medicine 98:e14129

    Article  Google Scholar 

  26. Martinoli C, Valle M, Malattia C et al (2011) Paediatric musculoskeletal US beyond the hip joint. Pediatr Radiol 41:S113–S124

    Article  Google Scholar 

  27. Passarello L, Bhurawala H (2019) Fibromatosis colli: an infant with neck swelling. Aust J Gen Pract 48:751–752

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Penn State Children’s Hospital, Penn State Health Milton S. Hershey Medical Center, Penn State College of Medicine, 500 University Drive, Hershey, PA, 17033, USA

    Nancy A. Chauvin

  2. Department of Radiology, The Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA

    Asef Khwaja

Authors
  1. Nancy A. Chauvin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Asef Khwaja
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Nancy A. Chauvin.

Ethics declarations

Conflicts of interest

None

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chauvin, N.A., Khwaja, A. Musculoskeletal imaging in neonates: use of ultrasound. Pediatr Radiol 52, 765–776 (2022). https://doi.org/10.1007/s00247-021-05152-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-021-05152-2

Keywords

Search

Navigation