[article] 
inActa Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.392-397

Titre :	Distal Femoral Cortical Irregularity in children
Type de document :	texte imprimé
Auteurs :	Keiichi MURAMATSU, Auteur ; Yasuhiro TOMINAGA, Auteur ; Takahiro HASHIMOTO, Auteur
Année de publication :	2015
Article en page(s) :	p.392-397
Langues :	Anglais (eng)
Mots-clés :	femur  cortical irregularity  adductor magnus  gastrocnemius  children  classification  diagnosis.
Résumé :	Cortical abnormalities at the distal postero-medial femoral metaphysis may be relatively common. We reviewed the plain radiographs of 197 knees in 130 children aged between 5 and 12 years to investigate the incidence of distal femoral cortical irregularities (DFCI) and their association with symptoms. An adductor magnus lesion was found in 15% of cases, with an even number of irregular and cystic lesions. A medial gastrocnemius lesion was found in 5% of cases, but no association was found between symptoms and the lesion. Overall, lesions were found in 25% of cases aged 5 to 9 years, but in only 13% of cases aged 12 and 13 years. Boys showed a higher incidence of both adductor magnus and medial gastrocnemius lesions. DFCI is a benign, self-limited entity and a relatively common radiologic finding. Regardless of whether or not symptoms are present, imaging findings should be carefully interpreted to avoid unnecessary diagnostic and invasive therapeutic procedures.
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[article] Distal Femoral Cortical Irregularity in children [texte imprimé] / Keiichi MURAMATSU, Auteur ; Yasuhiro TOMINAGA, Auteur ; Takahiro HASHIMOTO, Auteur . - 2015 . - p.392-397.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.392-397

Mots-clés :	femur  cortical irregularity  adductor magnus  gastrocnemius  children  classification  diagnosis.
Résumé :	Cortical abnormalities at the distal postero-medial femoral metaphysis may be relatively common. We reviewed the plain radiographs of 197 knees in 130 children aged between 5 and 12 years to investigate the incidence of distal femoral cortical irregularities (DFCI) and their association with symptoms. An adductor magnus lesion was found in 15% of cases, with an even number of irregular and cystic lesions. A medial gastrocnemius lesion was found in 5% of cases, but no association was found between symptoms and the lesion. Overall, lesions were found in 25% of cases aged 5 to 9 years, but in only 13% of cases aged 12 and 13 years. Boys showed a higher incidence of both adductor magnus and medial gastrocnemius lesions. DFCI is a benign, self-limited entity and a relatively common radiologic finding. Regardless of whether or not symptoms are present, imaging findings should be carefully interpreted to avoid unnecessary diagnostic and invasive therapeutic procedures.
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