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  1. Article ; Online: Introduction.

    Dwek, Jerry R

    Pediatric radiology

    2019  Volume 49, Issue 12, Page(s) 1575

    Language English
    Publishing date 2019-11-04
    Publishing country Germany
    Document type Review ; Introductory Journal Article
    ZDB-ID 124459-0
    ISSN 1432-1998 ; 0301-0449
    ISSN (online) 1432-1998
    ISSN 0301-0449
    DOI 10.1007/s00247-019-04550-x
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    Zs.A 927: Show issues Location:
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  2. Article ; Online: A framework for the radiologic diagnosis of skeletal dysplasias and syndromes as revealed by molecular genetics.

    Dwek, Jerry R

    Pediatric radiology

    2019  Volume 49, Issue 12, Page(s) 1576–1586

    Abstract: This article simplifies the radiologic diagnosis of skeletal dysplasia by first presenting an ordered approach for analysis of standard radiographs done for skeletal dysplasias. With that foundation, a more detailed discussion of three separate families ... ...

    Abstract This article simplifies the radiologic diagnosis of skeletal dysplasia by first presenting an ordered approach for analysis of standard radiographs done for skeletal dysplasias. With that foundation, a more detailed discussion of three separate families of skeletal disorders follows. Similarities among dysplasia group members are discussed to provide a certain connectedness among dysplasias. The paper also elucidates the scientific basis behind the radiographic findings so that previously purely descriptive terms have the weight of understanding behind them.
    MeSH term(s) Biochemical Phenomena ; Bone Diseases, Developmental/diagnostic imaging ; Bone and Bones/diagnostic imaging ; Humans ; Molecular Biology/methods ; Radiography/methods ; Syndrome
    Language English
    Publishing date 2019-11-04
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 124459-0
    ISSN 1432-1998 ; 0301-0449
    ISSN (online) 1432-1998
    ISSN 0301-0449
    DOI 10.1007/s00247-019-04545-8
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  3. Article ; Online: Magnetic resonance imaging appearance of breaststroker's knee.

    Cheng, Karen Y / Chambers, Henry / Dwek, Jerry R

    Pediatric radiology

    2022  Volume 52, Issue 13, Page(s) 2645–2647

    Abstract: Breaststroker's knee is an overuse syndrome resulting from similar repetitive movements in competitive swimmers that has been described in the orthopedic literature. The typical symptoms are medial knee pain with tenderness to palpation at the tibial ... ...

    Abstract Breaststroker's knee is an overuse syndrome resulting from similar repetitive movements in competitive swimmers that has been described in the orthopedic literature. The typical symptoms are medial knee pain with tenderness to palpation at the tibial collateral ligament or inferomedial patella. Despite these localizing symptoms on clinical exam, arthroscopic studies have failed to demonstrate a specific structural abnormality corresponding to this syndrome, although some have reported thickened medial synovial plica, medial-predominant synovitis or patellofemoral cartilage loss in association knee pain with breaststroke swimmers. We present a case of medial knee pain in a young breaststroke swimmer with magnetic resonance imaging (MRI) findings of marrow edema in the anterior aspect of the medial femoral condyle. To our knowledge, this is the first reported case of MRI findings in breaststroker's knee .
    MeSH term(s) Humans ; Knee Injuries/diagnostic imaging ; Knee Joint/diagnostic imaging ; Knee Joint/pathology ; Knee ; Pain ; Magnetic Resonance Imaging
    Language English
    Publishing date 2022-06-08
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 124459-0
    ISSN 1432-1998 ; 0301-0449
    ISSN (online) 1432-1998
    ISSN 0301-0449
    DOI 10.1007/s00247-022-05407-6
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  4. Article ; Online: A segmental approach to imaging of sports-related injuries of the pediatric elbow.

    Dwek, Jerry R

    Sports health

    2012  Volume 4, Issue 5, Page(s) 442–452

    Abstract: Context: The imaging of pediatric sports injuries of the elbow requires an understanding of the interaction between biomechanical forces common in sports and the developing skeleton.: Evidence acquisition: A PubMed search was performed using the ... ...

    Abstract Context: The imaging of pediatric sports injuries of the elbow requires an understanding of the interaction between biomechanical forces common in sports and the developing skeleton.
    Evidence acquisition: A PubMed search was performed using the terms elbow, radiology, and sports with the search limited to children up to 18 years of age. No limits were set on the range of years searched. Articles were reviewed for relevance with an emphasis of the changing nature of sports injuries about the pediatric elbow.
    Results: A clear progression of injuries about the elbow can be identified as the skeleton matures. Sports most commonly associated with injuries in the pediatric age group were baseball and gymnastics.
    Conclusions: Most pediatric sports injuries result from overhand throwing, especially in baseball or gymnastics. The manifestation of the injuries shifts as the physes progress toward closure.
    Language English
    Publishing date 2012-10-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2508802-6
    ISSN 1941-0921 ; 1941-7381
    ISSN (online) 1941-0921
    ISSN 1941-7381
    DOI 10.1177/1941738112448733
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  5. Article ; Online: The periosteum: what is it, where is it, and what mimics it in its absence?

    Dwek, Jerry R

    Skeletal radiology

    2010  Volume 39, Issue 4, Page(s) 319–323

    Abstract: Nearly every bone in the body is invested in periosteum. The periosteum is in some ways poorly understood and has been a subject of controversy and debate. This tissue has a major role in bone growth and bone repair and has an impact on the blood supply ... ...

    Abstract Nearly every bone in the body is invested in periosteum. The periosteum is in some ways poorly understood and has been a subject of controversy and debate. This tissue has a major role in bone growth and bone repair and has an impact on the blood supply of bone as well as skeletal muscle. Despite the importance of the periosteum is has received little attention in the literature in recent years.
    MeSH term(s) Bone Development/physiology ; Fracture Healing/physiology ; Fractures, Bone/physiopathology ; Humans ; Osteogenesis/physiology ; Periosteum/anatomy & histology ; Periosteum/physiology
    Language English
    Publishing date 2010-01-05
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 527592-1
    ISSN 1432-2161 ; 0364-2348
    ISSN (online) 1432-2161
    ISSN 0364-2348
    DOI 10.1007/s00256-009-0849-9
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  6. Article ; Online: The radiographic approach to child abuse.

    Dwek, Jerry R

    Clinical orthopaedics and related research

    2010  Volume 469, Issue 3, Page(s) 776–789

    Abstract: Background: Osseous injuries are a major facet of child abuse and in most patients radiographic imaging plays a major role in diagnosis. While some injuries are typically produced as a result of excessive and inappropriate force other injuries are ... ...

    Abstract Background: Osseous injuries are a major facet of child abuse and in most patients radiographic imaging plays a major role in diagnosis. While some injuries are typically produced as a result of excessive and inappropriate force other injuries are nonspecific in terms of their causation, but become suspicious when the history provided by the caretakers is inconsistent with the type of injury produced.
    Questions/purposes: I detail the radiographic imaging of the more characteristic of the highly specific injuries, discuss the major issues that relate to some moderate- or low-specificity injuries, and describe several diseases that mimic abuse.
    Methods: A review of the current and recent literature focused on the radiographic imaging of child abuse was performed by searching the National Library of Medicine database at pubmed.gov. Keywords used included: radiology, fracture, child abuse, and/or nonaccidental trauma.
    Results: Injuries that are highly specific for the diagnosis of abuse include metaphyseal corner fractures, posteromedial rib fractures, and sternal, scapular, and spinous process fractures. Lesions of moderate specificity include, among other injuries, multiple fractures of various ages and epiphyseal separations. Long-bone fractures and clavicular fractures, while common, are of low specificity. In addition to the appropriate accurate diagnosis of these injuries, several diseases and syndromes may mimic abuse due to the similarity in the radiographic picture.
    Conclusions: Stratification of fractures sustained in child abuse according to specificity and an understanding of the several diseases that mimic abuse are helpful in the accurate diagnosis of child abuse.
    Level of evidence: Level V, diagnostic study. See Guidelines for Authors for a complete description of levels of evidence.
    MeSH term(s) Child ; Child Abuse/diagnosis ; Child, Preschool ; Crime Victims ; Diagnosis, Differential ; Fractures, Bone/diagnostic imaging ; Fractures, Bone/etiology ; Humans ; Infant ; Osteogenesis Imperfecta/diagnostic imaging ; Pain Insensitivity, Congenital/diagnosis ; Predictive Value of Tests ; Radiography/methods ; Rickets/diagnostic imaging
    Language English
    Publishing date 2010-06-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80301-7
    ISSN 1528-1132 ; 0009-921X
    ISSN (online) 1528-1132
    ISSN 0009-921X
    DOI 10.1007/s11999-010-1414-5
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  7. Article ; Online: The hip: MR imaging of uniquely pediatric disorders.

    Dwek, Jerry R

    Magnetic resonance imaging clinics of North America

    2009  Volume 17, Issue 3, Page(s) 509–20, vi

    Abstract: Many disease processes can affect the hip joints as a child grows, including developmental dysplasia of the hips; Legg-Calvé-Perthes disease; slipped capital femoral epiphysis; and traumatic, infectious, and noninfectious inflammatory causes. MR imaging ... ...

    Abstract Many disease processes can affect the hip joints as a child grows, including developmental dysplasia of the hips; Legg-Calvé-Perthes disease; slipped capital femoral epiphysis; and traumatic, infectious, and noninfectious inflammatory causes. MR imaging is uniquely able to provide information about the structure of the hip joint, and information about active disease states for diagnosing, planning, and assessing therapy.
    MeSH term(s) Adolescent ; Child ; Child, Preschool ; Contrast Media ; Epiphyses, Slipped/diagnosis ; Hip Dislocation, Congenital/diagnosis ; Hip Joint ; Humans ; Infant ; Infant, Newborn ; Joint Diseases/diagnosis ; Legg-Calve-Perthes Disease/diagnosis ; Magnetic Resonance Imaging/methods
    Chemical Substances Contrast Media
    Language English
    Publishing date 2009-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1196851-5
    ISSN 1557-9786 ; 1064-9689
    ISSN (online) 1557-9786
    ISSN 1064-9689
    DOI 10.1016/j.mric.2009.03.003
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  8. Article ; Online: Periosteal stripping in high ankle sprains: An association with osteonecrosis.

    Baldassarre, Randall L / Pathria, Mini N / Huang, Brady K / Dwek, Jerry R / Fliszar, Evelyne A

    Clinical imaging

    2020  Volume 67, Page(s) 237–245

    Abstract: Objective: We present a series of 20 cases of a sleeve-type injury of the distal tibia characterized by traumatic periosteal stripping caused by a high ankle sprain. We characterize the magnetic resonance imaging findings associated with this injury and ...

    Abstract Objective: We present a series of 20 cases of a sleeve-type injury of the distal tibia characterized by traumatic periosteal stripping caused by a high ankle sprain. We characterize the magnetic resonance imaging findings associated with this injury and highlight its association with distal tibial osteonecrosis.
    Materials and methods: We collected 20 cases of high ankle sprains with periosteal stripping of the distal tibia through teaching files and a search through our PACS database. We recorded the presence and pattern of syndesmotic ligamentous injury and the presence or absence of syndesmotic widening in patients with periosteal stripping. The presence or absence of associated fractures and osteonecrosis was noted and characterized by location.
    Results: The most commonly torn ligament was the anterior inferior tibiofibular ligament. 25% (5/20) of the patients in our series developed osteonecrosis. Osteonecrosis developed as early as 3-4 weeks following the initial injury. Of the patients with osteonecrosis, 40% (2/5) had fractures of the posterior malleolus. All patients with osteonecrosis had widening of the syndesmosis. Two of the five patients with osteonecrosis were in the pediatric age group.
    Conclusion: In contrast to conventional syndesmotic and interosseous ligamentous tearing, high ankle injuries with tibial periosteal stripping may result in avulsion of the extra-osseous vasculature supplied by the periosteum, leading to osteonecrosis. This pattern of injury has not been emphasized in the literature. Our findings underscore the importance of the integrity of the periosteum for maintaining adequate vascularity of the distal tibia.
    MeSH term(s) Adolescent ; Ankle Injuries/diagnostic imaging ; Ankle Injuries/pathology ; Female ; Fractures, Bone ; Humans ; Lateral Ligament, Ankle/injuries ; Magnetic Resonance Imaging/methods ; Male ; Osteonecrosis/diagnostic imaging ; Rupture ; Tarsal Bones ; Tibia/pathology
    Language English
    Publishing date 2020-08-15
    Publishing country United States
    Document type Case Reports
    ZDB-ID 1028123-x
    ISSN 1873-4499 ; 0899-7071
    ISSN (online) 1873-4499
    ISSN 0899-7071
    DOI 10.1016/j.clinimag.2020.07.032
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  9. Article ; Online: A systematic method for evaluation of pediatric sports injuries of the elbow.

    Dwek, Jerry R / Chung, Christine B

    Pediatric radiology

    2013  Volume 43 Suppl 1, Page(s) S120–8

    Abstract: We present a compartmentalized approach to sports injuries of the pediatric elbow. Lateral, medial and posterior injuries are considered separately under the unifying umbrella of the common forces projected on the elbow during sports activities and the ... ...

    Abstract We present a compartmentalized approach to sports injuries of the pediatric elbow. Lateral, medial and posterior injuries are considered separately under the unifying umbrella of the common forces projected on the elbow during sports activities and the effect on the separate growth centers and physes of the elbow.
    MeSH term(s) Athletic Injuries/diagnosis ; Child ; Child, Preschool ; Elbow Joint/diagnostic imaging ; Elbow Joint/injuries ; Elbow Joint/pathology ; Female ; Humans ; Image Enhancement/methods ; Infant ; Infant, Newborn ; Magnetic Resonance Imaging/methods ; Male ; Tomography, X-Ray Computed/methods
    Language English
    Publishing date 2013-03
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 124459-0
    ISSN 1432-1998 ; 0301-0449
    ISSN (online) 1432-1998
    ISSN 0301-0449
    DOI 10.1007/s00247-012-2585-x
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  10. Article ; Online: Avoiding Anomalous Tendon Harvest at the Pes Anserinus Insertion.

    Cidambi, Krishna R / Pennock, Andrew T / Dwek, Jerry R / Edmonds, Eric W

    The journal of knee surgery

    2016  Volume 29, Issue 1, Page(s) e1

    Language English
    Publishing date 2016-01
    Publishing country Germany
    Document type Published Erratum
    ZDB-ID 2075354-8
    ISSN 1938-2480 ; 1538-8506 ; 0899-7403
    ISSN (online) 1938-2480
    ISSN 1538-8506 ; 0899-7403
    DOI 10.1055/s-0035-1549101
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