EARLY MR-IMAGING OF LOWER-EXTREMITY PHYSEAL FRACTURE-SEPARATIONS - A PRELIMINARY-REPORT

Magnetic resonance imaging (MRI) was used to evaluate physeal fracture -separations in children soon after at-risk lower-extremity fractures. MRI scans taken during the ''acute'' period (within 10 days of fractu re) resulted in a change in three of four of the Salter-Harris classif ications from the injury radiographs. Twelve children had MRI scans pe rformed in the ''early'' period (3-17 weeks following fracture). Physe al narrowing or tethering and the absence of Harris arrest lines were found in those patients who subsequently required late surgical interv ention. Acute MRI provides the most accurate evaluation of the physeal fracture anatomy. Early MRI can demonstrate transphyseal bridging or altered arrest lines in physeal fracture before they become manifest o n radiographs.