The Use of Arthrography in Pediatric Orthopaedic Surgery

Philip D. Nowicki J Am Acad Orthop Surg August 2014 vol. 22 no. 8

Surgery near pediatric joints can be challenging because it is difficult to visualize vital articular structures. Assessment of underlying pathology is also challenging because the joint structures have not yet ossified. Arthrography is a useful tool that is quick and minimally invasive and allows adequate visualization of joint anatomy during surgery, which aids intraoperative decision making. In pediatric patients, arthrography is most useful for visualization of the elbow, knee, and hip joints. This tool can help the surgeon to refine the diagnosis and management of pediatric fractures and aids in surgical assessment during joint and limb reconstruction. Arthrography adds minimal time to surgery and carries a low risk of complications; it should be part of the armamentarium of any surgeon who treats pediatric orthopaedic patients.