title: Imaging of physeal injury: overuse.
abstract: BACKGROUND
  As the intensity of youth participation in athletic activities continues to rise, the number of overuse injuries has also increased. A subset of overuse injuries involves the physis, which is extremely susceptible to injury. This paper aims to review the utility of the various imaging modalities in the diagnosis and management of physeal injuries in the skeletally immature population.
  
  
  METHODS
  A search for the keywords pediatric, physis, growth plate, x-ray, computed tomography, magnetic resonance imaging, and overuse injury was performed using the PubMed database. No limits were set for the years of publication. Articles were reviewed for relevance with an emphasis on the imaging of growth plate injuries.
  
  
  METHODS
  Retrospective literature review.
  
  
  METHODS
  Level 4.
  
  
  RESULTS
  Three major imaging modalities (radiographs, computed tomography, and magnetic resonance imaging) complement each other in the evaluation of pediatric patients with overuse injuries. However, magnetic resonance imaging is the only modality that offers direct visualization of the physis, and it also offers the best soft tissue contrast for evaluating the other periarticular structures for concomitant injury.
  
  
  CONCLUSIONS
  Imaging has an important role in the diagnosis of physeal injuries, and the information it provides has a tremendous impact on the subsequent management of these patients.
authors.affiliation: Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York.
authors.forename: Shari T
authors.initials: ST
authors.lastname: Jawetz
authors.affiliation: Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York.
authors.forename: Parina H
authors.initials: PH
authors.lastname: Shah
authors.affiliation: Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York.
authors.forename: Hollis G
authors.initials: HG
authors.lastname: Potter
keywords: computed tomography; magnetic resonance imaging; overuse injuries; physis