The paediatric musculoskeletal subcommittee has been established as a panel for musculoskeletal radiologists with a particular interest and expertise in imaging of musculoskeletal disorders in children. Imaging of the musculoskeletal system in children can pose a significant challenge for radiologists, paediatric but also musculoskeletal, and cannot simply be assimilated to adult musculoskeletal imaging, due to the complexity of the developmental characteristics, the constant changing features and particularities of the children’s skeleton.  Children are not merely “small adults” when it comes to the musculoskeletal system. The impact of misdiagnosis in children can be devastating, and have important implications in adulthood. At the same time, exposure to radiation and contrast agents can involve short and long term risks that need to be carefully addressed and pondered.

Main Aims

The main aim of this subcommittee is to promote educational projects, and encourage research and innovation, focused on musculoskeletal imaging in children.

This involves working towards the standardization of practice and optimization of imaging procedures and algorithms, with the purpose of achieving early and accurate diagnosis with minimization of risk for the patients.

The intention is to actively collaborate, amongst individuals and with the other ESSR subcommittees to present documents of consensus and to create a forum for discussion on appropriateness and indications of techniques and imaging advances.
The work of the subcommittee would like to encourage excellence in paediatric musculoskeletal diagnosis, and also increase the visibility of diagnostic and interventional paediatric musculoskeletal radiology as a specific discipline.



Paolo Simoni – Brussels/BE
Term of office 2022 – 2025


Maria Pilar Aparisi-Gomez – Valencia/ES & Auckland/NZ



For a list of subcommittee members, please VISIT HERE


Perform a survey on the status of teaching of paediatric musculoskeletal imaging across Europe.
This seeks to broaden the importance of paediatric musculoskeletal radiology in the general core curriculum of the undergraduate students (some essential but clear points on common diseases) and explore the possibility of or the demand to develop a tailored and targeted e-leaning platform for paediatric MSK radiology in the future for medical students and residents.

  • Compile an updated, comprehensive collection of measurements used in paediatric musculoskeletal imaging, in the form of a user-friendly textbook.
  • Collaboration on the update on Imaging on Juvenile Idiopathic Arthritis (JIA) a conjoined project of the MSK taskforce of the ESPR and the ESSR Arthritis subcommittee.
  • A review on existing evidence on hip imaging in children and adolescents, with the aim to develop an issue or book dedicated to this topic.
  • Active participation in ESR and ESSR forums (initiatives including webinars).
  • Active collaboration with other international societies such us ISS and Paediatric societies.
  • Organisation of dedicated courses / workshops and collaboration in ESSR outreach programme.
  • Platform to share and save in interesting and /or controversial cases to submit to the members. These cases could be the basis of a platform for e-learning.
  • Offer an up-to-date choice of articles and external resources selected and suggested by the members for young radiologists and residents who wish to improve their knowledge in paediatric MSK imaging.



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> Spinnato P, Facchini G, Tetta C, Lotrecchiano L, Colangeli M, Bazzocchi A,
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> Jaremko JL, Teh J, Weidekamm C, Jans L, Herregods N. Hip Inflammatory
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> Otobo TM, Conaghan PG, Maksymowych WP, van der Heijde D, Weiss P,
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M, Tzaribachev N, Sandhya P, Tse S, Simone A, Swami VG, Touma Z, Lambert R, Doria
AS. Preliminary Definitions for Sacroiliac Joint Pathologies in the OMERACT
Juvenile Idiopathic Arthritis Magnetic Resonance Imaging Score (OMERACT
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> Sudoł-Szopińska I, Eshed I, Jans L, Herregods N, Teh J, Vojinovic J.
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> Herregods N, Vanhoenacker FM, Jaremko JL, Jans L. Update on Pediatric Hip
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> Herregods N, Dehoorne J, Van den Bosch F, Jaremko JL, Van Vlaenderen J, Joos
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> Herregods N, Dehoorne J, Jaremko J, Joos R, Baraliakos X, Verstraete K, Jans
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> Herregods N, Dehoorne J, Pattyn E, Jaremko JL, Baraliakos X, Elewaut D, Van
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> Herregods N, Dehoorne J, Joos R, Jaremko JL, Baraliakos X, Leus A, Van den
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> Nusman CM, van den Berg JM, Nassar-Sheikh Rashid A, Ntailiani K, Karantanas A,
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> Barendregt AM, van Gulik EC, Groot PFC, Dolman KM, van den Berg JM,
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> Hemke R, Tzaribachev N, Barendregt AM, Merlijn van den Berg J, Doria AS, Maas
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> Kox LS, Kuijer PPFM, Thijssen DAJ, Kerkhoffs GMMJ, van Rijn RR, Frings-Dresen
MHW, Maas M. Health Effects of Wrist-Loading Sports During Youth: A Systematic
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> van Gulik EC, Hemke R, Welsink-Karssies MM, Schonenberg-Meinema D, Dolman KM,
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> Nusman CM, de Horatio LT, Hemke R, van Gulik EC, Ording Müller LS, Malattia C,
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Rosendahl K. Imaging in juvenile idiopathic arthritis – international initiatives
and ongoing work. Pediatr Radiol. 2018 Jun;48(6):828-834. doi:
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> van Gulik EC, Welsink-Karssies MM, van den Berg JM, Schonenberg-Meinema D,
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> Slaar A, Fockens MM, Wang J, Maas M, Wilson DJ, Goslings JC, Schep NW, van
Rijn RR. Triage tools for detecting cervical spine injury in pediatric trauma
patients. Cochrane Database Syst Rev. 2017 Dec 7;12:CD011686. doi:
10.1002/14651858.CD011686.pub2. Review. PubMed PMID: 29215711; PubMed Central
PMCID: PMC6486014.

> Hemke R, van den Berg JM, Nusman CM, van Gulik EC, Barendregt AM,
Schonenberg-Meinema D, Dolman KM, Kuijpers TW, Maas M. Contrast-enhanced MRI
findings of the knee in healthy children; establishing normal values. Eur Radiol.
2018 Mar;28(3):1167-1174. doi: 10.1007/s00330-017-5067-6. Epub 2017 Oct 6. PubMed
PMID: 28986634; PubMed Central PMCID: PMC5811591.

> Hemke R, Nusman CM, van den Berg JM, Lavini C, Schonenberg-Meinema D, Dolman
KM, Kuijpers TW, Maas M. Construct validity of pixel-by-pixel DCE-MRI:
Correlation with conventional MRI scores in juvenile idiopathic arthritis. Eur J
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PubMed PMID: 28941753.

> Barendregt AM, van Gulik EC, Lavini C, Nusman CM, van den Berg JM,
Schonenberg-Meinema D, Dolman KM, Kuijpers TW, Hemke R, Maas M.
Diffusion-weighted imaging for assessment of synovial inflammation in juvenile
idiopathic arthritis: a promising imaging biomarker as an alternative to
gadolinium-based contrast agents. Eur Radiol. 2017 Nov;27(11):4889-4899. doi:
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> Hemke R, Tzaribachev N, Nusman CM, van Rossum MAJ, Maas M, Doria AS. Magnetic
Resonance Imaging (MRI) of the Knee as an Outcome Measure in Juvenile Idiopathic
Arthritis: An OMERACT Reliability Study on MRI Scales. J Rheumatol. 2017
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> Nusman CM, Hemke R, Lavini C, Schonenberg-Meinema D, van Rossum MA, Dolman
KM, van den Berg JM, Maas M, Kuijpers TW. Dynamic contrast-enhanced magnetic
resonance imaging can play a role in predicting flare in juvenile idiopathic
arthritis. Eur J Radiol. 2017 Mar;88:77-81. doi: 10.1016/j.ejrad.2017.01.003.
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> Nusman CM, Lavini C, Hemke R, Caan MW, Schonenberg-Meinema D, Dolman KM, van
Rossum MA, van den Berg JM, Kuijpers TW, Maas M. Dynamic contrast-enhanced
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> Rieter JF, de Horatio LT, Nusman CM, Müller LS, Hemke R, Avenarius DF, van
Rossum MA, Malattia C, Maas M, Rosendahl K. The many shades of enhancement:
timing of post-gadolinium images strongly influences the scoring of juvenile
idiopathic arthritis wrist involvement on MRI. Pediatr Radiol. 2016
Oct;46(11):1562-7. doi: 10.1007/s00247-016-3657-0. Epub 2016 Jul 12. PubMed PMID:

> Nusman CM, Rosendahl K, Maas M. MRI Protocol for the Assessment of Juvenile
Idiopathic Arthritis of the Wrist: Recommendations from the OMERACT MRI in JIA
Working Group and Health-e-Child. J Rheumatol. 2016 Jun;43(6):1257-8. doi:
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> Slaar A, Walenkamp MM, Bentohami A, Maas M, van Rijn RR, Steyerberg EW, Jager
LC, Sosef NL, van Velde R, Ultee JM, Goslings JC, Schep NW. A clinical decision
rule for the use of plain radiography in children after acute wrist injury:
development and external validation of the Amsterdam Pediatric Wrist Rules.
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Aug 23. PubMed PMID: 26298555; PubMed Central PMCID: PMC4706582.

> Colebatch-Bourn AN, Edwards CJ, Collado P, D’Agostino MA, Hemke R,
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N, van Rossum MA, Vojinovic J, Conaghan PG, Malattia C. EULAR-PReS points to
consider for the use of imaging in the diagnosis and management of juvenile
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> Nusman CM, Hemke R, Benninga MA, Schonenberg-Meinema D, Kindermann A, van
Rossum MA, van den Berg JM, Maas M, Kuijpers TW. Contrast-enhanced MRI of the
knee in children unaffected by clinical arthritis compared to clinically active
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> Barendregt AM, Nusman CM, Hemke R, Lavini C, Amiras D, Kuijpers TW, Maas M.
Feasibility of diffusion-weighted magnetic resonance imaging in patients with
juvenile idiopathic arthritis on 1.0-T open-bore MRI. Skeletal Radiol. 2015
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> Hemke R, Kuijpers TW, Nusman CM, Schonenberg-Meinema D, van Rossum MA, Dolman
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> Nusman CM, Ording Muller LS, Hemke R, Doria AS, Avenarius D, Tzaribachev N,
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> Hemke R, Nusman CM, van der Heijde DM, Doria AS, Kuijpers TW, Maas M, van
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a 5-year follow-up of newly diagnosed patients: implications for MR imaging as
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> Znajdek M, Gazda A, Gietka P, Wysmołek M, Sudoł-Szopińska I. Juvenile
spondyloarthritis and chronic recurrent multifocal osteomyelitis overlap syndrome
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31355588; PubMed Central PMCID: PMC6750310.

> Sudoł-Szopińska I, Znajdek M, Gietka P, Vasilevska-Nikodinovska V, Patrovic L,
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> Sudoł-Szopińska I, Gietka P, Znajdek M, Matuszewska G, Bogucevska M,
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> Sudoł-Szopińska I, Płaza M, Pracoń G. Selected issues in diagnostic imaging of
spondyloarthritides: psoriatic arthritis and juvenile spondyloarthritis.
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Review. PubMed PMID: 28115782; PubMed Central PMCID: PMC5241368.

> Matuszewska G, Zaniewicz-Kaniewska K, Włodkowska-Korytkowska M, Smorawińska P,
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> Bazzocchi A, Spinnato P, Aparisi Gómez MP, Mercatelli D, Albisinni U.
Spondylocarpotarsal synostosis syndrome: “Bat wings” spinal fusions and “ladybug”
carpal coalitions. Pediatr Neonatol. 2019 Aug;60(4):469-470. doi:
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> Bazzocchi A, Spinnato P, Mercatelli D, Aparisi Gómez MP. Fluid-Fluid Levels in
Aneurysmal Bone Cysts. J Pediatr. 2019 Jan;204:317. doi:
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> Arrigoni F, Napoli A, Bazzocchi A, Zugaro L, Scipione R, Bruno F, Palumbo P,
Anzidei M, Mercatelli D, Gravina GL, Zoccali C, Ghanouni P, Barile A, Catalano C,
Masciocchi C. Magnetic-resonance-guided focused ultrasound treatment of
non-spinal osteoid osteoma in children: multicentre experience. Pediatr Radiol.
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PubMed PMID: 31129699.

> Spinnato P, Aparisi Gómez MP, Giugliano A, Mercatelli D, Bazzocchi A. Superior
mesenteric artery syndrome after scoliosis surgery. Pediatr Int. 2019
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> Spinnato P, Aparisi Gomez MP, Molinari M, Mercatelli D, Bazzocchi A.
Torticollis After a Somersault: A Case of Grisel’s Syndrome. Indian J Pediatr.
2019 Feb;86(2):198-199. doi: 10.1007/s12098-018-2756-3. Epub 2018 Aug 13. PubMed
PMID: 30105566.

> Spinnato P, Facchini G, Bazzocchi A, Albisinni U. Diffuse lung disease
associated with neurofibromatosis type-1 can also affect children. World J
Pediatr. 2018 Apr;14(2):207. doi: 10.1007/s12519-018-0149-3. Epub 2018 Mar 7.
PubMed PMID: 29516392.

> Albisinni U, Facchini G, Spinnato P, Gasbarrini A, Bazzocchi A. Spinal osteoid
osteoma: efficacy and safety of radiofrequency ablation. Skeletal Radiol. 2017
Aug;46(8):1087-1094. doi: 10.1007/s00256-017-2662-1. Epub 2017 May 11. PubMed
PMID: 28497160.

> Le VD, Simoni P. 4-year-old boy referring for diffuse joint stiffness and
progressive bilateral visual impairment. Skeletal Radiol. 2019 Mar;48(3):475-476.
doi: 10.1007/s00256-018-3077-3. PubMed PMID: 30255193.

> Appiah V, Boitsios G, Vander Elst O, Simoni P. Acute right ankle pain in a
9-year-old boy without history of trauma. Normal variant of distal tibial
epiphysis. Skeletal Radiol. 2018 Nov;47(11):1551-1552. doi:
10.1007/s00256-018-2982-9. PubMed PMID: 29806071.

> Boitsios G, Le Brun JC, Simoni P. Short stature and bone structure
abnormalities in two siblings. Pycnodysostosis (also known as osteopetrosis
acro-osteolytica). Skeletal Radiol. 2018 Sep;47(9):1285-1288. doi:
10.1007/s00256-018-2950-4. PubMed PMID: 29687148.

> Jurik AG, Klicman RF, Simoni P, Robinson P, Teh J. SAPHO and CRMO: The Value
of Imaging. Semin Musculoskelet Radiol. 2018 Apr;22(2):207-224. doi:
10.1055/s-0038-1639469. Epub 2018 Apr 19. Review. PubMed PMID: 29672809.

> Dimitriou C, Boitsios G, Badot V, Lê PQ, Goffin L, Simoni P. Imaging of
Juvenile Idiopathic Arthritis. Radiol Clin North Am. 2017 Sep;55(5):1071-1083.
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Colleagues interested are very welcome to join the Subcommittee directly emailing the chairperson and attaching a short curriculum vitae.