Avulsion Injuries of the Pelvis and Hip.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: The authors declare that they have no conflict of interest. 16. J Craniomaxillofac Surg. 2025 Sep;53(9):1438-1454. doi: 10.1016/j.jcms.2025.05.016. Epub 2025 Jun 21. Magnetic resonance imaging in dental, oral and maxillofacial trauma: A systematic review. Al-Haj Husain A(1), Lie SAN(2), Sandhu S(3), Wagner MEH(4), Stadlinger B(5), Burian E(6), Frauenfelder T(7), Hainc N(8), Kessler P(9), Essig H(10). Author information: (1)Department of Cranio-Maxillofacial and Oral Surgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland; Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, Zurich, Switzerland; Department of Cranio-Maxillofacial Surgery, GROW School for Oncology and Reproduction, Maastricht University Medical Centre, Maastricht, the Netherlands; Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zurich, University of Zurich, Zurich, Switzerland. Electronic address: adib.al-hajhusain@usz.ch. (2)Department of Cranio-Maxillofacial Surgery, GROW School for Oncology and Reproduction, Maastricht University Medical Centre, Maastricht, the Netherlands. Electronic address: suen.lie@mumc.nl. (3)Department of Cranio-Maxillofacial and Oral Surgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland. Electronic address: sameena.sandhu@usz.ch. (4)Department of Cranio-Maxillofacial and Oral Surgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland. Electronic address: maximilian.wagner@usz.ch. (5)Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, Zurich, Switzerland. Electronic address: bernd.stadlinger@zzm.uzh.ch. (6)Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland. Electronic address: egon.burian@usz.ch. (7)Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland. Electronic address: thomas.frauenfelder@usz.ch. (8)Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zurich, University of Zurich, Zurich, Switzerland. Electronic address: nicolin.hainc@usz.ch. (9)Department of Cranio-Maxillofacial Surgery, GROW School for Oncology and Reproduction, Maastricht University Medical Centre, Maastricht, the Netherlands. Electronic address: peter.kessler@mumc.nl. (10)Department of Cranio-Maxillofacial and Oral Surgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland. Electronic address: harald.essig@usz.ch. This systematic review evaluates the current literature on state-of-the-art radiation-free MRI techniques for managing dental, oral, and maxillofacial trauma, comparing their diagnostic performance to conventional X-ray-based imaging. Two reviewers conducted an investigation using the PICOS search strategy across multiple databases, including MEDLINE, EMBASE, BIOSIS, Web of Science, Cochrane Library, LILACS, and BBO Dentistry. Twenty-nine studies were included: 12 on orbital trauma, 10 on condylar, subcondylar, or TMJ trauma, five on mandibular fractures, and one each on temporal bone and dental trauma. MRI was performed at post-traumatic, postoperative, or both stages. Despite variability in scan parameters, field strengths, and coil configurations, the results highlight MRI's growing potential in trauma assessment. CT-like and Black Bone MRI sequences enable simultaneous visualization of hard and soft tissues at trauma sites, providing diagnostic insights comparable to X-ray-based techniques. However, despite their superior soft-tissue assessment, they remain less effective at depicting intricate bony pathoanatomical conditions. This diagnostic approach can improve the long-term benefit-to-risk ratio, particularly for younger, radio-sensitive patients requiring repeated imaging and long-term follow-up. However, a modality- and protocol-oriented approach is essential to balance clinical conditions, radiation exposure, and diagnostic accuracy and efficiency, to ensure optimal patient outcomes in comprehensive trauma management. Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved. DOI: 10.1016/j.jcms.2025.05.016