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Imaging of physeal stress in the upper extremity
(Ab)normal redefined
Kraan, R.B.J.
Publication date
2020
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Citation for published version (APA):
Kraan, R. B. J. (2020). Imaging of physeal stress in the upper extremity: (Ab)normal
redefined.
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UITNODIGING
Voor het bijwonen van de openbare verdediging van mijn proefschrift
IMAGING OF PHYSEAL
STRESS IN THE UPPER
EXTREMITY
(AB)NORMAL REDEFINED woensdag 13 mei 2020 12.00 uur Agnietenkapel Oudezijds Voorburgwal 231 AmsterdamU bent van harte welkom bij deze plechtigheid en de aansluitende receptie
Rik Kraan Rikkraan@gmail.com 06-42515356 Omslag_Rik_V1.indd 4 Omslag_Rik_V1.indd 4 16-03-20 12:5516-03-20 12:55
IMAGING OF
PHYSEAL STRESS
IN THE UPPER
EXTREMITY
(AB)NORMAL REDEFINED
R.B.J. KRAAN
IMA
GING OF PHY
SEAL STRESS IN THE UPPER EX
TREMIT
Y:
(AB
)NORMAL REDEFINED R.B.J
. KRAAN
Omslag_Rik_V1.indd 2-3 Omslag_Rik_V1.indd 2-3 16-03-20 18:0116-03-20 18:01IMAGING OF PHYSEAL STRESS
IN THE UPPER EXTREMITY:
(AB)NORMAL REDEFINED
RIK B.J. KRAAN
BNW_Rik_V1.indd 1
Imaging of physeal stress in the upper extremity: (ab)normal redefined
This PhD thesis was embedded within Amsterdam Movement Sciences research institute, at the Department of Radiology, Amsterdam UMC, University of Amsterdam, the Netherlands. ISBN (print): 978-94-6375-887-1
ISBN (digital): 978-94-6375-886-4 Author: Rik B.J. Kraan
Cover design & Layout: Elisa Calamita, persoonlijkproefschrift.nl Printing: Ridderprint | www.ridderprint.nl
Copyright © 2020 | Rik B.J. Kraan, Amsterdam
All rights reserved. No parts of this thesis may be reproduced, stored or transmitted in any form or by any means, without the written permission of the author.
BNW_Rik_V1.indd 2
Imaging of physeal stress in the upper extremity:
(ab)normal redefined
ACADEMISCH PROEFSCHRIFT ter verkrijging van de graad van doctor
aan de Universiteit van Amsterdam op gezag van de Rector Magnificus
prof. dr. ir. K.I.J. Maex
ten overstaan van een door het College voor Promoties ingestelde commissie, in het openbaar te verdedigen
op woensdag 13 mei 2020, te 12.00 uur door Rik Bart Jozef Kraan
geboren te Sassenheim
BNW_Rik_V1.indd 3
Promotiecommissie
Promotor
Prof. dr. M. Maas AMC-UvA
Copromotores
Dr. P.P.F.M. Kuijer AMC-UvA
Dr. L.S. Kox AMC-UvA
Overige leden
Prof. dr. G.M.M.J. Kerkhoffs AMC-UvA
Prof. dr. E.A.L.M. Verhagen Vrije Universiteit Amsterdam Prof. dr. S.G.F. Robben Universiteit Maastricht Prof. dr. J. Gielen Universiteit Antwerpen
Dr. A.H. Teeuw AMC-UvA
Dr. M.C. Obdeijn AMC-UvA
Faculteit der Geneeskunde
BNW_Rik_V1.indd 4
Table of contents
Chapter 1 General introduction 7
Part I: Morphology
Chapter 2 Systematic assessment of the growth plates of the wrist in young gymnasts: development and validation of the Amsterdam MRI assessment of the Physis (AMPHYS) protocol
19
Chapter 3 Age related signal intensity changes of the bone marrow in the healthy adolescent: facilitating interpretation of high resolution 3T MR-images of the distal forearm
47
Chapter 4 The wrist-loading athlete’s wrist: exploring the effect of gymnastics on the MRI-appearance of the distal radius and ulna 63
Part II: Quantification
Chapter 5 It’s a thin line: development and validation of Dixon MRI-based semi-quantitative assessment of stress-related bone marrow edema in the wrists of young gymnasts and non-gymnasts
85
Chapter 6 Damage of the distal radial physis in young gymnasts: can three-dimensional assessment of physeal volume on MRI serve as a biomarker? 107
Chapter 7 The distal radial physis: exploring normal anatomy on MRI enables interpretation of stress related changes in young gymnasts 121
Part III: Future perspectives
Chapter 8 Incidence, prevalence, and risk factors for elbow and shoulder overuse injuries in youth athletes: A systematic review 139
Chapter 9 General discussion 181
Chapter 10 Summary 193
Chapter 11 Samenvatting 199
Appendices Contributing authors 206
PhD portfolio 209
About the author 212
Dankwoord 213
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