Umasankar N, et al. - A prospective 2017 study focusing on the pediatric and adolescent population exhibited great promise in the development of an ultrasound-based scoring system for diagnosing adnexal torsion. Researchers here examined the validity of this scoring system in a primarily African American population, and in patients with a BMI > 25. They conducted a retrospective chart review resulting in identification of a total of 53 cases of surgically proven ovarian torsion, over the course of 10 years at a tertiary referral center. Among these patients, 60% were African American, 10% were Hispanic, and 30% were Caucasian; the average BMI was 29 across all ethnicities. Primarily, ovarian torsion was observed in significant correlation with adnexal mass, ovarian edema, leukocytosis, nausea/vomiting, adnexal ratio, and ovarian volume. Per findings, the timely assessment and management of young women with this condition can be significantly improved with widespread use of a non-invasive scoring system to predict adnexal torsion. The previously published composite score for torsion, using clinical and ultrasound findings, was suggested as valuable for predicting torsion in African American and high BMI premenarchal and postmenarchal adolescents.