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Development of the acetabulum and the acetabular labrum in the normal child: analysis with radial-sequence magnetic

Motoyuki Horii1, Toshikazu Kubo, Yudo Hachiya

  • 1Department of Orthopaedic Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. horii@koto.kpu-m.ac.jp

Insights

Acetabular and labral coverage of the femoral head differs in children compared to adults. While acetabular coverage is less in young children, overall coverage including the labrum is greater, indicating developmental differences.

Area of Science:

  • Pediatric Orthopedics
  • Radiology
  • Developmental Anatomy

Background:

  • Acetabular and labral coverage are crucial for hip joint stability.
  • Understanding developmental changes in hip coverage is essential for identifying potential pathologies.

Purpose of the Study:

  • To quantify acetabular and labral coverage in children across different age groups and hip positions.
  • To compare hip coverage in children with healthy adults.

Main Methods:

  • Radial-sequence magnetic resonance imaging (MRI) was used to scan 40 hips in 20 children (aged 6-13 years) and 19 hips in 10 healthy adults.
  • Coverage was measured at seven positions around the femoral head at 15-degree intervals.
  • Measurements included acetabular coverage, labral coverage, and combined coverage.

Main Results:

  • Children exhibited less acetabular coverage than adults across all measured positions.
  • Total hip coverage, including the acetabular labrum, was greater in children than in adults.
  • Developmental variations in acetabular and labral coverage were observed depending on the hip position.

Conclusions:

  • Acetabular and labral development significantly influences hip joint coverage in children.
  • These findings highlight age- and position-dependent changes in hip morphology, important for clinical assessment.

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