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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.
Abstract:
The degree of acetabular and labral coverage was clarified in children at different positions using radial-sequence magnetic resonance imaging. Scans were performed on 40 hips in 20 normal children (group A, 6-8 years old; group B, 9-11 years old; group C, 12-13 years old) and on 19 hips of 10 healthy adults as controls. The degrees of coverage of the femoral head by acetabulum, acetabular labrum, and both were measured at seven positions at every 15 degrees from anterosuperior 45 degrees via midsuperior to posterosuperior 45 degrees. Coverage of the femoral head by the acetabulum in young children was less than in adults at all positions, but the total coverage including the labrum was greater than in adults. Development of the acetabulum and the acetabular labrum showed differences by position.
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