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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Pediatric Shoulder Girdle
Mobeen Farooq1, Jeffrey A Belair2, Vishal Desai2
1Department of Radiology, Northwell Health, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York.
Insights
Interpreting pediatric shoulder imaging is challenging due to varying bone development. This review covers normal growth, anatomy, and imaging variants to help distinguish typical development from pathology.
Area of Science:
- Pediatric Orthopedics
- Radiology
- Anatomy
Background:
- The pediatric shoulder girdle is a complex anatomical region.
- Its wide range of motion is facilitated by osseous structures, articulations, and soft tissues.
- Growth and maturation vary, especially in osseous components, complicating imaging interpretation.
Purpose of the Study:
- To review the physiologic growth and maturation of the pediatric shoulder girdle.
- To emphasize the development of bones and their articulations.
- To discuss imaging modalities and common variants in the pediatric shoulder.
Main Methods:
- Review of physiologic growth and maturation of the shoulder girdle.
- Emphasis on the development of bones and articulations.
- Discussion of imaging modalities and common osseous and soft tissue variants.
Main Results:
- Pediatric shoulder girdle development involves complex osseous and soft tissue maturation.
- Variations in growth can mimic pathology on imaging.
- Understanding normal variants is crucial for accurate diagnosis.
Conclusions:
- Accurate interpretation of pediatric shoulder imaging requires knowledge of normal growth and maturation.
- Familiarity with common osseous and soft tissue variants is essential.
- This review aids clinicians in differentiating normal anatomy from pathology.
Abstract:
The pediatric shoulder girdle is a complex anatomical structure uniting the upper extremity and trunk. The osseous structures, their articulations, and the surrounding soft tissue support structures (muscles, tendons, and ligaments) allow for a wide range of motion at the shoulder. Growth and maturation of the components at the shoulder girdle vary, particularly the osseous structures. This characteristic renders interpretation of imaging of the pediatric shoulder girdle more challenging because normal or variant anatomy can be confused for pathology. We review the physiologic growth and maturation of the shoulder girdle with special emphasis on the development of the bones and their articulations. The role of various imaging modalities and the common osseous and soft tissue variants in the pediatric shoulder are also discussed.
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