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Pediatric Pelvis

Nancy A Chauvin1

  • 1Department of Pediatric Imaging and Regional Radiology, The Cleveland Clinic Imaging Institute, Cleveland, Ohio.

Seminars in Musculoskeletal Radiology
|July 29, 2024
PubMed

Insights

Understanding pediatric pelvic development is key to correctly interpreting imaging. This review covers normal maturation, variants, and common injuries to avoid misdiagnosis in children.

Area of Science:

  • Pediatric Radiology
  • Skeletal Development
  • Anatomy

Background:

  • Pelvic ossification follows a predictable pattern during skeletal maturity.
  • Growth centers (bone, synchondroses, apophyses) appear and close at specific times.
  • Maturation causes structural changes in the pediatric pelvis visible on imaging.

Purpose of the Study:

  • To provide a multimodality review of normal pediatric pelvic maturation.
  • To discuss common developmental variants that can mimic pathology.
  • To describe common injuries unique to the pediatric pelvis.

Main Methods:

  • Review of normal pelvic maturation across various imaging modalities.
  • Discussion of developmental variants.
  • Description of pediatric-specific pelvic injuries.

Main Results:

  • Normal pelvic development involves predictable ossification patterns.
  • Skeletal maturity stages present distinct imaging appearances.
  • Developmental variants and normal features can be mistaken for pathology or injury.

Conclusions:

  • Accurate interpretation of pediatric pelvic imaging requires knowledge of normal skeletal development.
  • Understanding maturation prevents misdiagnosis of pathology and injury.
  • This review aids radiologists in differentiating normal development from abnormalities.

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